Removal Survey

• ATM Removal Survey

• Site Addresse

• Conducted on

  Date
• Location
  Address

• Surveyor Name:

Survey Details

General Store Information

• Site Name:

• Site Contact details:

• Store address
  Address

• Store Opening Times:

• ATM Room/Bastion

  Select Store G4S Loomis NCR Other

  • Store
  • G4S
  • Loomis
  • NCR
  • Other

• Other

• Are there tenants above store ?

  Yes

  No

• Residential Tenants

  Offices

Transportation Of Hardware

• Location to Load/Off-Load:

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

  Media

• External Floor Types:

  Select Concrete Tarmac Block Paving Paving Slabs Other

  • Concrete
  • Tarmac
  • Block Paving
  • Paving Slabs
  • Other

• Delivery restrictions

  Yes

  No

• Photo

  Media

• Traffic restrictions

  Yes

  No

• Photo

  Media

• Parking restrictions

  Yes

  No

• Photo

  Media

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

  Select Standard Pallet Truck Stair Lifter Skates High Lifter Scissor Lifter Mat Well Boards Ramp Materials i.e CLS,metal plate Other Metal Plates

  • Standard Pallet Truck
  • Stair Lifter
  • Skates
  • High Lifter
  • Scissor Lifter
  • Mat Well Boards
  • Ramp Materials i.e CLS,metal plate
  • Other
  • Metal Plates

• Are there any Kerbs?

  Yes

  No

• Height of kerb

• Photo of kerb

  Media

• Are there any Stairs or Steps on route ?

  Yes

  No

• Height and length of stairs/steps ?

• Photo of stairs/steps

  Media

• Is there a mat well ?

  Yes

  No

• Mat well dimensions

• Photo of Matt well

  Media

• List Internal Door & Doorways for ATM Transportation route

Door

• Door type ?

  Select Main Entrance Staff entrance Foyer door Internal Bastion door External Bastion unit door ATM room door Cash office door Internal Doorway Fire door Other Internal ATM door

  • Main Entrance
  • Staff entrance
  • Foyer door
  • Internal Bastion door
  • External Bastion unit door
  • ATM room door
  • Cash office door
  • Internal Doorway
  • Fire door
  • Other
  • Internal ATM door

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

• Any other obstructions on route ?

  Yes

  No

• Obstruction information/ Solution

• Photo of Obstruction

  Media

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

• Photo's of ATM Transportation route

  Media

Internal Store Details, Obstacles and Relocation Information

• Internal Floor Types:

  Select Terrazzo Carpet Vinyl Ceramic Tile Concrete Wood

  • Terrazzo
  • Carpet
  • Vinyl
  • Ceramic Tile
  • Concrete
  • Wood

• Measure Floor tiles

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

  Yes

  No

• Photo's

  Media

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

  Yes

  No

• Photo's

  Media

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

  Yes

  No

• Photo's

  Media

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

  Yes

  No

• Photo's

  Media

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

  Yes

  No

• Photo's

  Media

• Existing ATM Details :-

Internal ATM

• ATM Serial Number

• Is There A Vibration Alarm Attached to the ATM

  Yes

  No

• Are There Chains To Be Removed

  Yes

  No

• Plinth Height

• Plinth Type

• Is The Plinth Chem-Fixed to the floor ?

  Yes

  No

• Floor Construction

  Select Terrazzo Carpet Vinyl Ceramic Tile Concrete Wood

  • Terrazzo
  • Carpet
  • Vinyl
  • Ceramic Tile
  • Concrete
  • Wood

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

  Fused Spur

  3 Pin Plug

• ATM Photo from a distance

  Media

• ATM Photo close up

  Media

• ATM Photo from the left

  Media

• ATM Photo from the right

  Media

• ATM Photo from the rear

  Media

• Existing ATM Details :-

Internal ATM

• ATM Serial Number

• Is There A Vibration Alarm Attached to the ATM

  Yes

  No

• Are There Chains To Be Removed

  Yes

  No

• Plinth Height

• Plinth Type

• Is The Plinth Chem-Fixed to the floor ?

  Yes

  No

• Floor Construction

  Select Terrazzo Carpet Vinyl Ceramic Tile Concrete Wood

  • Terrazzo
  • Carpet
  • Vinyl
  • Ceramic Tile
  • Concrete
  • Wood

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

  Fused Spur

  3 Pin Plug

• ATM Photo from a distance

  Media

• ATM Photo close up

  Media

• ATM Photo from the left

  Media

• ATM Photo from the right

  Media

• ATM Photo from the rear

  Media

• Existing ATM Details

External ATM

• Floor Construction

  Select Concrete Tarmac Block Paving Paving Slabs Other

  • Concrete
  • Tarmac
  • Block Paving
  • Paving Slabs
  • Other

• Add media

  Media

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

  Yes

  No

• Photo

  Media

• ATM Photo from a distance

  Media

• ATM Photo close up

  Media

• ATM Photo from the left

  Media

• ATM Photo from the right

  Media

• Existing ATM Details

External ATM

• Floor Construction

  Select Concrete Tarmac Block Paving Paving Slabs Other

  • Concrete
  • Tarmac
  • Block Paving
  • Paving Slabs
  • Other

• Add media

  Media

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

  Yes

  No

• Photo

  Media

• ATM Photo from a distance

  Media

• ATM Photo close up

  Media

• ATM Photo from the left

  Media

• ATM Photo from the right

  Media

Electrical/Data Detail

• Fuse board Location

• Photo

  Media

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

  Media

• Surveyors Signature

  Sign