Platform Hire Ltd Site Survey Results

• Customer

• Prepared by

Customer Details

• Company Name

• Customer Contact Requesting Survey

• Account Number

• Initial Platform Hire Contact

• Site Contact

• Date survey was requested

  Date

• 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
  Address

Machine Requirements

• What WORKING HEIGHT is required (m)?

• Is outreach required?

  Yes

  No

  Other

• How much outreach is required (m)?

• Are you booming up and over an object or building?

  Yes

  No

  Other

• At what height do you require the knuckle to reach (m)?

• What is the machine being used to do?

Site Restrictions

• Are there height restrictions?

  Yes

  No

  Other

• What is the height restrictions (m)?

• Is there a width restriction?

  Yes

  No

  Other

• What are the width restrictions?

• Is there a weight restriction?

  Yes

  No

  Other

• What is the weight restrictions (Kg's)?

• Is there a length restriction?

  Yes

  No

  Other

• What is the length restriction (m)?

• is there any obstructions or obstacles?

  Yes

  No

  Other

• What obstacles / hazards are there?

• What are the ground conditions / gradients?

• Delivery Restrictions (Truck Access / Timed Access)

  Yes

  No

  Other

• What are the restrictions

• Extra Notes

Working on a road / pavement

• Type of Road (Private / 30mph / Pedestrian area)

• Permit Likely Required

  Yes

  No

• Additional Survey Required (Traffic Management / specific machine specialist)

  Yes

  No

• Notes of 'working on road' restrictions / requirements / comments / observations

• Extra Notes

Machine Selection

• Date Machine Required

  Date

• Is more than one machine required?

  Yes

  No

  Other

• 1st Choice Machine

• Alternative Machine (if possible)

• 2nd Machine Choice

• Alternative 2nd Machine Choice (if possible)

• Machine Choice

• Alternative Machine (if Possible)

• Date survey taken out

  Date

• Was site contact present

  Yes

  No

• Surveyor Signature

  Sign

• Site Pictures

  Media

• Sketch of site / building

  Drawing

Quote

• Is a quote required?

  Yes

  No

  Other

• The quote will be sent via email or verbally

• Length of hire required

  Select 1 Day Hire 2-3 Day Hire Weekly Hire

  • 1 Day Hire
  • 2-3 Day Hire
  • Weekly Hire

• 1 Day Hire

• 2- 3 Day Hire

• Weekly Hire

• Is transport required?

  Yes

  No

  Other

• Transport Cost Each Way