Title Page

  • Client and Site

  • Conducted on

  • Prepared by

Facility Address

  • Photo of Store Front

  • Are there any special parking arrangements?

  • Please describe.

Facility Information

  • Are there any health and safety requirements to work on site at the store?<br>Is a permit required from the landlord or Centre?

  • Please describe including contact details and documents required.

  • Are there any obvious signs of Asbestos Materials

  • Please describe area's of concern.

  • Pictures of area's of concern

  • Are there any special store instructions for the installation (Noise abatement, no vehicle access, limited work hours to work etc)?

  • Please describe.

Security Requirements

  • Is an electronic badge required to move around the store?

  • List the contact information to receive badge.

  • Are any door keys required for access to plant rooms or IT equipment?

  • List the contact information to receive key.

  • Is a security guard sign in required?

  • List the contact information for getting on the access roster.

  • Are different access access requirements needed during business hours and after store closure?

  • Please detail the various requirements.

  • Are there any other special security requirements for access into the rooms required?

  • Describe requirements.

IT Cabinet Room

  • Photo of the front of the cabinet.

  • Photo of the rear of the cabinet.

  • Photo of the patch panel zoomed in.

  • Is there spare capacity or will a new patch panel be required?

  • Is there space for the new patch panel along side the existing ones?

  • Most practical location for the new patch panel with justification.

  • Picture of proposed location for new patch panel.

  • IT cable type and colour

  • Picture of IT cable

  • 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.

  • Describe issues.

  • Pictures of issues.

Main Power Room or Distribution Board

  • Photo of Main power room

  • Photo of DB and Type.

  • Make, model and part numbers of MCB's/RCBO's required

  • Pictures of MCB's/RCBO's required

  • If there enough spare capacity in the distribution board?

  • Describe the additional works required to install the new circuits.

  • Photo of Existing Power Socket Type

  • Note Existing Power Socket & Cable Type

  • 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.

  • Describe issues.

  • Pictures of issues.

General installation infomation

  • Describe the existing containment for power and data distribution.

  • Is the existing containment suitable for the main power and data runs required?

  • Describe issues and requirements.

  • What is the maximum heights required for installation.

  • Is there suitable access equipment on-site to reach the heights required?

  • Describe access equipment required. Ladders, Scaffolds, MEWP's?

Floor plan

  • 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

    Location
  • Pictures of the location

  • Existing power at this location?

  • Are the outlets live?

  • Can the single socket be changed to double sockets?

  • Are the outlets live?

  • Existing data at this location?

  • Outlet number (if available)

  • Outlet status

  • Outlet 1 number (is available)

  • Outlet 1 status

  • Outlet 2 number (if available)

  • Outlet 2 status

  • Are additional services required at this location?

  • Is the location next to a wall or column that can be used?

  • New outlets will be

  • Is additional local containment required?

  • Details of containment

  • Details of new services required

  • New power outlets required

  • Estimated distance to distribution board

  • New data outlets required

  • Estimated distance to IT cabinet

  • Are there any other issues with this location?<br>Mirrors, fire extinguisher, signage, existing fixtures ect

  • Details of issues

  • Pictures of issues

  • Is it possible to get new services to this location without major works?

  • Detail options, including any containment etc.

  • Details of new services required

  • New power outlets required

  • Estimated distance to distribution board

  • New data outlets required

  • Estimated distance to IT cabinet

  • Are there any other issues with this location?<br>Mirrors, fire extinguisher, signage, existing fixtures ect

  • Detail issues

  • Pictures of issues

Suggestions

  • Are all the locations marks accepted by the head coach?

  • Alternative location

  • Alternative location
  • Existing location this is requested to replace

  • Is this location marked on the floor plans above?

  • Upload new plan with additional location marked

  • Pictures of the location

  • Existing power at this location?

  • Are the outlets live?

  • Can the single socket be changed to double sockets?

  • Are the outlets live?

  • Existing data at this location?

  • Outlet number (if available)

  • Outlet status

  • Outlet 1 number (is available)

  • Outlet 1 status

  • Outlet 2 number (if available)

  • Outlet 2 status

  • Are additional services required at this location?

  • Is the location next to a wall or column that can be used?

  • New outlets will be

  • Is additional local containment required?

  • Details of containment

  • Details of new services required

  • New power outlets required

  • Estimated distance to distribution board

  • New data outlets required

  • Estimated distance to IT cabinet

  • Are there any other issues with this location?<br>Mirrors, fire extinguisher, signage, existing fixtures ect

  • Details of issues

  • Pictures of issues

  • Is it possible to get new services to this location without major works?

  • Detail options, including any containment etc.

  • Details of new services required

  • New power outlets required

  • Estimated distance to distribution board

  • New data outlets required

  • Estimated distance to IT cabinet

  • Are there any other issues with this location?<br>Mirrors, fire extinguisher, signage, existing fixtures ect

  • Detail issues

  • Pictures of issues

Sign off

  • Head Coach / Nike representative

  • Audit completed by

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