Information

  • Client

  • Building or Room Number

  • Location
  • Conducted on

  • Anticipated Installation Timeframe

  • Prepared by

  • Site Survey #

  • Sales Order #

  • Sales Order Due Date

  • Client P.O. #

Room Type

Type of Room

  • Type of Room

  • Specify

  • Notes

Room Dimensions

Room Dimensions (Enter Dimensions ft and inches)

  • Room Width ("Display Wall")

  • Room Length ("side wall")

  • Room Height (Floor to Ceiling)

  • Plenum Height (Ceiling to Structure)

  • Picture of Display Wall

  • Picture of wall to right of display wall

  • Picture of opposite of display wall

  • Picture of wall to the left of the display wall

  • Notes

Ceiling Type

  • What Type of Ceiling

  • What type?

  • What size T-Bar Grid

  • Is it Cottage Cheese Texturing?

  • Add Ceiling Photos

  • Add Ceiling Photos

  • Notes

Wall Type

  • Wall Construction At least one wall (where the wall plate installs) must be hollow, such as Dry Wall, Lath & Plaster, Wood Paneling over Dry Wall or Acoustically Treated, Fabric Covered over Dry wall

  • If All Walls are non-hollow, such as the type you selected, system cabling will need to be surfaced mounted using Wiremold.

  • Notes

Floor Construction

  • Construction

  • Floor Covering

  • On Which Floor of the Building is this Room

  • Specify:

  • Any other floors above this floor

  • Furniture Present in Room

  • Additional Furniture Not Listed:

  • Floor Utliities

  • Add Floor Photo(s) Note Floor Boxes

  • Notes

Type of Ceiling Structure

  • Select Type of Structure Above Ceiling (Note Insulation is not a type of structure)

  • Specifiy

  • Is it Pre/Post Tensioned Slab?

  • Notes

Pre-Installation Electric Runs

  • Power for equipment:

  • Cable Path

  • Notes

Options Desired

  • Select Options the Customer Would Like in Their System

  • Enter Other Devices Desired but not listed above

  • Notes

  • Even More Notes

Ceiling Obstructions in area of Projector Installation

  • Will a Projection System Be Used in this Application?

  • Select all items that could interfere with the projection system

  • Specify:

  • I have looked up in the ceiling and there are no obstructions in an area 4'X4' above the projector.

  • Notes

Wall or Ceiling Obstructions

  • Will a Display Monitor or Monitors be used in this application?

  • Number of Monitors:

  • Specify:

  • Check all Items that could be obstrucitons.

  • Specify:

  • Notes

Existing Installed AV Equipment In Room

  • Is there Existing AV Equipment in this room?

  • List Existing Equipment, Projector, Screen, System

  • List existing equipment locations. If equipment rack is in a closet, measure doorway , height and depth of closet.

  • If the equipment resides in a credenza make sure to measure the opening and depth of the millwork

  • If there is an existing Projector and Screen, measure H&W of screen surface. Record model # of Projector. Measure Throw Distance from front of Projector to Screen.

  • If there are existing Microphones and Speakers, record quantities and if possible model #'s.

  • List existing infrastructure in the floor and in the rack locations.

  • Will the Equipment be Removed? Leave? or Used in System? Describe

  • Add Photo of existing equipment - Get Close Ups Of Model Number If Possible

  • Add Photo of existing equipment- Get Close Up Of Model Number If Possible

  • Add Photo of Existing Equipment - Get Close Up Of Model Number If Possible

  • Notes

Verifications

  • Wall Plate(s) can be installed on a hollow, non-insulated wall.

  • Notes:

  • There will be no obstructions (fans, lights,etc.) along the light path of the projector

  • Notes:

  • Electrical Power is available near location of Smart Panel/Rack

  • Notes:

  • There is a clear 4' X 4' area above the ceiling where the projector will be mounted

  • Notes:

  • Any ceiling mounted obstructions to projector installation will be moved by the client prior to installation of system

  • Notes:

  • Room Drawings are attached, and location for screens, projector, wall plate and (if applicable) rack and speakers are noted

  • Notes:

  • If the system is using a ceiling mounted screen: there is at least 12 inches of space above the ceiling tile along the entire width of the screen case.

  • Notes:

  • There will be no obstructions present at the locations specified for control panel, wall plates, rack and speakers

  • Notes:

  • Room Lights can be dimmed in the vicinity of the projection screen

  • Notes:

Job Site Details

  • Building/Room Construction

  • Renovation?

  • Are Hard Hats Required?

  • Installation Vehicle Parking

  • Hours of Room Availability

  • Specify

  • Security

  • Delivery Informaiton

  • Type of Labor Working at Job Site Now

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.