Information
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Customer
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Prepared by
Customer Details
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Company Name
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Customer Contact Requesting Survey
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Account Number
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Initial Platform Hire Contact
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Site Contact
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Date survey was requested
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DISCLAIMER : All measurements and observations were correct on the date visited, both the survey nor Platform Hire Ltd can not be responsible for changes to the site or surrounding area's.
The surveyor can only suggest the appropriate machine required to reach the area's in question.
The surveyor can highlight potential ground issues, but is not responsible for the potential damage that can potentially incur when driving over varied terrain / surfaces. The Hirer is responsible for the protection of, and liable for any damage to, any
underground, surface or above ground services and utilities.
If a road / pavement closure is required, this is the responsibility of the Hirer. -
Address of site
Machine Requirements
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What WORKING HEIGHT is required (m)?
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Is outreach required?
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How much outreach is required (m)?
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Are you booming up and over an object or building?
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At what height do you require the knuckle to reach (m)?
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What is the machine being used to do?
Site Restrictions
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Are there height restrictions?
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What is the height restrictions (m)?
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Is there a width restriction?
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What are the width restrictions?
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Is there a weight restriction?
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What is the weight restrictions (Kg's)?
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Is there a length restriction?
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What is the length restriction (m)?
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is there any obstructions or obstacles?
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What obstacles / hazards are there?
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What are the ground conditions / gradients?
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Delivery Restrictions (Truck Access / Timed Access)
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What are the restrictions
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Extra Notes
Working on a road / pavement
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Type of Road (Private / 30mph / Pedestrian area)
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Permit Likely Required
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Additional Survey Required (Traffic Management / specific machine specialist)
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Notes of 'working on road' restrictions / requirements / comments / observations
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Extra Notes
Machine Selection
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Date Machine Required
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Is more than one machine required?
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1st Choice Machine
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Alternative Machine (if possible)
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2nd Machine Choice
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Alternative 2nd Machine Choice (if possible)
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Machine Choice
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Alternative Machine (if Possible)
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Date survey taken out
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Was site contact present
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Surveyor Signature
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Site Pictures
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Sketch of site / building
Quote
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Is a quote required?
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The quote will be sent via email or verbally
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Length of hire required
- 1 Day Hire
- 2-3 Day Hire
- Weekly Hire
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1 Day Hire
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2- 3 Day Hire
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Weekly Hire
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Is transport required?
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Transport Cost Each Way
