VideoconferencingPre-installation Checklist

General Information

Today’s Date: / Customer PO#:
Video System Brand: / Model:
Serial #: / SKC Acct. Exec:

Address & Location

Company: / Location Name:
Contact: / Phone #:
Address 1: / Address 2:
City: / State:
Zip Code: / Country:
Pager/Cell: / Contact’s E-mail:
Room Name: / Room Phone:
System Name / (how the unit will identify itself to other units)

Shipping Address (if different from above)

Company: / Main Phone #:
Contact: / Contact Phone #:
Address 1: / Address 2:
City: / State:
Zip Code: / Country:
Pager/Cell: / Contact’s E-mail:
ISDN Network Information - BRI
Network Carrier: / Local Exchange Carrier:
ISDN Switch Protocol: / Please SpecifyNI-1 (National ISDN 1)AT&T 5ESS Point to PointAT&T 5ESS MultipointNortel DMS 100 (Custom)DCP / ISDN Interface: / Please SpecifyU-InterfaceS/T Interface
If U-interface has been provided, will NT1,3 or 4 device be provided? / YesNo / How Many?
Network Access Type: / Please SpecifyBRISwitch 56 / How Many Lines? / Please Specify1234
Are the Lines Installed? / SelectNoYes / Have the Lines been Checked? / SelectNoYes
Are they labeled at the wall? / SelectNoYes / Who installed the lines (carrier name?)
Do the lines have a long distance carrier? / SelectNoYes
If yes, which carrier? / SelectAT&TMCISprintOther / If no, which pick code would be used?

Video Number

/ SPID Number
Line 1 B1:
Line 1 B2:
Line 2 B1:
Line 2 B2:
Line 3 B1:
Line 3 B2:
Line 4 B1:
Line 4 B2:
Special Network Instructions or Configurations:
Note:The Video Number is contained within the full SPID number, and can be either before, after, or within the SPID extension. Please supply the Full SPID number to avoid delay of process.
ISDN Network Information - PRI
Network name you want to call the unit: / Video Number:
Network Carrier: / Local Exchange Carrier:
ISDN Switch Protocol: / Please SpecifyNI-2 (National ISDN 2)AT&T 5ESS Point to PointAT&T 5ESS MultipointNortel DMS 100 (Custom) / If 4ESS, Symmetrical Slave or Master? / SelectSymmetrical SlaveSymmetrical Master
Line Signaling: / SelectB8ZS/ESFD4/B7 / CSU Internal or External? / SelectInternalExternal
Line Build Out (if available): / dB / Terminal Endpoint ID (TEI):
Dialing Prefix (if applicable): / Call by Call Number (if applicable):
Is the Line Installed? / SelectNoYes / Has the Line been Checked? / SelectNoYes
Who installed the lines (carrier name?) / Lines have long distance? / SelectNoYes
If yes, which carrier? / SelectAT&TMCISprintOther / If no, which pick code would be used?
Special Network Instructions or Configurations:
Note:Clock source must be external.
V.35 Network Information
Video Number: / NA / V.35 DSU/CSU Equipment:
Type of Cable: / Please SpecifyV.35RS-366V.35 RS366RS-449RS-530 / Cable Description:
Number of Cables: / Will dialing be done from the system? / SelectNoYes
If yes, type of Dialing? / If no, is this a dedicated (nailed) network? / SelectNoYes
Is the DSU/CSU Installed? / SelectNoYes / If no, what will be the date of installation?
Personnel who can access & make changes to the existing
V.35 DSU/CSU equipment must be available.
Name(s) of Personnel: / Phone Number:
Note: A Pin out diagram of the cable may be required before authorization of installation is issued. If dialing will be done from the video unit, a list of dialing profiles must be submitted with this form. At no point will the Installation Technician be responsible for configuring or setting up any equipment beyond the cable from the system’s V.35 interface.
Special Network Instructions or Configurations:
IP Information (LAN/Ethernet, H.323 & Management Server)
Will this system be connected to a LAN or Ethernet?
WINS: Yes or No? / SelectNoYes / WINS Server IP:
DHCP or Static? / SelectDHCPSTATIC / TCP/IP Address:
Subnet Mask: / Gateway:
Domain Name Servers:
Will I.T. personnel be available during the install should any problems arise? / SelectNoYes
Name of available I.T. person: / Phone/Extension:
Will this unit be used for H.323 calling? / SelectNoYes / If yes, H.323 Gatekeeper IP:
H.323 Gateway Model:
Global Management Server IP (If applicable): / Password:
Additional Notes:
Audio Add On Information (North America Only)
Phone Number of Analog Line:
Additional Notes:

Peripherals

Document Camera: / Make of document camera:
Make of Primary Monitor:
Monitor connection: S-Video or Composite? / SelectS-VideoComposite
Make of Secondary Monitor(s):
S-Video connector on second monitor(s)? / SelectNoYes
VCR/DVD / Video connection type on VCR:
Additional Notes:
Additional Questions
Are the ISDN lines in the telecom closet? / SelectNoYes
Are they punched down to an RJ-11 or RJ-45 jack? / SelectNoYes
Are the ISDN lines run to the room? / SelectNoYes
Is there a data jack in the conference room? / SelectNoYes
If so, is it labeled and tested through? / SelectNoYes
Do the TVs have Composite or S-video jacks? / SelectS-VideoComposite
Can the TV change inputs without a remote control? / SelectNoYes
Is TV remote control on-site? / SelectNoYes
Do you have a power strip? / SelectNoYes
What else do you need that we haven’t covered?
Where do you want all the peripherals relative to the video system?
Special notes or instructions:
NOTICE
The installation of video conferencing equipment includes the codec, cameras, and monitors, but does not include installation, programming, training or any handling of any other equipment such as CSU/DSU programming, firewall management, router configuration, cable pulling, removal of existing videoconferencing equipment, computer installation, projector mounting, patch panel/HUB/Switch configuration, PBX programming, or network provisioning, unless otherwise agreed upon in writing.
Complete pre-installation checklist, and save the file as a Word document. Attach completed checklist to an e-mail, and send to your SKC account executive, or to . Checklist must be e-mailed; faxed checklists cannot be accepted. Installation will not be scheduled until completed Pre-Installation Checklist is received.
All equipment must be on-site before the installer arrives.
Installations will be completed, as outlined in the installation agreement, to the best ability of those available resources. In such instances where installations are not completed due to information submitted on this form being inaccurate, or the lack of necessary resources prepared or available in the room where the unit will reside, a second installation date and fee will be required in order to complete the installation. Please be aware of all devices requiring power, and network connections. Submittal of this form is an agreement to the terms stated within the body of this text. Any unauthorized changes to this form will result in the immediate dismissal of the request and will result in delays for installation. Installation will be scheduled to be completed approximately 2 weeks from receipt of this form.
Form Completed By:
Printed Name / Date
Company Name

SKC Use Only

Engineering Approval:
Scheduled Install Date: / Scheduled Install Time:
Case Number: / Contract Number:

Customer Sign Off FormCompleted at time of installation

Video Unit Testing

Inbound Calls Working

Outbound Calls Working

Speed

Training

I have been trained on the following:

Scheduling/Monitoring a Call

Participant/Conference Templates

Configuration

Rebooting the System

Changing the Admin Password

Signed / Date
Printed Name
Company Name