Information

  • Audit Title

  • Surveyor's Name

  • Conducted on

  • Store Name and Number:

  • Store Format

  • Store / Site Opening Times:

  • Personnel

  • Main Contractor:

  • SDM:

  • Site Manager:

  • Main Contractor Start Date:

  • Handover Date:

  • Opening Date:

  • Survey Type:

  • Other (details)

Current ATMs - Removals / Replacements / Swap Outs / Relocations

  • ATM Model Type and neck length being removed:

  • ATM Room Type currently in:

  • Serial Numbers and position within housing (for removals, replacements, and swap outs survey)

  • What is current ATM going through?

  • Plinth Type:

  • Plinth Height:

  • Depth of Front Wall:

  • No of skins:

  • Does room need clearing of misc items / debris?

  • Floor details

  • Internal / External floor difference:

  • Photos taken internal and externally

  • Equipment to be removed:

  • Making good works required (describe in detail)

New ATMs

  • ATM Model Type and neck length

  • ATM Room Type

  • Plinth Type:

  • Plinth Height:

  • What will ATM be going through?

  • Depth of Front Wall:

  • No of skins:

  • Floor details:

  • Is there a basement?

  • Internal External floor difference:

  • Ceiling construction:

  • Wall construction:

  • Bollards - are they required / installed? If not, state why.

  • Customer Foot Print - are they required / installed? If not, state why.

  • Is there a flat roof above ATM?

  • One Stop - will router shelf be available?

  • Is Store in a shopping centre / retail park? Describe cover over machines

  • CCTV cameras facing planned ATM area - are they required / installed? If not, state why.

  • Location for blue security box

  • Photos taken internally and externally

  • Additional Information:

Non Development Site

  • Is glazing required to be installed?

  • Please forward glaziers details:

  • Is lighting required to be installed above the ATM?

  • Is any electrical cabling to be installed & connected?

  • Do shelving mods have to move to other locations?

Existing Housing Requiring Internal LPS4 Panels

  • Cable entry point position:

  • Panels required - Front wall only, full room, etc.?

  • Door construction & lock types used:

  • Data - remove or relocate?

  • Details required of existing equipment

  • Electrical equipment - remove or relocate?

  • Details required of existing equipment

  • Alarm equipment - remove or relocate?

  • Details required of existing equipment

  • Cameras - remove or relocate?

  • Details required of existing equipment

  • Other equipment needing removed or relocated to allow panel installations?

  • Photos taken internal and external, including door and door furniture (handles & locks)

Requirements on New Installs (LPS4 Rooms)

  • Required install date:

  • Required finish on panels including RAL colours

  • Is a Distribution board required (inclusive of wall mounts)?

  • If ATM going through shop front, have you requested a copy of shop front plan?

  • Other finishing off works required, strips around door, etc.

  • Does LPS4 room require a steel floor?

Delivery and Transport Details

  • Detail any special requirements to enable delivery:

  • Noise restrictions (residential area):

  • Delivery resources: If more than TWO operatives are required please justify

  • Vehicle Access & Parking: Detail any restrictions, required permissions or permits. Is site on a Red route?

  • Access to ATM Internal or External?

  • Are there steps on route to ATM room?

  • Entry door (height and width):

  • Site works required to enable delivery:

  • Any special equipment required (barriers, boards, etc)

  • Delivery time restrictions on site:

  • Describe delivery route into store

  • Sketches to include - side view, plan and elevation. (Additional elevations and side views for internal skins should be provided where appropriate): Additional pages to be included as required

  • Example Drawing: Side View

    Side View
  • Example Drawing: Plan View

    Plan View
  • Example Drawing: Elevation

    Elevation

Appendix 1

  • Clearance Dimensions
    ATM minimum service clearance requirements (looking at the ATM from the rear) - Dimensions from the edge of the main body of the ATM.
    5887 - 320mm (RH side) / 152mm (LH Side) / 1000mm (Back)
    6625 - 380mm (RH Side) / 300mm (LH Side) / 890mm (Back)
    5877 - 110mm (RH Side) / 400mm (LH Side) / 1000mm (Back)
    6626 - 380mm (RH Side) / 300mm (LH Side) / 900mm (Back)

  • DDA Rules Recommended Key #5 Heights

    5887 - 900mm to key #5
    5877 - between 903mm and 1028mm to key #5
    6625 - 882mm to key #5
    6626 - between 903mm and 965mm to key #5
    6622 - FA=936mm

  • ATM Aperture Sizes

    5887 - Measure from floor Ext (828mm high) aperture = 730mm (H) 640mm (W)
    6625 - Measure from floor Ext (819mm high) aperture = 740mm (H) 640mm (W)
    P77 - Measure from floor Int (576mm high) aperture = 1015mm (H) 516mm (W) when no plinth used
    S26 - Measure from floor Int (711mm high) aperture = 793mm (H) 445mm (W) when no plinth used

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.