Information

  • Customer

  • Site Address

  • Post code

  • Date of Inspection

  • Inspected by

  • Site reference (if applicable)

TV / Satellite Details

  • SIS Satellite: Sirius II 5 East 90cm (min) Height above ground (m)

  • Paddy Power: Sirius II 5 East 90cm (min) Height of Paddy Power above ground (m)

  • Sky Digital: 28.2 East 60 cm (min) Height of Sky Dish above ground (m)

  • Turf TV: 33 East 90 cm (min) Height of Turf TV dish above ground (m)

  • TV: State Transmitter type

  • Height of aerial above ground (m)

IF / Aerial Cabling Requirements

  • Cable length required (metres)

  • SIS

  • Paddy Power

  • Sky

  • Turf TV

  • TV

  • Cable type required (eg 100, 125, 165)

  • SIS

  • Paddy Power

  • Sky

  • Turf TV

  • TV

Describe access to dish and aerial locations

  • Describe access to dish and aerial for both installation and service calls to be:

Dish and Turf TV antenna locations

  • NB. Not on front of building or detract, obstruct or interfere with windows, doors, logo's or signage etc

  • Is the full arc viewable from this position?

  • Which satellites are affected?

  • State obstructions

  • Is there possibility of future blockage to dishes caused by trees or building works?

  • Give details

TV Aerial

  • NB. Not on front of building or detract, obstruct or interfere with windows, doors, logo's or signage etc

  • Is there possibility of future blockage to aerials caused by trees or building works?

  • Give details

Permissions

  • Are proposed dishes/aerials likely to cause problems with local permissions?

  • Give details

  • IT IS THE RESPONSIBILITY OF PADDY POWER TO OBTAIN LANDLORD OR BUILDING PERMISSION FOR DISH / AERIAL

Dish and Aerial mounts

  • Check box for relevant dishes

  • SIS

  • Mounts

  • If other, please describe

  • Details of building structure at dish position

  • If other, please describe

  • Condition of building structure

  • Paddy Power

  • Mounts

  • If other, please describe

  • Details of building structure at dish position

  • If other, please describe

  • Condition of building structure

  • Turf TV

  • Mounts

  • If other, please describe

  • Details of building structure at dish position

  • If other, please describe

  • Condition of building structure

  • Sky

  • Mounts

  • If other, please describe

  • Details of building structure at dish position

  • If other, please describe

  • Condition of building structure

  • TV Aerial

  • Mounts

  • If other, please describe

  • Details of building structure at aerial position

  • If other, please describe

  • Condition of building structure

Cable and Route Fixing

  • Describe cable route from dishes/aerial to headend:

  • Will wall penetration be required for the IF / TV cable?

  • If Yes, give details of hole size, wall thickness and sealant required

General

  • Are there any special equipment/materials required

  • Please give details

  • Ladders required

  • Cherry picker required

  • Please give details

  • Is scaffold required?

  • Please give details

  • Full access available to complete survey

  • Please give details

  • Parking arrangements required

  • Please give details

  • Trunking or conduit required

  • Give details

  • Easy access for equipment and blocks

  • Provide details

Photographs

  • Photographs are required from site and presented with survey. Please ensure all dish positions and cable runs are highlighted on photographs

  • Elevation 1 of building

  • Elevation 2 of building

  • Property in relation to surrounding area

  • Dish and aerial locations

  • Any existing dishes

  • A view from the dish position looking south

  • The external cable entry point

Aerial view of building

  • Highlight dish locations, existing dishes, size, service, direction of south, adjacent roads, cable routes and distance in metres

Additional information

  • Any additional comments

  • Any additional photos

Sign Off

  • Engineer

  • Client Name

  • Position

  • Client representative (if available)

Equipment

Equipment

  • Indicate Quantity Required

  • K & K wall bracket (state stand off required)

  • 3 inch mast (state length)

  • 2 inch mast (state type and length)

  • 3 inch wall mount (state stand off required)

  • 2 inch wall mount (state stand off required)

  • 3 inch NPR

  • 2 inch NPR

  • Aerial - Alpha 90

  • 1.2m VISIOSAT ANTENNA

  • 90cm VISIOSAT ANTENNA

  • 80 cm ANTENNA

  • 60 cm ANTENNA

  • BISAT DISH (If required for Sky/Turf TV)

  • Single universal LNB (Turf TV)

  • Quad LNB (Paddy Power)

  • Quattro (Sky Digital)

  • SMW SIS AND FEED (If not provided)

  • 2" Traywork

  • Mast head amp and PSU

  • M8 Rawbolts

  • Cable ties - state colour and length

  • Marker ties

  • Clips - state type and size

  • WF 100 cable

  • WF 125 cable

  • WF 165 cable

  • Other (please state type and quantity)

RF Distribution & Audio

RF Distribution and Audio

  • 250m WF Cable

  • 2 drum 2 core white switching

  • 9 x Phonos to Phonos Leads

  • 7 x Coax Male Plugs

  • 7 x F to Coax Female Plugs

  • 100 x CT 100 plugs

  • 7 x Phono plugs

  • 2 x variable attenuators

  • 2 x Female to Male barrel

  • 1 x 8 Way Splitter

  • 1 x 2 Way Splitter

  • 1 x 4 Way Splitter

  • 2 x Earth bars

  • 1 x Earth Block

  • 1 x Optima 8 way satellite switch

  • 7 x Televes Variable Modulator

  • 1 x Loop Amplifier

  • 1 x Visio Data Amplifier

  • 1 x AtoB / QPSK

  • 1 x Netgear 8 Way Network Switch

  • 2 x Microfilter

  • 2 x 5m HDMI leads

  • 2 x 10m HDMI Leads

  • 5 x 20m HDMI Leads

  • 2 x HDMI to DVI

  • 1 x DVI to VGA

  • 1 x mini jack to phono

  • 1 x scan converter

  • 2 x virtual PC's

  • 2 x grey keypad leads

  • 1 x audio amp

  • 1 x 603 volume controller

  • 1 x 063 volume controller

  • 2 x patress mounts for V/C

  • 5 x speakers

  • John Ramsey / Paddy Power to supply following equipment

  • 1 x SCOPUS receiver (including power cable)

  • 1 x AV400 (including power cable)

  • 1 x PS2 keyboard

  • 1 x Data Cable and Audio lead (from SCOPUS to AV)

  • 3 x IR leads

  • 3 x Sky Receivers and Leads

  • 1 x Turf Receiver and Card

  • Keypads (quantity as required)

  • 1 x keypad splitter cable

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.