Horizon Platforms Site Survey

• Audit Title:

• Client

• Personnel:

• Completed on:

  Date

Customer Details

• Customer Name:

• Initial Horizon Contact:

• Customer contact requesting survey:

• Date survey was requested:

  Date

• Date survey completed:

  Date

• Site Contact:

• Was site contact present:

  Yes

  No
• Address of site:
  Address

Machine Requirements

• What is the required platform height (m):

• Is horizontal reach required:

  Yes

  No

• What is the horizontal reach (m):

• Does the machine need to be articulated:

  Yes

  No

• At what height is the knuckle required (m):

• What is machine required for:

Site Restrictions

• Is there any height restrictions:

  Yes

  No

• What are the height restrictions (m):

• Is there a width restriction:

  Yes

  No

• What are the width restrictions (m):

• Is there any length restrictions:

  Yes

  No

• What is the length restriction (m):

• Is there any weight restrictions:

  Yes

  No

• What is the weight restriction:

• Is there any obstructions:

  Yes

  No

• What are the obstructions:

• What are the ground conditions/gradients:

• Delivery Restrictions (Truck Access / Timed Access):

  Yes

  No

• Delivery restriction details:

Working on a road / pavement

• Type of road (30mph/private):

• Permit Required:

  Yes

  No

• Additional Survey Required (Traffic Management/specific machine specialist):

  Yes

  No

• Notes of 'working on road' restrictions / requirements / comments / observations:

Machine Selection

• Date Machine Required:

  Date

• 1st choice machine:

• Alternative Machine:

• Site Pictures:

  Media

• Sketch of site / building:

  Drawing

• Surveyor Name:

• Surveyor Signature:

  Sign