Title Page
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1: Site Name:
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2: Site Company and Room Location + Name or Number:
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3: Conducted on:
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4: Prepared by:
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5: Preparer contact information (email or phone):
Jobsite Details
Jobsite Details
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1: Room construction: Is the room new, existing, or under construction?
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2: What are the room dimensions? (Length, Width, Height)
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2a: What is the height above the ceiling deck? (ceiling to top structure)
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2b: Please provide picture of space above ceiling.
- N/A
- Photo Provided!
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2c: Please elaborate on the space above the ceiling.
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3: What is the ceiling type?
- Hard Deck
- Ceiling Tiles
- Open
- Soffit
- Cathedral
- Corrugated Metal
- Other
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3a: What is the size of the ceiling tiles?
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3b: Please specify size of ceiling tiles:
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3a: Please specify ceiling tile type:
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4: Wall Type?
- Standard Drywall / Sheetrock
- Plaster
- Wood Paneling Over Drywall
- Masonry
- Glass
- Fabric Paneling
- Other
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4a: Please specify wall type:
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5: Floor Type:
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5a: Please specify floor type:
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5b: Are there floor cores?
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5c: How many floor cores are there?
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5d: Please provide pictures of floor core entrances:
- N/A
- Photo Provided!
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5e: Please elaborate on the floor core entrances:
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5e: What is the route of the floor core? Where does it exit?
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6: What is the floor covering?
- Carpet
- Hardwood
- Vinyl
- Tile
- Finished Concrete
- Other
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6a: Please specify floor covering:
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7: Which floor of the building is this room on?
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7a: Are there floors above or below this room?
- Above
- Below
- Other
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7b: Please specify floor layout:
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8: Is there furniture present?
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8a: Please specify furniture present:
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9: Are there existing AV components in the room?
- Existing Display(s)
- Existing Touch Panel
- Existing Speakers
- Existing Microphones
- Existing Rack
- Existing Camera(s)
- Existing Projector
- Existing Projection Screen
- Other
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9a: Are the display(s) single or dual?
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9b: Please specify display type:
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9c: What are the height and width of the display(s)?
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9d: What is the make/model of the displays?
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9e: Display mounting method:
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9f: Is the display recessed?
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9g: Dimensions of display recession:
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10a: What is the location of the touch panel?
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11a: How many speakers are there?
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11b: How are the speakers tapped?
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12a: How are the microphones mounted?
- Ceiling Mounted Pendant
- Ceiling Mounted Flush
- Tabletop
- Wireless
- Other
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12b: Please specify how the microphones are mounted:
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12b: Please attach a picture of the microphone transmitter and receiver:
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13a: Please attach pictures of the front of the rack:
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13b: Please attach pictures of the back of the rack:
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13c: Please list all equipment in rack (including make and model):
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14a: Where is the location of the existing camera(s)?
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14b: How are the existing camera(s) powered?
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14c: What is the make and model of the existing camera(s)?
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15a: What is the make and model of the existing projector?
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15b: What is the location of the existing projector?
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15c: How is the projector mounted?
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15d: Please specify how the projector is mounted:
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16a: What is the location of the existing projection screen?
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16b: What is the make and model of the existing projection screen?
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16c: How is the existing projector screen powered?
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16d: How is the existing projector screen mounted?
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16e: Please specify how the projector screen is mounted:
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16f: Is the existing projector screen fixed or retractable?
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16g: Is the existing projector screen powered or manual?
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17: What is the type of structure above the ceiling?
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18: Is there interstitial space (aka the common space/subfloor located between regular-use floors) above the ceiling?
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18a: Enter height of interstitial space:
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18b: What is the cable path type in this interstitial space?
- Conduit/Stub-Outs
- Wire Tray
- J Hooks
- Free-Hanging
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18c: Is the interstitial space plenum or non-plenum?
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19: Are there any wall or ceiling obstructions in the area/room?
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19a: Please specify wall obstructions:
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19b: Please document wall obstructions:
- N/A
- Photo Provided!
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19c: Please elaborate on wall obstructions.
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19c: Please specify ceiling obstructions:
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19d: Please document ceiling obstructions:
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20: Is there a rack room for this space where they would like us to host hardware?
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20a: What does the rack room look like?
- N/A
- Photo Provided!
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20b: Please elaborate on the rack room.
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20b: What does the cable path to/from the rack room look like?