• Client / Site

  • Conducted on

  • Prepared by

  • Location

Dish location

  • Roof

  • NPRM

  • Existing structure

  • Wall mounted

  • T&K

  • Standard bracket

  • Other

Cable route

  • Corridors

  • Risers

  • Containment

  • Cable length

  • Power source required

Access to stand

  • Above

  • Below

Other information

  • HDMI splitters required

  • 2TB Live STB on site

  • Scissor lift required

  • Boom required

  • A-frame ladder required

  • Permits required

  • Other

Parking/ loading

  • On site

  • Off site

Stand data

  • Stand type

  • Power sockets

  • Phone sockets available

  • STB ' s on site

  • Stand tele numbers

  • 3D

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.