Pre-Quote Survey

• Assigned TP No.

• Business Name

• Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel Present

Section A - Business Information

• Business Name

• Business Address
  Address

• Business Telephone

• Business Fax

• Business Email

• Business Website

• Is the business above the end user?

  Yes

  No

  N/A

• End User Name

• End User Telephone

• End User Fax

• End User Email

• End User Website

• Project Contact Name

• Project Contact Telephone

• Project Contact Email

Section B - Site Information

• Site Address
  Address

• Site Contact Name

• Site Contact Telephone

• Site Contact Email

• Is the site easily accessible?

  Yes

  No

  N/A

Section C - System Specifications

• General Outline of Requirements

• System Type Required

  Tank Monitoring

  Remote Outstation

  Other

• Please describe using as much detail as possible, including inputs and outputs required.

• Number of Tanks

• Tank Material and Dimensions

Tanks

• Tank Contents

• Tank Material

• Tank Height

• Tank Width

• Tank Circumference

• Is a material data sheet available?

  Yes

  No

  N/A

• Tank in EX Zone

• Food Grade Sensor Required

• Sensor Location

  Internal

  External

  TBC

Inputs Required

• Water Level

• Rain Gauge

• Video

• Temperature

• Mechanical Failiures

• Mechanical Amps

• Rotation Speed

• Other

• Please describe

Outputs Required

• Pump / Mechanical

• Penstocks

• Floodgates

• Other

• Please Describe

Sensors Required

• Span Required

  0-4m

  4-7m

  7-10m

  10-14m

  14-20m

• Ultrasonic

• Pressure

• Radar

• Temperature

• Camera / CCTV

• Other

• Please describe

• Rain Gauge

Communication

• Communication Method

  Select GPRS Radio Broadband PSTN Other

  • GPRS
  • Radio
  • Broadband
  • PSTN
  • Other

• Please describe

Alarms

• High Level

• Over Fill

• Fault

• Intruder

• Smoke

• Other

• Please Describe

Information Delivery

• AWAX Master Station

• WebWAX

• Mobile App

• Other

• Please describe

Engineer Allocation

• Total Software Development Hours

• Total Installation and Commissioning Hours

• Engineer Allocation Notes

Further Notes

• Include any further relevant information here

• Photographs

Photos

• Site Photograph

  Media

• Site Drawing / Plan

  Drawing

Sign Off

• By signing this document, you confirm that the above information is true and complete to the best of your knowledge, and understand that any quotation or proposal produced by Oriel Systems Limited will reflect the information provided in this document.

• Client Signature

  Sign

• Oriel Systems Signature

  Sign