IMS PM Site Survey

• Room Number

• Job Number

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Site Conditions

• Record the address of the work site.
  Address

• Verify all equipment locations

  Yes

  No

  N/A

• Verify All Conduit layout, Sizes, Back boxes <br>

  Yes

  No

  N/A

• Review Blocking Requirements <br>

  Yes

  No

  N/A

• Review all power requirements <br>

  Yes

  No

  N/A

• Create a room Sketch

  Drawing

• Room Pictures

  Media

• Select wall structure

  Select Drywall over metal studs. Drywall over wood studs. Drywall over other. Plaster over lathe Plaster over wire mesh Fabric Wood Other

  • Drywall over metal studs.
  • Drywall over wood studs.
  • Drywall over other.
  • Plaster over lathe
  • Plaster over wire mesh
  • Fabric
  • Wood
  • Other

• Describe wall structure.

• Select wall depth.

  4 inches

  3.5 inches

  3 inches

  2.5 inches

  Other

• Record wall depth.

• Are there any ambient noise issues such as HVAC noise?

  No

  Yes

• Describe the noise and source.

• Are there any ambient light issues? <br>

  No

  Yes

• Describe the lighting issue.

• Take pictures of the lighting issue.

  Media

• Is there power located where its needed? <br>

  Yes

  No

  N/A

• Measure the inside dimensions of credenza.

• Measure the dimensions of rack room including door height.

• Is there a loading dock?

  Yes

  No

  N/A

• Is there a freight elevator?

  Yes

  No

  N/A

• Is there parking?

  Yes

  No

  N/A

• Is security clearance required?

  No

  Yes

• What information is required to gain access.

• What are the access hours to the space?

Ceiling Installation

• Is this a plenum ceiling?

  Yes

  No

  N/A

• What is the finished ceiling height

  Select 8' 8' 6" 9' 9' 6" 10' 12' Other

  • 8'
  • 8' 6"
  • 9'
  • 9' 6"
  • 10'
  • 12'
  • Other

• Enter finished ceiling height

• What is the height from finished ceiling to the deck?

• What is the Ceiling Type?

  Select 2x2 ceiling tile 2x4 ceiling tile 4x4 ceiling tile Drywall Chicago Grid Drywall Joist Open concept Other

  • 2x2 ceiling tile
  • 2x4 ceiling tile
  • 4x4 ceiling tile
  • Drywall Chicago Grid
  • Drywall Joist
  • Open concept
  • Other

• Describe ceiling type.

• Take photos of the ceiling type.

  Media

• Are there any above ceiling obstructions?

  Yes

  No

  N/A

• Describe the obstruction.

• Take photos of the obstruction

  Media

• What is the above ceiling Type?

  Select Metal deck, junior beams Metal deck, I beams Concrete deck, I beams Concrete deck concrete beams Concrete honeycomb Walker Duct Other

  • Metal deck, junior beams
  • Metal deck, I beams
  • Concrete deck, I beams
  • Concrete deck concrete beams
  • Concrete honeycomb
  • Walker Duct
  • Other

• Describe the above ceiling type.

• Take photos of the above ceiling type.

  Media

• Is there noticeable ceiling or wall vibration?

  No

  Yes

• Will it affect the installed system?

  No

  Yes

• Discuss alternatives with client and make sure Terms and Conditions reflect the noticed vibration.

• Describe the vibration and it's source

• Document all items that failed inspection and need follow up.

• Document all OFE equipment with Manufacturer and model number of each piece.

• I have completed this form to the best of my ability.

  Sign