Title Page
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Trust
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Site Name
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Location
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Conducted On
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Surveyed By
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SOP Number
Arrival on site
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Name of site contact/s & contact details
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Installation scope overview
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Location/s of installation (Depts, Wards etc)
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Additional comments (If required)
Survey
- Location of E-Access Solution - E-Locks
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Has the asbestos register been checked for this location
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Reason for not reviewing register
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Does the area of installation contain Asbestos
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Installation should not continue in areas where Asbestos is present. Provide details
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Is there a PPE requirement in this area
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Install location (Room, Ward, Floor Level)
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Install location and type for E-Locks (Wall Cabinet, Floor Cabinet, Bedside)
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Photos of install area (with markings if req.)
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Photos of cabinet door exterior
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Photos of cabinet door & frame interior
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Any obstructions behind or in front of cabinet door that might prevent E-Lock from being installed ?
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Data required
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Is data present / Take a photo in relation to the install
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Type of data present (Cat5/6, Wi-Fi)
- Cat5
- Cat6
- WiFi
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Is the data required to be connected to the back end system e.g. Medlogic
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Data outlet number / with photo
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How does the customer intend to connect / Timescale for data install
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Is there an Identified location for data installation
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Power required
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Is there an outlet available (If yes, add photo in relation to install)
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Recommended location for power install (include photos)
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Cabinet Construction
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Estates work required pre-Install (power, data, pattress etc)
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Consumables/cables required
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Specialist fixings required
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Access equipment required
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Please provide details
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Are there any access restrictions regarding this area (timed restrictions / passes required etc)
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Please provide details
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Additional comments
Parking, Unloading & Pre-Prep
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Is there an agreed location for loading / unloading
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Is there an agreed location for parking
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Additional comments
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Is there any pre-installation / prep work to be done at Parity
Health & Safety / RAMS
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Is a site induction required before installation
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What is involved in the induction process
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Do you have the required information to create a Risk Assesment / Method Statement (RAMS) ahead of installation
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What information do you require post survey to create RAMS
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Is there an agreed location for secure storage of equipment
Hardware Kit Required
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Select applicable tools / materials for this installation.
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Ladders
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What size
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Long Spirit Level
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Hoover with Hepa Filter
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SDS Drill (Correct Drills to be checked)
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Trunking
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Trunking Accessories (Corners, Flats, Ends and âTâs)
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Correct Fixings and Quantities (details in survey)
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P.P.E. (If visiting a Building Site) â Safety Hat, Boots, Gloves, Glasses and Hi-Viz Jacket.
- Safety Hat
- Safety Boots
- Gloves
- Glasses
- Hi-Viz Jacket
- None
Sign Off
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Have all areas of the required areas been surveyed
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Which areas are missing and why
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Is a follow up survey required to complete this work (Add notes)
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Have all of the areas surveyed been left as found
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What has been done / left on site
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Additional comments
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Customer signature
