Title Page

  • Store No.

  • CLIENT

  • Site / Store Name

  • Survey Commenced on

  • Conducted by

  • Location
  • ATL Surveyor - Name

Survey Details

Site Detail

  • Existing System Type?

  • Are There Any Any Height Restrictions Within Car Park

  • Exit & Route Images - Record of Each Exit & Route - Drawing to be marked up with corresponding image number

  • Transmitter Location - Provide GEO, Photos & Description
  • Cellular Signal Level @ Location - Record of Bar Strength

  • Existing Transmitter Status - Provide Type & Detail

  • Twisted Pair Saw Cut Meterage

  • Single Antenna Cable Saw Cut Meterage

  • Landscaping Meterage

  • Conduit Meterage

  • Cold Pour Meterage (1 Pail/Tub = 50 Meters)

  • Sealant Meterage (1 Tube = 5 Meters)

  • Wheel Type

  • Trolley & Fork Type - Record Bolt Type, Length etc & Include Photo

  • Request Asbestos Record Detail

  • Survey Overview & All Additional Comments

  • Provide Marked up Plan View of Whole Site

  • Estimated Time on Site to Complete - Example 2 men, 5 days

  • Current Trolley Count

Sign Off Detail

  • Survey Concluded at ?

  • Store Manager / Site Contact Name

  • Store Manager / Site Contact Sign

  • ATL Surveyor Sign

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.