Peritus Car Park Machine Location Survey

• Client / Site / Car Park Number

• Property inspection conducted on

  Date

• Peritus Representative

• Client Representative

New Machine Location Note if completing multiple sites use a new audit for each site

• Machine Location
  

Machine Location

• Machine Location Identifier eg car park 1, entry, services building

Pay and Display Car Park Inspection

• Consider:
  Bollards
  Signage
  Solar Panel (north facing)
  LED panel not to face into morning or afternoon sun
  Access to machine vault
  Pram and Wheel Chair Access
  Trees building shade or other obstructions for solar panel
  Access to Electricity
  Access to machine electronics

• Type of PnD

  Pay and Display - Solar

  Pay and Display - Hard Wired

  Pay by Plate - Solar

  Pay by Plate - Hard Wired

• Photograph of Machine Location

  Media
• Machine Location GPS Coordinates
  Address

• Sketch Map of Location include location of machine front

  Drawing

• Is WPA responsible for the machine foundation ?

  Select Yes No

  • Yes
  • No

• Existing Machine Foundation Surface

  Select Concrete Footpath Concrete Other Grass Hardstand Bitumen Other Paving

  • Concrete Footpath
  • Concrete Other
  • Grass
  • Hardstand
  • Bitumen
  • Other
  • Paving

• Surface?

• Mounting Frame

  Required

  Not Required - Chemical Anchor

  Not Required - Other Anchor

  Other

• Mounting Information

• Does the machine require signage behind

  Yes - as per sign manual

  Yes - Other

  No

• Detail type of Signage

• Is other signage required in the car park

  Yes

  No

• Photo of Signage Location

  Media
• Coordinates of Signage Location
  Address

• Sketch of Signage Location / Type of Signage

  Drawing

• Does the sign require additional posts ?

  Yes

  No

  N/A

• Additional Information

Site Requirements / General Comments / Other Identified Issues

• Is the client aware of any services in the area ?

  Yes

  No

  N/A

• Detail services in area

• Photos of apparent Services

  Media

• Sketch of Apparent Services in Area and approx direction To be confirmed by client plans and or Dial beforeYou Dig

  Drawing

• Is a white card or other construction card required for access to the site ?

  Yes

  No

• Is an induction required

  Yes

  No

• Location / Time of Induction

• Contact Name

• Phone Number

• Email

• Any additional Observations?

Additional Information

• Add Additional Information ie. Client Concerns Peritus Concerns

• Add any additional Photos

  Media

Survey Completion Information

• Name and Signature of Peritus employee

  Sign

• Date and Time

  Date

• Name and Signature of Client Representative

  Sign

• Date and Time

  Date

• Note that this document is intended to detail machine locations for the car park noted.
  If you require changes to the location after this document has been signed please advise your Peritus representative ASAP.
  
  If changes are made after orders have been placed variation costs may be passed on.
  
  Peritus may encounter circumstances on site that requires the relocation of the machine, we undertake to advise you as soon as possible of the proposed change and the impact it may have on the costs.