Title Page
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Conducted on
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Prepared by
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Location
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Date of Survey
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Name of Surveyor
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Site Address
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Petrol Company
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Site Contact / Phone number
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Type of new equipment to be installed
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Give manufacturer of existing equipment
Survey information
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Will special equipment be required to remove existing machine etc, if yes state type of equipment, if fork lift truck, crane, skates and jacks etc, and duration of hire
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Services give size and position from the entrance end of the wash bay
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- Notes
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Is there an air supply to the wash bay
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- Notes
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Type of air compressor or supply
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- Notes
- Number
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Where is the air compressor situated
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- Notes
- Number
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Water pump type and position
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- Notes
- Number
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Water tank size and where is it situated
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- Notes
- Number
Doors
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Has the wash bay got doors
- Yes
- No
- N/A
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Are the doors electrically operated
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Are the doors interfaced with existing machine
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Can the doors be interfaced with the new machine
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Manufacturer of doors
- Photo
- Notes
- Number
Wash bay dimensions
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Bay length
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- Notes
- Number
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Bay width
- Photo
- Notes
- Number
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Bay height
- Photo
- Notes
- Number
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Entrance door width
- Photo
- Notes
- Number
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Entrance door height
- Photo
- Notes
- Number
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Exit door width
- Photo
- Notes
- Number
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Exit door height
- Photo
- Notes
- Number
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Condition of wash pad, if tracks air to be welded a hot works permit may be required
- Photo
- Notes
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Work required to install an under chassis wash
- Photo
- Notes
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Position and type of drainage in wash bay
- Photo
- Notes
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Position and type of lights in wash bay
- Photo
- Notes
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Give details of any plinths or ducts, and any additional building works required
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Machine control
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Give position of new Codax pedestal
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- Notes
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Give position of new euro terminal
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- Notes
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Give position of PV panel
- Photo
- Notes
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Give location of stop
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Are side screens / splash screens required
- Photo
- Notes
- Number
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Are other safety devises IE narrow bay
- Yes
- No
- N/A
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State which devises are required
- Photo
- Text
Electrical
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Electric supply to wash bay
- Photo
- Notes
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Electrical supply to site size and location
- Photo
- Notes
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Work required to update electrical supply
- Photo
- Notes
Re-use options
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Reuse equipment
- Photo
- Notes
Summary of survey
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Summary and additional information
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- Notes
- Number
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Actions required, responsibility and completion date
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- Notes
- Table