Title Page
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Personnel
Site Information
Site Information
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Site Name
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Add location
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Site Contact
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Is this site new or a renovation?
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Current System.
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Building Entrance
Facility Information
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Have final drawings been made for this site?
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Vault Dimentions. ISO to A,B,G, and T
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Vault Drawing
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Control Room Dimentions
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Control Room
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Have Elekta drawings been compared to the Architects?
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Does this vault have a maze?
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Does a "Will Fit" need to be done for the parts?
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Photos of Maze.
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What is the distance of the rigging path?
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Are all door widths along path wide enough for equipment passage? (45 1/4" Minimum)
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Is minimum height clear through the entire path? (80" Minimum)
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Are there any gradients along the path?
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How many and what degree are they?
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Is and elevator required to move equipment to its location?
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What is the weight capacity of the elevator?
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Can floors hold a load of 4850 lbs. ( Point load of 1323 lbs.)?
Extended Data
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Any site concerns?
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Anticipated date of equipment shut down and removal.
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Has a company been hired to remove the old system?
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Anticipated date of Installation
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Site Coordinator
Site Pictures
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Vault
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Vault Entry/ Maze
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Control Area
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Rigging path
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Obsticals
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Off-Load/ Staging area
