M&B World Cup Projector survey

• Site Name

• Site BUN Number

• Site Address

• Conducted on

  Date

• Prepared by

• Is there a existing Projector

  Yes

  No

  N/A

• Location of Projector

• Access to Projector

  Steps

  Scaffolding

  Scissor lift

• Make of existing Projector

• Model of existing projector

• Existing connection into Projector

• Power location for Projector

• Picture of existing Projector

  Media

• Is there an existing Screen

  Yes

  No

  N/A

• Location of Screen

• Distance from screen to Projector in metres

• Size of screen Height/ Width

• Is the screen Electric or manual pull down

• Picture of Screen

  Media

• Is a new Projector Location required

  Yes

  No

  N/A

• Projector location

• Picture of Projector Location

  Media

• Access to Projector

  Steps

  Scaffolding

  Scissor lift

• Is there power for Projector

  Yes

  No

  N/A

• Picture of Power

  Media

• Is a new mains socket required for the Projector

  Yes

  No

  N/A

• Location of the required mains socket

• Picture of the location of required mains socket

  Media

• Distance from Projector to Screen in metres

• Screen Location

• Picture of Screen Location

  Media

• Screen Dimension Height/ Width in cm

• Is there currently a HDMI output receiver onsite

  Yes

  No

  N/A

• Is the HDMI port in use

  Yes

  No

  N/A

• Is there a HDMI splitter/ Matrix onsite with a spare output

  Yes

  No

  N/A

• What is required to supply a spare HDMI port to the Projector

• What is required to supply a spare HDMI port to the Projector

  Freeview Receiver

  Freesat Receiver

• Is the HDMI port within 20m of the Projector

  Yes

  No

  N/A

• What is required to connect the HDMI port to the Projector

• Was full access available to complete survey?

  Yes

  No

• Please give details

• Are specific parking arrangements required?

  Yes

  No

• Please give details

• Is there easy access for equipment and blocks?

  Yes

  No

• Provide details

• Are there any special equipment/materials required?

  Yes

  No

• Please give details

• Estimate the number of hours/days needed to complete the installation

  Select 1 hour 2 hours 3 hours 4 hours 5 hours 6 hours 7 hours 8 hours ½ day 1 day 1½ days 2 days 2½ days 3 days 3½ days 4 days 4½ days 5 days

  • 1 hour
  • 2 hours
  • 3 hours
  • 4 hours
  • 5 hours
  • 6 hours
  • 7 hours
  • 8 hours
  • ½ day
  • 1 day
  • 1½ days
  • 2 days
  • 2½ days
  • 3 days
  • 3½ days
  • 4 days
  • 4½ days
  • 5 days

• State if one, two or three man installation

  1

  2

  3

• Indicate when the installation services can be performed

  Select In normal office hours Out of hours - evenings Out of hours - Saturdays Out of hours - Sundays

  • In normal office hours
  • Out of hours - evenings
  • Out of hours - Saturdays
  • Out of hours - Sundays

• Any additional comments?

Additional Photographs

• Any additional photos

  Media

Client

• I confirm the dish/aerial/receiver location(s), internal works, cable entry route(s) and point(s) of entry are agreed

• Client/Site Contact Name

• Client/Site Contact Position

• Client/Site Contact Signature

  Sign

Engineer

• Engineer Name

• Engineer signature

  Sign