Essex Group - Partial Electrical Site Survey & Report

• Site

• Unique site sort code

• Client

• Reason for survey

• Conducted on

  Date

• Prepared by

• Essex Group Document No.

• Was client (and/or Representative) in attendance during the survey?

  Yes

  No
• Work Site
  Address

• Has the project ATM replacement pack (ARM1) been issued?

  Yes

  No

• What status is the ARM1 pack at time of survey?

Mains Distribution

• Location/reference

• Distribution Board

  Media

• Circuit Chart

  Yes

  No

• Cabling & containment

• Installation to current standards/Regulation

  Compliant

  Non-Compliant

  N/A
Small Power details

• Socket outlets

  Media

• Fused connection units

  Media

• Isolator

  Media

• Cabling & containment

  Media

• Installation to current standards/Regulation<br>

  Compliant

  Non-Compliant

  N/A
Data Installation details


• Comms room location.

• Any data outlets to be modified/newly installed.

  Yes

  No

• If new, has route been confirmed and surveyed.

  Yes

  No

  N/A

• Data outlet numbers.

Any other installation details

• Description

• Photos

  Media

Occupational Health and Safety

• Are there any health and safety concerns?

  Yes

  No

Access/Egress

• What access will be needed to complete the works? Ceiling height.

• Logistics to project. Deliveries/loading & unloading. Parking.

• Any special locations/permit requirements.

• Will OOH need to be considered?

A.O.B Notes

• A.O.B Information

• Job Photos

  Media

• Name

• Title

• Signature

  Sign