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 where screens can be installed
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Any existing noticeboards installed?
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Location
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Photograph of location
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Wifi present?
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Screenshot of available Wifi
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Data GSM Network Reception
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Data GSM Network Reception Screenshot
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Screen 1 preferred location
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Area photographs for screen 1 preferred location (include a close up)
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Wall materials
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Location of spur for screen 1 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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Distance of screen from electrical location
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Description of electrical cable run to screen 1 location
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Photographs of electrical cable run to screen 1 location
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Screen 1 size
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Screen Type
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Containment needed?
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Type / Size / Length
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Any existing damage (any area that would affect Screen 1 / electrics / cable run)?
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Photograph of existing damage (any area that would affect Screen 1 / electrics / cable run)?
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Asbestos present (any area that would affect Screen 1 / electrics / cable run)?
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Please provide details
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Photographs of asbestos present
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Alternative location for Screen 1 (if applicable)
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Area photographs for screen 1 alternative location (include a close up)
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Screen 1 alternative location
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Area photographs for screen 1 alternative location (include a close up)
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Wall materials
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Location of spur for screen 1 alternative 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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Distance of screen from electrical location
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Description of electrical cable run to screen 1 alternative location
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Photographs of electrical cable run to screen 1 alternative location
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Screen 1 size
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Screen Type
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Containment needed?
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Type / Size / Length
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Any existing damage (any area that would affect alternative Screen 1 / electrics / cable run)?
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Photograph of existing damage (any area that would affect Screen 1 / electrics / cable run)?
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Asbestos present (any area that would affect alternative Screen 1 / electrics / cable run)?
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Please provide details
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Photographs of asbestos present
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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)?
Installation 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?
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Materials List
H & S Location Information
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Find the nearest welfare facilities to the site (eg McDonalds)
https://www.mcdonalds.com/gb/en-gb/restaurant-locator.html -
Enter Phone Number and Postcode
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Find the nearest hospital to the site
https://www.nhs.uk/service-search/find-an-accident-and-emergency-service -
Enter Phone Number and Postcode
