Information
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File Number
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Client / Site address
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Conducted on
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Attending Engineer
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Customer Name
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Site Address
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Date and Time on
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Signed on Contact made with customer
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Survey type
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Survey site Pictures 1. Entire entrance 2. Entire exit 3. Left handside 4. Right handside 5. Running area (for sliding gates)
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Draw a Diagram of proposed system, include any safety systems
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Safety Items required to bring system up to standard
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Gates present?
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If gates are already present take safety edge measurement. (If required)
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Engineer Name and signature
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Customer Name and signature (if available)