Title Page
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Client and Site
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Conducted on
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Prepared by
Facility Address
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Photo of Store Front
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Are there any special parking arrangements?
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Please describe.
Facility Information
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Are there any health and safety requirements to work on site at the store?<br>Is a permit required from the landlord or Centre?
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Please describe including contact details and documents required.
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Are there any obvious signs of Asbestos Materials
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Please describe area's of concern.
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Pictures of area's of concern
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Are there any special store instructions for the installation (Noise abatement, no vehicle access, limited work hours to work etc)?
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Please describe.
Security Requirements
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Is an electronic badge required to move around the store?
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List the contact information to receive badge.
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Are any door keys required for access to plant rooms or IT equipment?
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List the contact information to receive key.
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Is a security guard sign in required?
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List the contact information for getting on the access roster.
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Are different access access requirements needed during business hours and after store closure?
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Please detail the various requirements.
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Are there any other special security requirements for access into the rooms required?
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Describe requirements.
IT Cabinet Room
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Photo of the front of the cabinet.
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Photo of the rear of the cabinet.
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Photo of the patch panel zoomed in.
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Is there spare capacity or will a new patch panel be required?
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Is there space for the new patch panel along side the existing ones?
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Most practical location for the new patch panel with justification.
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Picture of proposed location for new patch panel.
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IT cable type and colour
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Picture of IT cable
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Are there any other issues with the IT cabinet and room?<br>Lack of space for access, room full of equipment, access required into fixed ceiling etc.
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Describe issues.
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Pictures of issues.
Main Power Room or Distribution Board
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Photo of Main power room
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Photo of DB and Type.
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Make, model and part numbers of MCB's/RCBO's required
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Pictures of MCB's/RCBO's required
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If there enough spare capacity in the distribution board?
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Describe the additional works required to install the new circuits.
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Photo of Existing Power Socket Type
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Note Existing Power Socket & Cable Type
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Are there any other issues with the electrical distribution board or room?<br>Lack of space for access, room full of equipment, access required into fixed ceiling etc.
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Describe issues.
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Pictures of issues.
General installation infomation
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Describe the existing containment for power and data distribution.
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Is the existing containment suitable for the main power and data runs required?
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Describe issues and requirements.
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What is the maximum heights required for installation.
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Is there suitable access equipment on-site to reach the heights required?
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Describe access equipment required. Ladders, Scaffolds, MEWP's?
Floor plan
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Upload marked picture of the floor plans. New points to be numbered and locations of IT cabinet and distribution board to be clearly marked.
Locations
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Location
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Pictures of the location
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Existing power at this location?
- No socket outlets
- Double socket outlet
- Double socket outlet - floor box
- Single socket outlet - surface mounted
- Single socket outlet - recessed
- Single socket outlet - floor box
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Are the outlets live?
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Can the single socket be changed to double sockets?
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Are the outlets live?
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Existing data at this location?
- Not data
- Double data outlet
- Double data outlet - floor box
- Single data - surface mounted
- Single data - recessed
- Single data - floor box
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Outlet number (if available)
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Outlet status
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Outlet 1 number (is available)
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Outlet 1 status
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Outlet 2 number (if available)
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Outlet 2 status
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Are additional services required at this location?
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Is the location next to a wall or column that can be used?
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New outlets will be
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Is additional local containment required?
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Details of containment
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Details of new services required
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New power outlets required
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Estimated distance to distribution board
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New data outlets required
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Estimated distance to IT cabinet
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Are there any other issues with this location?<br>Mirrors, fire extinguisher, signage, existing fixtures ect
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Details of issues
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Pictures of issues
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Is it possible to get new services to this location without major works?
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Detail options, including any containment etc.
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Details of new services required
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New power outlets required
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Estimated distance to distribution board
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New data outlets required
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Estimated distance to IT cabinet
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Are there any other issues with this location?<br>Mirrors, fire extinguisher, signage, existing fixtures ect
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Detail issues
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Pictures of issues
Suggestions
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Are all the locations marks accepted by the head coach?
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Alternative location
Alternative location
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Existing location this is requested to replace
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Is this location marked on the floor plans above?
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Upload new plan with additional location marked
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Pictures of the location
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Existing power at this location?
- No socket outlets
- Double socket outlet
- Double socket outlet - floor box
- Single socket outlet - surface mounted
- Single socket outlet - recessed
- Single socket outlet - floor box
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Are the outlets live?
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Can the single socket be changed to double sockets?
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Are the outlets live?
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Existing data at this location?
- Not data
- Double data outlet
- Double data outlet - floor box
- Single data - surface mounted
- Single data - recessed
- Single data - floor box
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Outlet number (if available)
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Outlet status
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Outlet 1 number (is available)
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Outlet 1 status
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Outlet 2 number (if available)
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Outlet 2 status
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Are additional services required at this location?
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Is the location next to a wall or column that can be used?
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New outlets will be
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Is additional local containment required?
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Details of containment
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Details of new services required
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New power outlets required
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Estimated distance to distribution board
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New data outlets required
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Estimated distance to IT cabinet
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Are there any other issues with this location?<br>Mirrors, fire extinguisher, signage, existing fixtures ect
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Details of issues
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Pictures of issues
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Is it possible to get new services to this location without major works?
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Detail options, including any containment etc.
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Details of new services required
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New power outlets required
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Estimated distance to distribution board
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New data outlets required
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Estimated distance to IT cabinet
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Are there any other issues with this location?<br>Mirrors, fire extinguisher, signage, existing fixtures ect
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Detail issues
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Pictures of issues
Sign off
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Head Coach / Nike representative
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Audit completed by