DPI Site Survey

• Document No.

• Project Title

• Client / Site

• Location
  Address

• Conducted on

  Date

• Prepared by

Background Information

• Primary Contact

• Phone

• Fax

• E-Mail

• Facility Contact

• Accounts Payable Contact

• Proposal Due Date

  Date

Site Information

• Parking Accommodations

• Access Hours

• Distance To Site

• Loading Dock

  Yes

  No

  N/A

• Freight Elevator

  Yes

  No

  N/A

• Security Issues

  Yes

  No

  N/A

• Access To Other Tenants Required

  Yes

  No

  N/A

Qualifying Questions

• Project Type

  New Construction

  Retrofit

• Room Purpose

  Select Boardroom Conference Room Classroom Training Room Operations Center Other

  • Boardroom
  • Conference Room
  • Classroom
  • Training Room
  • Operations Center
  • Other

• Other Discription

• Project Start Date

  Date

• Project Due Date

  Date

• Expedite Fee

  Yes

  No

  N/A

• Rush Shipping

  Yes

  No

  N/A

• Budget

• Other Approvals Needed

Room Environment

• Length

• Width

• Height

• Room Photos

  Media

• Ceiling Type

  Select Sheetrock Spline Wood 2' x 2' Lay-In 2' x 4' Lay-In Other

  • Sheetrock
  • Spline
  • Wood
  • 2' x 2' Lay-In
  • 2' x 4' Lay-In
  • Other

• Ceiling Photos

  Media

• Distance To Structure Above Ceiling

• Structure Type

  I-Beam

  Z-Beam (Joists)

  Concrete

• Noise/Acoustical Concerns

  Yes

  No

  N/A

• Ambient Lighting Concerns

  Yes

  No

  N/A

• Wall Types

• Potential Interference

  Select Light Fixtures Air Ducts Architectural Features Sprinkler Heads Doors White Boards Windows Alarm Sensors Other

  • Light Fixtures
  • Air Ducts
  • Architectural Features
  • Sprinkler Heads
  • Doors
  • White Boards
  • Windows
  • Alarm Sensors
  • Other

Room Layout

• Draw Room Layout

  Drawing

• Supporting Photos

  Media

Notes

• Notes

Screen Requirements

• Screen Need

  DPI Furnished

  Owner Furnished

  Not Needed

• Add Screens As Needed

Screen

• Format

  4:3

  16:9

  16:10

• Diagonal Size

• Projection Type

  Rear

  Front

• Depth Of Projection Room

• Desired Screen Height

• Ceiling Height In Projection Room

• Photo Of Rear Projection Space

  Media

• Floor To Bottom Of Screen Distance

• Mount Type

  Ceiling

  Wall

• Motor Type

  Electric

  Manual

• Tab Tensioned

  Yes

  No

  N/A

• Screen Surface

  White

  Hi Def Grey

• Notes

Projector Requirements

• Projector Needed

  Yes

  No

  N/A

• Add Projectors As Needed

Projector

• Mount Type

  Ceiling

  Table

  Lift

• Available Throw Distance

• Projection Light Obstructions

  Yes

  No

  N/A

• Owner Furnished

• Notes

Large Format Display Requirements

• Displays Needed

  Yes

  No

  N/A

• Add Displays As Needed

Displays

• Size

• Mount Type

  Ceiling

  Wall

  Lift

• Mount Obstructions

  Yes

  No

  N/A

• Interactive

• Owner Furnished

• Notes

Video Sources

• Video Sources Needed

Source

• Source Name

• Input Type

  HDMI

  VGA

  DVI

  Component

  Composite

• Wall Plate Input

• Table Top Input

• Owner Furnished

• Notes

Audio Sources

• Table Microphones

• Ceiling Microphones

• Audio Only Sources Needed

Audio Source

• Source Name

• Wall Plate Input

• Table Top Input

• Owner Furnished

• Notes

Speakers

• Ceiling Mounted

• Wall Mounted

• Voice Lift

  Yes

  No

  N/A

• Room Combining

• Number Of Rooms

• Multizone

• Number Of Zones

• Notes

Control System

• Control System Required

  Yes

  No

  N/A

• Type

  Crestron

  AMX

  Extron

  Other

• Other Description

• Touch Panel

• Touch Panel Type

  Select Table Top Wall Mount Wireless

  • Table Top
  • Wall Mount
  • Wireless

• Size

• Keypad

• Notes

Conferencing

• Audio Conferencing

• Analog / POTS

• VOIP

• PBX Manufacture

• Video Conferencing

• Preferred Manufacture

  Polycom

  Cisco

  Other

• Notes

• Number of Cameras

Cabling

• Conduits In Place

  Yes

  No

  N/A

• Conduit Size

• Notes

Equipment Mounting

• Rack

• Owner Furnished

• Rack Location

• Rack Location Photo

  Media

• Cabinet

• Cabinet Photo

  Media

• Lectern / Podium

• Owner Furnished

• Lectern Photo

  Media

• Finish And Requirements

Labor

• Estimated Hours In Shop

• Estimated Hours On-Site

• Estimated Programming Hours

Miscellaneous

• Notes