Nike Seamless Surveys - Q2 2018

• Document No.

• Audit Title

• Client and Site

• Conducted on

  Date

• Prepared by

• Location
  Address

Facility Address

• Photo of Store Front

  Media

• Are there any special parking arrangements?

  No

  Yes

• Please describe.

Facility Information

• Are there any health and safety requirements to work on site at the store?<br>Is a permit required from the landlord or Centre?

  No

  Yes

• Please describe including contact details and documents required.

• Are there any obvious signs of Asbestos Materials

  No

  Yes

• Please describe area's of concern.

• Pictures of area's of concern

  Media

• Are there any special store instructions for the installation?

  No

  Yes

• Please describe.

Security Requirements into the building.

• Is an electronic badge required?

  No

  Yes

• List the contact information to receive badge.

• Is a door key required?

  No

  Yes

• List the contact information to receive key.

• Is a security guard sign in required?

  No

  Yes

• List the contact information for getting on the access roster.

• Is an escort required?

  No

  Yes

• List the contact information for the escort.

• Are different access access requirements needed during business hours and after store closure?

  No

  Yes

• Please detail the various requirements.

Security Requirements into the Electrical and IT Rooms.

• Is an electronic badge required?

  No

  Yes

• List the contact information to receive badge.

• Is a door key required?

  No

  Yes

• List the contact information to receive key.

• Is a security guard sign in required?

  No

  Yes

• List the contact information for getting on the access roster.

• Is an escort required?

  No

  Yes

• List the contact information for the escort.

• Are different access access requirements needed during business hours and after store closure?

  No

  Yes

• Please detail the various requirements.

• Are there any other special security requirements for access into the rooms required?

  No

  Yes

• Describe requirements.

IT Cabinet Room

• Photo of the front of the cabinet.

  Media

• Photo of the rear of the cabinet.

  Media

• Photo of the patch panel zoomed in.

  Media

• Is there spare capacity or will a new patch panel be required?

  Spare capacity

  New patch panel required

• Is there space for the new patch panel along side the existing ones?

  Yes

  No

• Most practical location for the new patch panel with justification.

• Picture of proposed location for new patch panel.

  Media

• IT cable type and colour

• Are there any other issues with the IT cabinet and room?<br>Lack of space for access, room full of equipment, access required into fixed ceiling etc.

  No

  Yes

• Describe issues.

• Pictures of issues.

  Media

Main Power Room or Distribution Board

• Photo of Main power room

  Media

• Photo of DB and Type.

  Media

• If there enough spare capacity in the distribution board?

  Yes

  No

• Describe the additional works required to install the new circuits.

• Photo of Existing Power Socket Type

  Media

• Note Existing Power Socket & Cable Type

• Are there any other issues with the electrical distribution board or room?<br>Lack of space for access, room full of equipment, access required into fixed ceiling etc.

  No

  Yes

• Describe issues.

• Pictures of issues.

  Media

General installation infomation

• Describe the existing containment for power and data distribution.

• Is the existing containment suitable for the main power and data runs required?

  Yes

  No

• Describe issues and requirements.

• What is the maximum heights required for installation.

• Is there suitable access equipment on-site to reach the heights required?

  Yes

  No

• Describe access equipment required. Ladders, Scaffolds, MEWP's?

Floor plan

• Upload marked picture of the floor plans. New points to be numbered and locations of IT cabinet and distribution board to be clearly marked.

  Media

Locations

Location

• Pictures of the location

  Media

• Existing power at this location?

  Select No socket outlets Double socket outlet Double socket outlet - floor box Single socket outlet - surface mounted Single socket outlet - recessed Single socket outlet - floor box

  • No socket outlets
  • Double socket outlet
  • Double socket outlet - floor box
  • Single socket outlet - surface mounted
  • Single socket outlet - recessed
  • Single socket outlet - floor box

• Are the outlets live?

  Yes

  No

• Can the single socket be changed to double sockets?

  Yes

  No

• Are the outlets live?

  Yes

  No

• Existing data at this location?

  Select Not data Double data outlet Double data outlet - floor box Single data - surface mounted Single data - recessed Single data - floor box

  • Not data
  • Double data outlet
  • Double data outlet - floor box
  • Single data - surface mounted
  • Single data - recessed
  • Single data - floor box

• Outlet number (if available)

• Outlet status

  Outlet is live and patched

  Outlet is wired but not patched

  No wires connected

• Outlet 1 number (is available)

• Outlet 1 status

  Outlet is live and patched

  Outlet is wired but not patched

  No wires connected

• Outlet 2 number (if available)

• Outlet 2 status

  Outlet is live and patched

  Outlet is wired but not patched

  No wires connected

• Are additional services required at this location?

  No

  Yes

• Is the location next to a wall or column that can be used?

  Column

  Wall

  No

• New outlets will be

  Surface mounted

  Recessed

• Is additional local containment required?

  No

  Yes

• Details of containment

• Details of new services required

  Power only

  Data only

  Power and Data

• New power outlets required

  New double socket outlet

  Additional single socket outlet

• Estimated distance to distribution board

• New data outlets required

  New double socket outlet

  Additional single socket outlet

• Estimated distance to IT cabinet

• Are there any other issues with this location?<br>Mirrors, fire extinguisher, signage, existing fixtures ect

  No

  Yes

• Details of issues

• Pictures of issues

  Media

• Is it possible to get new services to this location without major works?

  Yes

  No

• Detail options, including any containment etc.

• Details of new services required

  Power only

  Data only

  Power and Data

• New power outlets required

  New double socket outlet

  Additional single socket outlet

• Estimated distance to distribution board

• New data outlets required

  New double socket outlet

  Additional single socket outlet

• Estimated distance to IT cabinet

• Are there any other issues with this location?<br>Mirrors, fire extinguisher, signage, existing fixtures ect

  No

  Yes

• Detail issues

• Pictures of issues

  Media

Suggestions

• Are all the locations marks accepted by the head coach?

  Yes

  No

• Alternative location

Alternative location

• Existing location this is requested to replace

• Is this location marked on the floor plans above?

  Yes

  No

• Upload new plan with additional location marked

  Media

• Pictures of the location

  Media

• Existing power at this location?

  Select No socket outlets Double socket outlet Double socket outlet - floor box Single socket outlet - surface mounted Single socket outlet - recessed Single socket outlet - floor box

  • No socket outlets
  • Double socket outlet
  • Double socket outlet - floor box
  • Single socket outlet - surface mounted
  • Single socket outlet - recessed
  • Single socket outlet - floor box

• Are the outlets live?

  Yes

  No

• Can the single socket be changed to double sockets?

  Yes

  No

• Are the outlets live?

  Yes

  No

• Existing data at this location?

  Select Not data Double data outlet Double data outlet - floor box Single data - surface mounted Single data - recessed Single data - floor box

  • Not data
  • Double data outlet
  • Double data outlet - floor box
  • Single data - surface mounted
  • Single data - recessed
  • Single data - floor box

• Outlet number (if available)

• Outlet status

  Outlet is live and patched

  Outlet is wired but not patched

  No wires connected

• Outlet 1 number (is available)

• Outlet 1 status

  Outlet is live and patched

  Outlet is wired but not patched

  No wires connected

• Outlet 2 number (if available)

• Outlet 2 status

  Outlet is live and patched

  Outlet is wired but not patched

  No wires connected

• Are additional services required at this location?

  No

  Yes

• Is the location next to a wall or column that can be used?

  Column

  Wall

  No

• New outlets will be

  Surface mounted

  Recessed

• Is additional local containment required?

  No

  Yes

• Details of containment

• Details of new services required

  Power only

  Data only

  Power and Data

• New power outlets required

  New double socket outlet

  Additional single socket outlet

• Estimated distance to distribution board

• New data outlets required

  New double socket outlet

  Additional single socket outlet

• Estimated distance to IT cabinet

• Are there any other issues with this location?<br>Mirrors, fire extinguisher, signage, existing fixtures ect

  No

  Yes

• Details of issues

• Pictures of issues

  Media

• Is it possible to get new services to this location without major works?

  Yes

  No

• Detail options, including any containment etc.

• Details of new services required

  Power only

  Data only

  Power and Data

• New power outlets required

  New double socket outlet

  Additional single socket outlet

• Estimated distance to distribution board

• New data outlets required

  New double socket outlet

  Additional single socket outlet

• Estimated distance to IT cabinet

• Are there any other issues with this location?<br>Mirrors, fire extinguisher, signage, existing fixtures ect

  No

  Yes

• Detail issues

• Pictures of issues

  Media

• Head Coach / Nike representative

  Sign

• Audit completed by

  Sign