Title Page
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Prepared by
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Conducted on
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Site Address
Wall Mount Option Details Required
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Take a photo of the proposed wall from a distance
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Measure the wall and provide dimensions to confirm it will fit within the screen dimensions constraints ( 43" Screen Dimensions 971mm (L) x 564mm (H) x 60mm (D) )
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Take a photo and mark out on the image the desired placement of the screen in landscape or in portrait orientation
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Measure and provide the desired height from floor to the bottom of the screen
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Are there any existing obstructions that will impede installation?
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Take photos of the obstructions that will impede or impact installation access
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Explain what access is required
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Are there any existing power and data points near the proposed screen location?
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Take Photos of any power and data Points near the proposed wall location
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Provide distance from the exisiting power to the screen location
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Provide conduit lengths required to surface mount to run from existing power to the screen location
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Does the wall have structural integrity to support 15kg TV/Bracket with in wall Nogs / Wooden battens?
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What options are there to securley mount the screen on a wall?
Ceiling Mount Option Details Required
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Take a photo of the proposed Ceiling from a distance
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Take a photo and mark out on the image the desired placement of the screen in landscape or in portrait orientation
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Measure and provide the desired height from floor to the bottom of the screen
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Are there any existing obstructions that will impede installation?
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Take photos of the obstructions that will impede or impact installation access
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Explain what access is required
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Are there any existing power and data points near the proposed screen location?
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Take Photos of any power and data Points near the proposed wall location
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Provide distance from the exisiting power to the screen location
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Provide conduit lengths required to surface mount to run from existing power to the screen location
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Does the Ceiling have structure support for a 20kg TV/Bracket to be supported?
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Is there a Manhole or tile ceiling to provide access to install a support block to the desired location?
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Is the Ceiling secure enough without a support block?
Floor Mounted Option Details Required
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Take a photo of the proposed floor Mount location from a distance
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Take a photo and mark out on the image the desired placement of the Floor Mount Screen
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Measure and provide the desired height from floor to the bottom of the screen
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Are there any existing obstructions that will impede installation?
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Take photos of the obstructions that will impede or impact installation access
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Explain what access is required
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Are there any existing power and data points near the proposed screen location?
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Take Photos of any power and data Points near the proposed wall location
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Provide distance from the exisiting power to the screen location
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Provide conduit lengths required to surface mount to run from existing power to the screen location
Access and contact
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Is there Wifi in the store
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Please ask and provide the SSID: and Password
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Please test the strength of the wifi signal at the desired screen location on Ookla online speed test (https://www.speedtest.net/
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Are there data points located near the desired screen location?
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Can a conduuit be run to the screen location for the data outlet?
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Are there any access requirements to attend the site for installation? i.e inductions , Sign in or after hours
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Please explain the requirements
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Are there specific installation times requested for installation?
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Please explain installation restrictions
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Will there be any complications for parking or equipment delivery?
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Please explain the complexity
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Are there any drilling or noise restrictions to adhere to?
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Please explain the restrictions
Out of Scope Requests
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Has the client mentioned any requirements for installation of power, data or structural support ?
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If Yes please explain the request
Sign Off
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Please get sign off to verify your audit