Information
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Site Address:
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Postcode:
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Surveyed by:
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Date of Survey:
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Project Number:
Site Details
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Site Contact (if known)
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Site Code (if known)
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Parking restrictions
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Access to block information (code or keys)
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How many entrances
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Any existing noticeboards installed?
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Location
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Wifi present?
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Screenshot of available Wifi
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Network Reception
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Network Reception screen shot
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Phone Reception
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Primary screen location
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Area photographs for primary screen location (include a close up)
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Wall materials
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Location of electrics for primary screen location
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Power source type i.e Power taken from local socket or distribution board?
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Photographs of power source MCB / RCBO (size / type)
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Area photographs of electrics for primary screen location
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Primary screen size
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Screen Type
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Distance of screen from electrical location
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Description of electrical cable run to primary screen location
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Photographs of electrical cable run to primary screen location
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Containment needed?
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Type / Size / Length
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Asbestos present (any area that would affect Primary screen / electrics / cable run)?
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Please provide details
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Photographs of asbestos present
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Any existing damage (any area that would affect Primary screen / electrics / cable run)?
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Photograph of existing damage (any area that would affect Primary screen / electrics / cable run)?
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Additional Screen
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Secondary screen location
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Area photographs for secondary screen location (include a close up)
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Wall materials
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Location of electrics for secondary screen location
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Power source type i.e Power taken from local socket or distribution board?
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Photographs of power source MCB / RCBO (size / type)
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Area photographs of electrics for secondary screen location
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Secondary screen size
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Screen Type
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Distance of screen from electrical location
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Description of electrical cable run to secondary screen location
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Photographs of electrical cable run to secondary screen location
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Containment needed?
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Type / Size / Length
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Asbestos present (any area that would affect secondary screen / electrics / cable run)?
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Please provide details
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Photographs of asbestos present
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Any existing damage (any area that would affect secondary screen / electrics / cable run)?
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Photograph of existing damage (any area that would affect Primary screen / electrics / cable run)?
Work Details
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How many engineers required?
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Any extra works required?
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Any extra equipment required?
H & S Location Information
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Find the nearest welfare facilities to the site (eg McDonalds)
http://www.mcdonalds.co.uk/ukhome/Restaurants/restaurant_locator.html -
Enter Phone Number and Postcode
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Find the nearest hospital to the site
http://www.nhs.uk/Service-Search -
Enter Phone Number and Postcode
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