Title Page

  • ATM Removal Survey

  • Site Addresse

  • Conducted on

  • Location
  • Surveyor Name:

Survey Details

General Store Information

  • Site Name:

  • Site Contact details:

  • Store address
  • Store Opening Times:

  • ATM Room/Bastion

  • Other

  • Are there tenants above store ?

Transportation Of Hardware

  • Location to Load/Off-Load:

  • Photos Of Location for Delivery Vehicle To Load/Off-Load:

  • External Floor Types:

  • Delivery restrictions

  • Photo

  • Traffic restrictions

  • Photo

  • Parking restrictions

  • Photo

  • Specify Special Delivery Equipment Required, i.e. pallet truck, skates etc.

  • Are there any Kerbs?

  • Height of kerb

  • Photo of kerb

  • Are there any Stairs or Steps on route ?

  • Height and length of stairs/steps ?

  • Photo of stairs/steps

  • Is there a mat well ?

  • Mat well dimensions

  • Photo of Matt well

  • List Internal Door & Doorways for ATM Transportation route

  • Door
  • Door type ?

  • Door opening dimension (when the door is fully open)

  • Any other obstructions on route ?

  • Obstruction information/ Solution

  • Photo of Obstruction

  • Detail ATM Transportation route from ATM room to Vehicle step by step

  • Photo's of ATM Transportation route

Internal Store Details, Obstacles and Relocation Information

  • Internal Floor Types:

  • Measure Floor tiles

  • Any Tills Need Relocating, Yes or No? If Yes Specify?

  • Photo's

  • Any Shelving/Gondola Need Relocating, Yes or No? If Yes Specify

  • Photo's

  • Any Internal Signage To be Relocated Yes or No? If Yes Specify

  • Photo's

  • Any Internal Services To Be Relocated? Yes or No. If Yes Specify.

  • Photo's

  • Any Other Obstacles Need Relocation? Yes or No, If Yes Specify Possible Relocation Position.

  • Photo's

  • Existing ATM Details :-

  • Internal ATM
  • ATM Serial Number

  • Is There A Vibration Alarm Attached to the ATM

  • Are There Chains To Be Removed

  • Plinth Height

  • Plinth Type

  • Is The Plinth Chem-Fixed to the floor ?

  • Floor Construction

  • Specify Power supply to ATM (Fused Spur or Plug)

  • ATM Photo from a distance

  • ATM Photo close up

  • ATM Photo from the left

  • ATM Photo from the right

  • ATM Photo from the rear

  • Existing ATM Details :-

  • Internal ATM
  • ATM Serial Number

  • Is There A Vibration Alarm Attached to the ATM

  • Are There Chains To Be Removed

  • Plinth Height

  • Plinth Type

  • Is The Plinth Chem-Fixed to the floor ?

  • Floor Construction

  • Specify Power supply to ATM (Fused Spur or Plug)

  • ATM Photo from a distance

  • ATM Photo close up

  • ATM Photo from the left

  • ATM Photo from the right

  • ATM Photo from the rear

  • Existing ATM Details

  • External ATM
  • Floor Construction

  • Add media

  • Will the External Graphics Need Relocating - Yes/No. If Yes Specify

  • Photo

  • ATM Photo from a distance

  • ATM Photo close up

  • ATM Photo from the left

  • ATM Photo from the right

  • Existing ATM Details

  • External ATM
  • Floor Construction

  • Add media

  • Will the External Graphics Need Relocating - Yes/No. If Yes Specify

  • Photo

  • ATM Photo from a distance

  • ATM Photo close up

  • ATM Photo from the left

  • ATM Photo from the right

Electrical/Data Detail

  • Fuse board Location

  • Photo

Surveyors ""Use this section to add any additional Information that may impede the installation of the ATM""

  • Add here any further additional Information

  • Additional Info
  • Photo's

  • Surveyors Signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.