NCR (UK) TS:Hospitality - Site Survey (V2.0) - ACB

Site Details

• Customer

• Site No.

• Restaurant Name

• Brand

• Location
  Address

• Telephone

Site Contacts

• Site Managers Name

• Contact Tel No

• Electrician

• Electrician Tel No

• Site Representative

• NCR Representative

• Survey Date

  Date

• Document No.

• Proceed to next section >

Initial Doc Info

• Has an Initial Document been provided for this survey?

  Yes

  No

• Allocated IP Address

• No of PEDs

• No of Tills

• No of screens

• No of remote printers

• No of terminations

Site Access

• Site Access Comments

• Access Times

• Is this store Trading?

  Yes

  No

Opening & Closing Times

Monday

• Open

  Date

• Close

  Date

Tuesday

• Open

  Date

• Close

  Date

Wednesday

• Open

  Date

• Close

  Date

Thursday

• Open

  Date

• Close

  Date

Friday

• Open

  Date

• Close

  Date

Saturday

• Open

  Date

• Close

  Date

Sunday

• Open

  Date

• Close

  Date

• Good

  Fair

  Poor

  N/A

Parking & Access

• Car Park

• Delivery Restrictions

  Yes

  No

  N/A

• Permits & Permissions

  Yes

  No

  N/A

Area of Works

Area of Works

• What area are you surveying?

• Please provide clear photo(s) showing the location of the installation works ( e.g. right hand side of front counter)

• Area Photo(s)

  Media

• Comments

Power & Data

• No. of Power Outlets

• No. of Data Outlets

• Please provide clear photo(s) showing power and data in the above mentioned area of works

• Power & Data Photo(s)

  Media

• Comments

Sundries Required

• 24 Port Hellerman Tyton FTP Cat 6a Patch Panel

• Hellerman Tyton Cat 6a EC Module

• Dual Bevelled EC Faceplate

• Quad Bevelled EC Faceplate

• Dual Flat EC Faceplate

• Quad Flat EC Faceplate

• 2m Cat 6a FTP Patch Lead Purple

• 0.5m Cat 6a FTP Patch Lead Puple

• 2m Cat 6a FTP Patch Lead Pink

• 1m Cat 6a FTP Patch Lead Pink

• 0.5m Cat 6a FTP Patch Lead Pink

• 2m Cat 6a FTP Patch Lead Grey

• 0.5m Cat 6a FTP Patch Lead Grey

• 5m Cat 6a FTP Patch Lead Pink

• DB9 to RJ11 Adapter

• 0.3m RJ11 to RJ11 Straight Cable (PDQ)

• 5m IEC Power Cable, (Kettle lead)

• 3m IEC Power Cable, (Kettle lead)

• 5m Clover Power Cable

• 3m Clover Power Cable

• Non-Standard T Bar Power Plug

• Standard 13A Power Plug

• Flat to Wall Screen Mount

• Short Arm Bracket

• Long Arm Bracket

• Desk / Pole Mount Bracket

• Heavy Duty Ceiling Mount Kit

• Light Duty Ceiling Mount Kit

• Heavy Duty KC4 Bracket (fit behind screen)

• Light Duty KC4 Bracket (Fix to wall / under worktop)

• T Bracket - Traditional

• T Bracket - For Heavy Duty KC4 Bracket

• COMMENTS BOX

Observations & Other Comments

• Comments/Observations

Survey Completion

• Date/Time of Survey Completion

  Date

• By ticking the box, the Senior Engineer is confirming that the survey has been completed per NCR and Customer Requirements