Title Page

  • Site Name

  • Location
  • Date Of Survey

  • Survey Carried Out By?

Incoming Services

  • Incoming Electricity?

  • MPAN Number

  • Reading

  • Location

  • Location Description

  • Photograph

  • Incoming Gas?

  • MPAN Number

  • Reading

  • Location

  • Location Description

  • Photograph

  • Incoming Water?

  • MPAN Number

  • Reading

  • Location

  • Location Description

  • Photograph

  • Incoming Telecoms?

  • Location

  • Location Description

  • Photograph

Existing Equipment

  • Generator Present?

  • Generator Location

  • Location Description

  • Generator General Condition

  • Generator Photograph

  • Generator Panel/Display Photograph

  • Central Battery System Present?

  • CBS Location

  • Location Description

  • CBS General Condition

  • CBS Photograph

  • CBS Panel/Display Photograph

  • Fire Alarm Panel Present?

  • FAP Location

  • Location Description

  • FAP General Condition

  • FAP Photograph

  • AHU Present?

  • AHU Location

  • Location Description

  • AHU General Condition

  • AHU Photograph(s)

  • Electrical Schematic Present?

Site Specifics

  • Existing Sales Area Lighting Plane?

  • Ceiling Heights

  • Ceiling Area
  • Location

  • Location Description

  • Ceiling Height

  • Ceiling Type

  • Ceiling Description

  • Photograph (If Required)

  • Voltage Optimiser Feasable?

  • Magna Clean Feasable?

  • Aerofoil Feasable?

  • Intrusive Survey Required?

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.