Page de titre
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Name of project
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Effectué le
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Préparé par
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Position
PROJECT INFORMATION
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Customer Name
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Costumer type
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Address:
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Contact during installation
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Start installation
INSTALL INFORMATION
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Type of working site
- Parking
- Pharma
- Industrie
- Production
- Bâtiment publique
- Ecoles, universités
- Agro-alimentaire
- Batiment Admin
- Résidence
- Divers
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State of working site
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Type of Works
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Free areaM²
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Occupied area M²
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Substrate
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Number of floor levels
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Phases
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Repairs m²
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Dept of repairs cm
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Coves ml
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Height of coves in cm
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Number of drains pcs
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Leght of drains in ml
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Cracks in M²
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Silicone joints in M²
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Number of Joint seals
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Total lenght of joint seals in ml
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Marking lines in ml
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Type of line
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Width of line
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Number of pictograms
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Rampes
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Number of ramps
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Total rampes surface in M²
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Anti-UV treatment
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Total free area in M²
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Total occupied area in M²
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Substrate
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Number of rooms
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Type of rooms
- Technical empty room
- Technical Installations room
- Confort design room (Classes, meeting e.t.c.)
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Number of corridors
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Type of corridors
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Walls?
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Total surface of painting walles in M²
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Coves in ml
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Hight of coves in cm
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Silicon Joints in ml
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Repairs in M²
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Dept of repairs in cm
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Cracks in M²
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Lines in ml
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Type of lines
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Width of lines
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Number of stairs
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Number of steps
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Number of hights (Contre-marches)
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Lenghts of stairs in ml
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Repairs
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Dept of repairs in cm
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Cracks in M²
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Coves in ml
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Walls in M²
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Number of PMR Access Ramp
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Total area in M²
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Anti-UV treatment?
PREPARATION
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Shot Blasting M²
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Scarify M²
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Key chasing m
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Chasing drains m
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Jack hammer; substrate M²
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Diamond grinding M²
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Scarify / milling with bobcat M²
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Divers (Comment)
Working site facilities
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Easy access for unloading materials and deliveries
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Secure storage area for materials
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Secure room or container for equipment storage?
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Forklift truck available ?
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Illuminated working area?
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Three-phase electric current 16A / 32A available ?
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Divers (Comment)
H.S.E. -Hygiene Safety Environment
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Safety induction for our staff?
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Waste in charge of EMS ?
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Dining room, cloakrooms and sanitary facilities for our staff?
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Working at height ?
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Work in confined spaces?
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Divers (Comment)
ADDITIONAL SITE / INSTALLATION INFORMATION / PLANNING
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Divers (Comment)
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Photo Gallery
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Annexes (Click to attach)