ATLANTA POLICE DEPARTMENT

Residential Security Inspection

Serial No.	Survey Refused: Yes No	Emergency Police Number 911
Date of Inspection:	Contact’s Name:
(Last	First	M.I.)
Beat:	Address:
(Number	Street	Code	Apt. #	Zip Code)
Phone:	Type Residence:	Apt.	House	Neighborhood Watch
Reason for Survey:	Follow-up to Crime	Crime Report No.:	Request Canvas
Resurvey:	Yes No	Operation

ID Member:	Yes No
Number of Suggestions:	Any Suggestions Implemented from Prior Survey:	Yes No
CATEGORY RATING:	DOORS: Good Adq. Poor N/A	WINDOWS Good Adq. Poor N/A
ALARM: Good Adq. Poor N/A	PERI-

METER: Good Adq. Poor N/A	VISI-

BILITY: Good Adq. Poor N/A
SECURITY

PROCEDURES: Good Adq. Poor N/A	OVERALL

RAITING: Good Adq. Poor N/A	Adq. = Adequate

Inspected by:
Position Numbers:

Acknowledge:
Reviewed by:
(Citizen)
(Signature)	(Rank)	(Date)

Security Survey	Adequate	Recommendations
Yes	No
DOORS
Front
Rear
Side
Sliding Door
Garage
Other
Key Control
WINDOWS
Double Hung
Sliding
Basement
Louver
Other
ALARM
Local
Central Station
PERIMETER
Lighting
Shrubbery
Fence
VISIBILITY
From Street
From Neighbors
Street Lighting
Address Numbers
SECURITY PROCEDURES

APD Form 648

ATLANTA POLICE DEPARTMENT

AJordan

2004-11-05

Atlanta Police Department