ALS Lottery Install Survey v1

• Document No.

• Audit Title

• Client / Site

• Prepared by

Survey details:

• Surveyor name:

• Survey date:

• Client:

General site information:

• Store name:

• Store number:

• Store address:

• Store telephone number:

• Store opening times:

• Is store manned 24hrs?

  Yes

  No

• Ceiling heights:

Delivery issues:

• Any delivery restrictions due to noise, Yes or No? If Yes specify.

• Any restrictions on traffic, Yes or No? If Yes specify.

• Any restrictions on parking, Yes or No? If Yes specify.

• Location to Off Load?

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Delivery/Removal equipment:

• Specify equipment required i.e. pallet truck, skates etc.

Any obstacles on delivery removal route, Yes or No? If yes specify

• Kerb, Yes or No? If Yes specify height:

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• Stairs, Yes or No? If Yes specify hieght and number of steps.

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• Mat well Yes or No? If Yes specify size for board to cover if required.

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• Any other obstacles?

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Doors on delivery/removal route.

• Minimum door size:

Ground types:

• External ground?

  Select Tarmac Concrete Block Paving Paving Slabs

  • Tarmac
  • Concrete
  • Block Paving
  • Paving Slabs

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• Internal floor type?

  Select Concrete Wooden

  • Concrete
  • Wooden

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Internal floor covering:

• Type:

  Select Ceramic Terrazzo CarpetVinyl

  • Ceramic
  • Terrazzo
  • CarpetVinyl

Internal Detail:

• Does terminal fit as per new layout, Yes or No? If No specify:

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• How are existing services fed to position i.e. under floor, power pole:

• Are there any obstacles to be removed/relocated i.e. checkouts/tills, shelving gondola etc. Yes or No? If Yes specify:

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• Is there any internal signage to be relocated, Yes or No? If Yes specify:

• Pictures of any internal signage:

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• Any services to be relocated, Yes or No? If Yes specify:

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• Ceiling type? Specify type and size:

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• Are floor repairs required, Yes or No? If Yes specify:

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• Can playstation be located as per new layout, Yes or No? If No specify:

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Electrical/data detail:

• Camelot connection options:

  ADSL Line

  VSAT Dish

  Unknown at Survey

ADSL Line:

• Location of main DP:

• Description of wiring route including approx. length of run:

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• Are any penetrations required, Yes or No? If Yes Specify including any fire stopping required:

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VSAT Dish option:

• Description of wiring route including approx. length of run:

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• Are there any penetrations required, Yes or No? If yes specify including any fire stopping required:

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• Provide images of front, rear and side elevations including all roofs:

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If unknown survey both options above:

Power requirements:

• Is twin socket available at terminal location?

  Yes

  No but supply available socket required

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• Any other option:

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Access equipment:

• What access equipment is required i.e. scaffold, mobile tower, mewp etc. Specify working height:

• If a mewp is required can it be accepted in store i.e. through loading bay or front of store? Specify:

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Supporting Information:

• Please specify any additional information required:

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