Climabead Delivery Survey

• Installing Company:

• Contact for Deliveries (Name & Phone number)

• Location
  Address

• Conducted on

  Date

• Prepared by

Access to Site

• Main Road Access

  Good

  Fair

  Poor

• Entrance to site

  Good

  Fair

  Poor

• Are there any low bridges on route

  No

  Yes

• Is there room to turn?

  Good

  Fair

  Poor

• Is surface flat and hard standing?

  Good

  Fair

  Poor

• Any Special Instructions:

Unloading

• Will someone be present to accept delivery?

  Yes

  No

• Will Bead be stored inside?

  Yes

  No

• How will Climabead be stored?

  Trailer

  Climabead Bags

  Silo

• Will adhesive be stored away from direct sunlight and frost?

  Yes

  No

• Is there a FLT on site?

  Yes

  No

• Customer informed how to store Climabead materials correctly?

• Customer informed on return of Climabead bag policy?

• Signature

  Sign