ACCESS CONTROL COMMISSIONING & COMPLIANCE FORM

Aligned with AS/NZS 60839.11.1, NCC (BCA), AS/CA S009, AS/NZS 3000, WHS Act 2020 (WA), Privacy Act 1988 (Cth)

Project & Client Details

Site / Project Name

Address

Date

Client / End User

Installer Company

Technician

Controller Information

Controller Type

Firmware

Module Location

Power Supply

Backup Battery

Standards & Legal Checklist

AS/NZS 60839.11.1 (Electronic access control systems) NCC (BCA) applicable building requirements considered AS/CA S009 (Cabling) adherence AS/NZS 3000 (Wiring Rules) where applicable WHS Act 2020 (WA) obligations met Privacy Act 1988 (Cth): consent/signage, purpose limitation Site risk assessment completed & documented As-built documentation reflects standards Required permits obtained

Notes / Variations

Expansion Modules

Starts with one. Add more as needed.

Door Commissioning & Test Results

Starts with 1 door. Max 128 doors.

Network Configuration

Network Type

IP Address

Subnet Mask

Gateway

DNS

MAC Address

Server/AMS Address

Port Number(s)

Network Security Applied

VLAN / Segmentation

Remote Access Disabled

Cybersecurity

Unique admin credentials Default passwords changed Firmware verified / up to date Segmented VLAN / static IP TLS/SSL controller↔server DB backup secured Logs reviewed & retention set No unauthorised external access Australian privacy compliance

User Roles & Permissions

Administrator Accounts

Operator Accounts

Maintenance / Service Accounts

Visitor / Contractor Access

Notes on Access Levels / Restrictions

Audit Logging & Reporting

Audit logging enabled Event logs reviewed Export/report tested Log backups done Retention applied No unauthorised deletions Tamper/intrusion verified

Handover & Documentation

Documentation provided Drawings & cable schedules updated Controller FW/config backup Access credentials handed over Client trained Maintenance schedule documented Client support contact confirmed

Customer Acceptance

Client Representative

Date

Installer / Commissioner

Date

Email to client Client Email:

Submitting will generate a PDF and email it to operations@diversesolutions.au — and, if selected, CC the client.

Form Version 7.2