Audit

Project Information

Has pre-construction meeting been held?

Equipment Schedule

Has medical equipment manufacturer been determined?

When is equipment schedule expected to be released?

Unload/Staging

Has unload/staging area been determined?

Location and description of unload/staging area

Photo of unload/staging area

List of concerns regarding unload/staging

Who is responsible for determining - when will this be determined?

Area A - Room 16-516
Installation information
Structure attachment

Is attachment structure within tolerance? (i.e. +/- 1/4" horizontally & vertically)

How far out of tolerance is it?

Picture of condition

What type of equipment will we be installing from?

Can we mark layout of finish rails on floor?

Dimensions

Is room square/rectangular?

Length of room?

Width of room?

If room is not square - draw layout of room with dimensions.

Ceiling height?(from finished floor)

Spacing between attachment points? (Structure Span?)

Height from bottom of attachment structure to finished floor?

Height of interstitial space?(space from attachment point to ceiling)

Equipment/Dimensions (4 items in this room)
Equipment to be installed?

Manufacturer of equipment

Model #

Number of rails?

Height of finish rails to finish floor?

Height from finish plate to finish floor height?

Is Burgess required to supply mounting plate?

Do we have plate dimensions/configuration?

Who is responsible for providing information?

When do we expect to receive information?

Equipment to be installed?

Manufacturer of equipment

Model #

Number of rails?

Height of finish rails to finish floor?

Height from finish plate to finish floor height?

Is Burgess required to supply mounting plate?

Do we have plate dimensions/configuration?

Who is responsible for providing information?

When do we expect to receive information?

Equipment to be installed?

Manufacturer of equipment

Model #

Number of rails?

Height of finish rails to finish floor?

Height from finish plate to finish floor height?

Is Burgess required to supply mounting plate?

Do we have plate dimensions/configuration?

Who is responsible for providing information?

When do we expect to receive information?

Equipment to be installed?

Manufacturer of equipment

Model #

Number of rails?

Height of finish rails to finish floor?

Height from finish plate to finish floor height?

Is Burgess required to supply mounting plate?

Do we have plate dimensions/configuration?

Who is responsible for providing information?

When do we expect to receive information?

Obstructions/Concerns

Are there noticeable obstructions?

What type of obstruction(s)? (Can select multiple)

What is/are the obstruction(s)?

Photo of obstruction

Is there adequate access to anchor points?

Describe condition and potential solution.

Photo of condition.

Are there items in room that will require protection?

Describe the item and proposed protection.

Who is responsible for providing and installing protection?

Photo of item to be protected?

Are there other concerns?

What other concerns are there?

Photo of area of concern.
Area A - Room 16-607
Installation information
Structure attachment

Is attachment structure within tolerance? (i.e. +/- 1/4" horizontally & vertically)

How far out of tolerance is it?

Picture of condition

What type of equipment will we be installing from?

Can we mark layout of finish rails on floor?

Dimensions

Is room square/rectangular?

Length of room?

Width of room?

If room is not square - draw layout of room with dimensions.

Ceiling height?(from finished floor)

Spacing between attachment points? (Structure Span?)

Height from bottom of attachment structure to finished floor?

Height of interstitial space?(space from attachment point to ceiling)

Equipment/Dimensions
Equipment to be installed?

Manufacturer of equipment

Model #

Number of rails?

Height of finish rails to finish floor?

Height from finish plate to finish floor height?

Is Burgess required to supply mounting plate?

Do we have plate dimensions/configuration?

Who is responsible for providing information?

When do we expect to receive information?

Obstructions/Concerns

Are there noticeable obstructions?

What type of obstruction(s)? (Can select multiple)

What is/are the obstruction(s)?

Photo of obstruction

Is there adequate access to anchor points?

Describe condition and potential solution.

Photo of condition.

Are there items in room that will require protection?

Describe the item and proposed protection.

Who is responsible for providing and installing protection?

Photo of item to be protected?

Are there other concerns?

What other concerns are there?

Photo of area of concern.
Area A - Room 16-610
Installation information
Structure attachment

Is attachment structure within tolerance? (i.e. +/- 1/4" horizontally & vertically)

How far out of tolerance is it?

Picture of condition

What type of equipment will we be installing from?

Can we mark layout of finish rails on floor?

Dimensions

Is room square/rectangular?

Length of room?

Width of room?

If room is not square - draw layout of room with dimensions.

Ceiling height?(from finished floor)

Spacing between attachment points? (Structure Span?)

Height from bottom of attachment structure to finished floor?

Height of interstitial space?(space from attachment point to ceiling)

Equipment/Dimensions
Equipment to be installed?

Manufacturer of equipment

Model #

Number of rails?

Height of finish rails to finish floor?

Height from finish plate to finish floor height?

Is Burgess required to supply mounting plate?

Do we have plate dimensions/configuration?

Who is responsible for providing information?

When do we expect to receive information?

Obstructions/Concerns

Are there noticeable obstructions?

What type of obstruction(s)? (Can select multiple)

What is/are the obstruction(s)?

Photo of obstruction

Is there adequate access to anchor points?

Describe condition and potential solution.

Photo of condition.

Are there items in room that will require protection?

Describe the item and proposed protection.

Who is responsible for providing and installing protection?

Photo of item to be protected?

Are there other concerns?

What other concerns are there?

Photo of area of concern.
Area A - Room 16-612
Installation information
Structure attachment

Is attachment structure within tolerance? (i.e. +/- 1/4" horizontally & vertically)

How far out of tolerance is it?

Picture of condition

What type of equipment will we be installing from?

Can we mark layout of finish rails on floor?

Dimensions

Is room square/rectangular?

Length of room?

Width of room?

If room is not square - draw layout of room with dimensions.

Ceiling height?(from finished floor)

Spacing between attachment points? (Structure Span?)

Height from bottom of attachment structure to finished floor?

Height of interstitial space?(space from attachment point to ceiling)

Equipment/Dimensions
Equipment to be installed? (Only check one)

Manufacturer of equipment

Model #

Number of rails?

Height of finish rails to finish floor?

Height from finish plate to finish floor height?

Is Burgess required to supply mounting plate?

Do we have plate dimensions/configuration?

Who is responsible for providing information?

When do we expect to receive information?

Obstructions/Concerns

Are there noticeable obstructions?

What type of obstruction(s)? (Can select multiple)

What is/are the obstruction(s)?

Photo of obstruction

Is there adequate access to anchor points?

Describe condition and potential solution.

Photo of condition.

Are there items in room that will require protection?

Describe the item and proposed protection.

Who is responsible for providing and installing protection?

Photo of item to be protected?

Are there other concerns?

What other concerns are there?

Photo of area of concern.
Area A - Room 16-615
Installation information
Structure attachment

Is attachment structure within tolerance? (i.e. +/- 1/4" horizontally & vertically)

How far out of tolerance is it?

Picture of condition

What type of equipment will we be installing from?

Can we mark layout of finish rails on floor?

Dimensions

Is room square/rectangular?

Length of room?

Width of room?

If room is not square - draw layout of room with dimensions.
If room is not square - draw layout of room with dimensions.

Ceiling height?(from finished floor)

Spacing between attachment points? (Structure Span?)

Height from bottom of attachment structure to finished floor?

Height of interstitial space?(space from attachment point to ceiling)

Equipment/Dimensions
Equipment to be installed? (Only check one)

Manufacturer of equipment

Model #

Number of rails?

Height of finish rails to finish floor?

Height from finish plate to finish floor height?

Is Burgess required to supply mounting plate?

Do we have plate dimensions/configuration?

Who is responsible for providing information?

When do we expect to receive information?

Obstructions/Concerns

Are there noticeable obstructions?

What type of obstruction(s)? (Can select multiple)

What is/are the obstruction(s)?

Photo of obstruction

Is there adequate access to anchor points?

Describe condition and potential solution.

Photo of condition.

Are there items in room that will require protection?

Describe the item and proposed protection.

Who is responsible for providing and installing protection?

Photo of item to be protected?

Are there other concerns?

What other concerns are there?

Photo of area of concern.
Area A - Room 16-616
Installation information
Structure attachment

Is attachment structure within tolerance? (i.e. +/- 1/4" horizontally & vertically)

How far out of tolerance is it?

Picture of condition

What type of equipment will we be installing from?

Can we mark layout of finish rails on floor?

Dimensions

Is room square/rectangular?

Length of room?

Width of room?

If room is not square - draw layout of room with dimensions.

Ceiling height?(from finished floor)

Spacing between attachment points? (Structure Span?)

Height from bottom of attachment structure to finished floor?

Height of interstitial space?(space from attachment point to ceiling)

Equipment/Dimensions
Equipment to be installed? (Only check one)

Manufacturer of equipment

Model #

Number of rails?

Height of finish rails to finish floor?

Height from finish plate to finish floor height?

Is Burgess required to supply mounting plate?

Do we have plate dimensions/configuration?

Who is responsible for providing information?

When do we expect to receive information?

Obstructions/Concerns

Are there noticeable obstructions?

What type of obstruction(s)? (Can select multiple)

What is/are the obstruction(s)?

Photo of obstruction

Is there adequate access to anchor points?

Describe condition and potential solution.

Photo of condition.

Are there items in room that will require protection?

Describe the item and proposed protection.

Who is responsible for providing and installing protection?

Photo of item to be protected?

Are there other concerns?

What other concerns are there?

Photo of area of concern.
Area A - Room 16-623
Installation information
Structure attachment

Is attachment structure within tolerance? (i.e. +/- 1/4" horizontally & vertically)

How far out of tolerance is it?

Picture of condition

What type of equipment will we be installing from?

Can we mark layout of finish rails on floor?

Dimensions

Is room square/rectangular?

Length of room?

Width of room?

If room is not square - draw layout of room with dimensions.

Ceiling height?(from finished floor)

Spacing between attachment points? (Structure Span?)

Height from bottom of attachment structure to finished floor?

Height of interstitial space?(space from attachment point to ceiling)

Equipment/Dimensions
Equipment to be installed? (Only check one)

Manufacturer of equipment

Model #

Number of rails?

Height of finish rails to finish floor?

Height from finish plate to finish floor height?

Is Burgess required to supply mounting plate?

Do we have plate dimensions/configuration?

Who is responsible for providing information?

When do we expect to receive information?

Obstructions/Concerns

Are there noticeable obstructions?

What type of obstruction(s)? (Can select multiple)

What is/are the obstruction(s)?

Photo of obstruction

Is there adequate access to anchor points?

Describe condition and potential solution.

Photo of condition.

Are there items in room that will require protection?

Describe the item and proposed protection.

Who is responsible for providing and installing protection?

Photo of item to be protected?

Are there other concerns?

What other concerns are there?

Photo of area of concern.
Area A - Room 16-626
Installation information
Structure attachment

Is attachment structure within tolerance? (i.e. +/- 1/4" horizontally & vertically)

How far out of tolerance is it?

Picture of condition

What type of equipment will we be installing from?

Can we mark layout of finish rails on floor?

Dimensions

Is room square/rectangular?

Length of room?

Width of room?

If room is not square - draw layout of room with dimensions.

Ceiling height?(from finished floor)

Spacing between attachment points? (Structure Span?)

Height from bottom of attachment structure to finished floor?

Height of interstitial space?(space from attachment point to ceiling)

Equipment/Dimensions
Equipment to be installed? (Only check one)

Manufacturer of equipment

Model #

Number of rails?

Height of finish rails to finish floor?

Height from finish plate to finish floor height?

Is Burgess required to supply mounting plate?

Do we have plate dimensions/configuration?

Who is responsible for providing information?

When do we expect to receive information?

Obstructions/Concerns

Are there noticeable obstructions?

What type of obstruction(s)? (Can select multiple)

What is/are the obstruction(s)?

Photo of obstruction

Is there adequate access to anchor points?

Describe condition and potential solution.

Photo of condition.

Are there items in room that will require protection?

Describe the item and proposed protection.

Who is responsible for providing and installing protection?

Photo of item to be protected?

Are there other concerns?

What other concerns are there?

Photo of area of concern.
Area A - Room 16-632
Installation information
Structure attachment

Is attachment structure within tolerance? (i.e. +/- 1/4" horizontally & vertically)

How far out of tolerance is it?

Picture of condition

What type of equipment will we be installing from?

Can we mark layout of finish rails on floor?

Dimensions

Is room square/rectangular?

Length of room?

Width of room?

If room is not square - draw layout of room with dimensions.

Ceiling height?(from finished floor)

Spacing between attachment points? (Structure Span?)

Height from bottom of attachment structure to finished floor?

Height of interstitial space?(space from attachment point to ceiling)

Equipment/Dimensions
Equipment to be installed? (Only check one)

Manufacturer of equipment

Model #

Number of rails?

Height of finish rails to finish floor?

Height from finish plate to finish floor height?

Is Burgess required to supply mounting plate?

Do we have plate dimensions/configuration?

Who is responsible for providing information?

When do we expect to receive information?

Obstructions/Concerns

Are there noticeable obstructions?

What type of obstruction(s)? (Can select multiple)

What is/are the obstruction(s)?

Photo of obstruction

Is there adequate access to anchor points?

Describe condition and potential solution.

Photo of condition.

Are there items in room that will require protection?

Describe the item and proposed protection.

Who is responsible for providing and installing protection?

Photo of item to be protected?

Are there other concerns?

What other concerns are there?

Photo of area of concern.
Area A - Room 16-634
Installation information
Structure attachment

Is attachment structure within tolerance? (i.e. +/- 1/4" horizontally & vertically)

How far out of tolerance is it?

Picture of condition

What type of equipment will we be installing from?

Can we mark layout of finish rails on floor?

Dimensions

Is room square/rectangular?

Length of room?

Width of room?

If room is not square - draw layout of room with dimensions.

Ceiling height?(from finished floor)

Spacing between attachment points? (Structure Span?)

Height from bottom of attachment structure to finished floor?

Height of interstitial space?(space from attachment point to ceiling)

Equipment/Dimensions
Equipment to be installed? (Only check one)

Manufacturer of equipment

Model #

Number of rails?

Height of finish rails to finish floor?

Height from finish plate to finish floor height?

Is Burgess required to supply mounting plate?

Do we have plate dimensions/configuration?

Who is responsible for providing information?

When do we expect to receive information?

Obstructions/Concerns

Are there noticeable obstructions?

What type of obstruction(s)? (Can select multiple)

What is/are the obstruction(s)?

Photo of obstruction

Is there adequate access to anchor points?

Describe condition and potential solution.

Photo of condition.

Are there items in room that will require protection?

Describe the item and proposed protection.

Who is responsible for providing and installing protection?

Photo of item to be protected?

Are there other concerns?

What other concerns are there?

Photo of area of concern.
Area A - Room 16-636
Installation information
Structure attachment

Is attachment structure within tolerance? (i.e. +/- 1/4" horizontally & vertically)

How far out of tolerance is it?

Picture of condition

What type of equipment will we be installing from?

Can we mark layout of finish rails on floor?

Dimensions

Is room square/rectangular?

Length of room?

Width of room?

If room is not square - draw layout of room with dimensions.

Ceiling height?(from finished floor)

Spacing between attachment points? (Structure Span?)

Height from bottom of attachment structure to finished floor?

Height of interstitial space?(space from attachment point to ceiling)

Equipment/Dimensions
Equipment to be installed? (Only check one)

Manufacturer of equipment

Model #

Number of rails?

Height of finish rails to finish floor?

Height from finish plate to finish floor height?

Is Burgess required to supply mounting plate?

Do we have plate dimensions/configuration?

Who is responsible for providing information?

When do we expect to receive information?

Obstructions/Concerns

Are there noticeable obstructions?

What type of obstruction(s)? (Can select multiple)

What is/are the obstruction(s)?

Photo of obstruction

Is there adequate access to anchor points?

Describe condition and potential solution.

Photo of condition.

Are there items in room that will require protection?

Describe the item and proposed protection.

Who is responsible for providing and installing protection?

Photo of item to be protected?

Are there other concerns?

What other concerns are there?

Photo of area of concern.
Area A - Room 16-638
Installation information
Structure attachment

Is attachment structure within tolerance? (i.e. +/- 1/4" horizontally & vertically)

How far out of tolerance is it?

Picture of condition

What type of equipment will we be installing from?

Can we mark layout of finish rails on floor?

Dimensions

Is room square/rectangular?

Length of room?

Width of room?

If room is not square - draw layout of room with dimensions.

Ceiling height?(from finished floor)

Spacing between attachment points? (Structure Span?)

Height from bottom of attachment structure to finished floor?

Height of interstitial space?(space from attachment point to ceiling)

Equipment/Dimensions
Equipment to be installed? (Only check one)

Manufacturer of equipment

Model #

Number of rails?

Height of finish rails to finish floor?

Height from finish plate to finish floor height?

Is Burgess required to supply mounting plate?

Do we have plate dimensions/configuration?

Who is responsible for providing information?

When do we expect to receive information?

Obstructions/Concerns

Are there noticeable obstructions?

What type of obstruction(s)? (Can select multiple)

What is/are the obstruction(s)?

Photo of obstruction

Is there adequate access to anchor points?

Describe condition and potential solution.

Photo of condition.

Are there items in room that will require protection?

Describe the item and proposed protection.

Who is responsible for providing and installing protection?

Photo of item to be protected?

Are there other concerns?

What other concerns are there?

Photo of area of concern.
Area A - Room 16-639
Installation information
Structure attachment

Is attachment structure within tolerance? (i.e. +/- 1/4" horizontally & vertically)

How far out of tolerance is it?

Picture of condition

What type of equipment will we be installing from?

Can we mark layout of finish rails on floor?

Dimensions

Is room square/rectangular?

Length of room?

Width of room?

If room is not square - draw layout of room with dimensions.

Ceiling height?(from finished floor)

Spacing between attachment points? (Structure Span?)

Height from bottom of attachment structure to finished floor?

Height of interstitial space?(space from attachment point to ceiling)

Equipment/Dimensions
Equipment to be installed? (Only check one)

Manufacturer of equipment

Model #

Number of rails?

Height of finish rails to finish floor?

Height from finish plate to finish floor height?

Is Burgess required to supply mounting plate?

Do we have plate dimensions/configuration?

Who is responsible for providing information?

When do we expect to receive information?

Obstructions/Concerns

Are there noticeable obstructions?

What type of obstruction(s)? (Can select multiple)

What is/are the obstruction(s)?

Photo of obstruction

Is there adequate access to anchor points?

Describe condition and potential solution.

Photo of condition.

Are there items in room that will require protection?

Describe the item and proposed protection.

Who is responsible for providing and installing protection?

Photo of item to be protected?

Are there other concerns?

What other concerns are there?

Photo of area of concern.
Area A - Room 16-641
Installation information
Structure attachment

Is attachment structure within tolerance? (i.e. +/- 1/4" horizontally & vertically)

How far out of tolerance is it?

Picture of condition

What type of equipment will we be installing from?

Can we mark layout of finish rails on floor?

Dimensions

Is room square/rectangular?

Length of room?

Width of room?

If room is not square - draw layout of room with dimensions.

Ceiling height?(from finished floor)

Spacing between attachment points? (Structure Span?)

Height from bottom of attachment structure to finished floor?

Height of interstitial space?(space from attachment point to ceiling)

Equipment/Dimensions
Equipment to be installed? (Only check one)

Manufacturer of equipment

Model #

Number of rails?

Height of finish rails to finish floor?

Height from finish plate to finish floor height?

Is Burgess required to supply mounting plate?

Do we have plate dimensions/configuration?

Who is responsible for providing information?

When do we expect to receive information?

Obstructions/Concerns

Are there noticeable obstructions?

What type of obstruction(s)? (Can select multiple)

What is/are the obstruction(s)?

Photo of obstruction

Is there adequate access to anchor points?

Describe condition and potential solution.

Photo of condition.

Are there items in room that will require protection?

Describe the item and proposed protection.

Who is responsible for providing and installing protection?

Photo of item to be protected?

Are there other concerns?

What other concerns are there?

Photo of area of concern.
Area A - Room 16-648
Installation information
Structure attachment

Is attachment structure within tolerance? (i.e. +/- 1/4" horizontally & vertically)

How far out of tolerance is it?

Picture of condition

What type of equipment will we be installing from?

Can we mark layout of finish rails on floor?

Dimensions

Is room square/rectangular?

Length of room?

Width of room?

If room is not square - draw layout of room with dimensions.

Ceiling height?(from finished floor)

Spacing between attachment points? (Structure Span?)

Height from bottom of attachment structure to finished floor?

Height of interstitial space?(space from attachment point to ceiling)

Equipment/Dimensions
Equipment to be installed? (Only check one)

Manufacturer of equipment

Model #

Number of rails?

Height of finish rails to finish floor?

Height from finish plate to finish floor height?

Is Burgess required to supply mounting plate?

Do we have plate dimensions/configuration?

Who is responsible for providing information?

When do we expect to receive information?

Obstructions/Concerns

Are there noticeable obstructions?

What type of obstruction(s)? (Can select multiple)

What is/are the obstruction(s)?

Photo of obstruction

Is there adequate access to anchor points?

Describe condition and potential solution.

Photo of condition.

Are there items in room that will require protection?

Describe the item and proposed protection.

Who is responsible for providing and installing protection?

Photo of item to be protected?

Are there other concerns?

What other concerns are there?

Photo of area of concern.
Area A - Room 16-649
Installation information
Structure attachment

Is attachment structure within tolerance? (i.e. +/- 1/4" horizontally & vertically)

How far out of tolerance is it?

Picture of condition

What type of equipment will we be installing from?

Can we mark layout of finish rails on floor?

Dimensions

Is room square/rectangular?

Length of room?

Width of room?

If room is not square - draw layout of room with dimensions.

Ceiling height?(from finished floor)

Spacing between attachment points? (Structure Span?)

Height from bottom of attachment structure to finished floor?

Height of interstitial space?(space from attachment point to ceiling)

Equipment/Dimensions
Equipment to be installed? (Only check one)

Manufacturer of equipment

Model #

Number of rails?

Height of finish rails to finish floor?

Height from finish plate to finish floor height?

Is Burgess required to supply mounting plate?

Do we have plate dimensions/configuration?

Who is responsible for providing information?

When do we expect to receive information?

Obstructions/Concerns

Are there noticeable obstructions?

What type of obstruction(s)? (Can select multiple)

What is/are the obstruction(s)?

Photo of obstruction

Is there adequate access to anchor points?

Describe condition and potential solution.

Photo of condition.

Are there items in room that will require protection?

Describe the item and proposed protection.

Who is responsible for providing and installing protection?

Photo of item to be protected?

Are there other concerns?

What other concerns are there?

Photo of area of concern.
Area A - Room 16-650
Installation information
Structure attachment

Is attachment structure within tolerance? (i.e. +/- 1/4" horizontally & vertically)

How far out of tolerance is it?

Picture of condition

What type of equipment will we be installing from?

Can we mark layout of finish rails on floor?

Dimensions

Is room square/rectangular?

Length of room?

Width of room?

If room is not square - draw layout of room with dimensions.

Ceiling height?(from finished floor)

Spacing between attachment points? (Structure Span?)

Height from bottom of attachment structure to finished floor?

Height of interstitial space?(space from attachment point to ceiling)

Equipment/Dimensions
Equipment to be installed? (Only check one)

Manufacturer of equipment

Model #

Number of rails?

Height of finish rails to finish floor?

Height from finish plate to finish floor height?

Is Burgess required to supply mounting plate?

Do we have plate dimensions/configuration?

Who is responsible for providing information?

When do we expect to receive information?

Obstructions/Concerns

Are there noticeable obstructions?

What type of obstruction(s)? (Can select multiple)

What is/are the obstruction(s)?

Photo of obstruction

Is there adequate access to anchor points?

Describe condition and potential solution.

Photo of condition.

Are there items in room that will require protection?

Describe the item and proposed protection.

Who is responsible for providing and installing protection?

Photo of item to be protected?

Are there other concerns?

What other concerns are there?

Photo of area of concern.
Area A - Room 16-651
Installation information
Structure attachment

Is attachment structure within tolerance? (i.e. +/- 1/4" horizontally & vertically)

How far out of tolerance is it?

Picture of condition

What type of equipment will we be installing from?

Can we mark layout of finish rails on floor?

Dimensions

Is room square/rectangular?

Length of room?

Width of room?

If room is not square - draw layout of room with dimensions.

Ceiling height?(from finished floor)

Spacing between attachment points? (Structure Span?)

Height from bottom of attachment structure to finished floor?

Height of interstitial space?(space from attachment point to ceiling)

Equipment/Dimensions (2 items in this room)
Equipment to be installed? (Only check one)

Manufacturer of equipment

Model #

Number of rails?

Height of finish rails to finish floor?

Height from finish plate to finish floor height?

Is Burgess required to supply mounting plate?

Do we have plate dimensions/configuration?

Who is responsible for providing information?

When do we expect to receive information?

Equipment to be installed? (Only check one)

Manufacturer of equipment

Model #

Number of rails?

Height of finish rails to finish floor?

Height from finish plate to finish floor height?

Is Burgess required to supply mounting plate?

Do we have plate dimensions/configuration?

Who is responsible for providing information?

When do we expect to receive information?

Obstructions/Concerns

Are there noticeable obstructions?

What type of obstruction(s)? (Can select multiple)

What is/are the obstruction(s)?

Photo of obstruction

Is there adequate access to anchor points?

Describe condition and potential solution.

Photo of condition.

Are there items in room that will require protection?

Describe the item and proposed protection.

Who is responsible for providing and installing protection?

Photo of item to be protected?

Are there other concerns?

What other concerns are there?

Photo of area of concern.
Area A - Room 16-653
Installation information
Structure attachment

Is attachment structure within tolerance? (i.e. +/- 1/4" horizontally & vertically)

How far out of tolerance is it?

Picture of condition

What type of equipment will we be installing from?

Can we mark layout of finish rails on floor?

Dimensions

Is room square/rectangular?

Length of room?

Width of room?

If room is not square - draw layout of room with dimensions.

Ceiling height?(from finished floor)

Spacing between attachment points? (Structure Span?)

Height from bottom of attachment structure to finished floor?

Height of interstitial space?(space from attachment point to ceiling)

Equipment/Dimensions
Equipment to be installed? (Only check one)

Manufacturer of equipment

Model #

Number of rails?

Height of finish rails to finish floor?

Height from finish plate to finish floor height?

Is Burgess required to supply mounting plate?

Do we have plate dimensions/configuration?

Who is responsible for providing information?

When do we expect to receive information?

Obstructions/Concerns

Are there noticeable obstructions?

What type of obstruction(s)? (Can select multiple)

What is/are the obstruction(s)?

Photo of obstruction

Is there adequate access to anchor points?

Describe condition and potential solution.

Photo of condition.

Are there items in room that will require protection?

Describe the item and proposed protection.

Who is responsible for providing and installing protection?

Photo of item to be protected?

Are there other concerns?

What other concerns are there?

Photo of area of concern.
Area B - Room 16-102
Installation information
Structure attachment

Is attachment structure within tolerance? (i.e. +/- 1/4" horizontally & vertically)

How far out of tolerance is it?

Picture of condition

What type of equipment will we be installing from?

Can we mark layout of finish rails on floor?

Dimensions

Is room square/rectangular?

Length of room?

Width of room?

If room is not square - draw layout of room with dimensions.

Ceiling height?(from finished floor)

Spacing between attachment points? (Structure Span?)

Height from bottom of attachment structure to finished floor?

Height of interstitial space?(space from attachment point to ceiling)

Equipment/Dimensions
Equipment to be installed? (Only check one)

Manufacturer of equipment

Model #

Number of rails?

Height of finish rails to finish floor?

Height from finish plate to finish floor height?

Is Burgess required to supply mounting plate?

Do we have plate dimensions/configuration?

Who is responsible for providing information?

When do we expect to receive information?

Obstructions/Concerns

Are there noticeable obstructions?

What type of obstruction(s)? (Can select multiple)

What is/are the obstruction(s)?

Photo of obstruction

Is there adequate access to anchor points?

Describe condition and potential solution.

Photo of condition.

Are there items in room that will require protection?

Describe the item and proposed protection.

Who is responsible for providing and installing protection?

Photo of item to be protected?

Are there other concerns?

What other concerns are there?

Photo of area of concern.
Area B - Room 16-104
Installation information
Structure attachment

Is attachment structure within tolerance? (i.e. +/- 1/4" horizontally & vertically)

How far out of tolerance is it?

Picture of condition

What type of equipment will we be installing from?

Can we mark layout of finish rails on floor?

Dimensions

Is room square/rectangular?

Length of room?

Width of room?

If room is not square - draw layout of room with dimensions.

Ceiling height?(from finished floor)

Spacing between attachment points? (Structure Span?)

Height from bottom of attachment structure to finished floor?

Height of interstitial space?(space from attachment point to ceiling)

Equipment/Dimensions
Equipment to be installed? (Only check one)

Manufacturer of equipment

Model #

Number of rails?

Height of finish rails to finish floor?

Height from finish plate to finish floor height?

Is Burgess required to supply mounting plate?

Do we have plate dimensions/configuration?

Who is responsible for providing information?

When do we expect to receive information?

Obstructions/Concerns

Are there noticeable obstructions?

What type of obstruction(s)? (Can select multiple)

What is/are the obstruction(s)?

Photo of obstruction

Is there adequate access to anchor points?

Describe condition and potential solution.

Photo of condition.

Are there items in room that will require protection?

Describe the item and proposed protection.

Who is responsible for providing and installing protection?

Photo of item to be protected?

Are there other concerns?

What other concerns are there?

Photo of area of concern.
Area B - Room 16-106
Installation information
Structure attachment

Is attachment structure within tolerance? (i.e. +/- 1/4" horizontally & vertically)

How far out of tolerance is it?

Picture of condition

What type of equipment will we be installing from?

Can we mark layout of finish rails on floor?

Dimensions

Is room square/rectangular?

Length of room?

Width of room?

If room is not square - draw layout of room with dimensions.

Ceiling height?(from finished floor)

Spacing between attachment points? (Structure Span?)

Height from bottom of attachment structure to finished floor?

Height of interstitial space?(space from attachment point to ceiling)

Equipment/Dimensions
Equipment to be installed? (Only check one)

Manufacturer of equipment

Model #

Number of rails?

Height of finish rails to finish floor?

Height from finish plate to finish floor height?

Is Burgess required to supply mounting plate?

Do we have plate dimensions/configuration?

Who is responsible for providing information?

When do we expect to receive information?

Obstructions/Concerns

Are there noticeable obstructions?

What type of obstruction(s)? (Can select multiple)

What is/are the obstruction(s)?

Photo of obstruction

Is there adequate access to anchor points?

Describe condition and potential solution.

Photo of condition.

Are there items in room that will require protection?

Describe the item and proposed protection.

Who is responsible for providing and installing protection?

Photo of item to be protected?

Are there other concerns?

What other concerns are there?

Photo of area of concern.
Area B - Room 16-108
Installation information
Structure attachment

Is attachment structure within tolerance? (i.e. +/- 1/4" horizontally & vertically)

How far out of tolerance is it?

Picture of condition

What type of equipment will we be installing from?

Can we mark layout of finish rails on floor?

Dimensions

Is room square/rectangular?

Length of room?

Width of room?

If room is not square - draw layout of room with dimensions.

Ceiling height?(from finished floor)

Spacing between attachment points? (Structure Span?)

Height from bottom of attachment structure to finished floor?

Height of interstitial space?(space from attachment point to ceiling)

Equipment/Dimensions
Equipment to be installed? (Only check one)

Manufacturer of equipment

Model #

Number of rails?

Height of finish rails to finish floor?

Height from finish plate to finish floor height?

Is Burgess required to supply mounting plate?

Do we have plate dimensions/configuration?

Who is responsible for providing information?

When do we expect to receive information?

Obstructions/Concerns

Are there noticeable obstructions?

What type of obstruction(s)? (Can select multiple)

What is/are the obstruction(s)?

Photo of obstruction

Is there adequate access to anchor points?

Describe condition and potential solution.

Photo of condition.

Are there items in room that will require protection?

Describe the item and proposed protection.

Who is responsible for providing and installing protection?

Photo of item to be protected?

Are there other concerns?

What other concerns are there?

Photo of area of concern.
Area B - Room 16-110
Installation information
Structure attachment

Is attachment structure within tolerance? (i.e. +/- 1/4" horizontally & vertically)

How far out of tolerance is it?

Picture of condition

What type of equipment will we be installing from?

Can we mark layout of finish rails on floor?

Dimensions

Is room square/rectangular?

Length of room?

Width of room?

If room is not square - draw layout of room with dimensions.

Ceiling height?(from finished floor)

Spacing between attachment points? (Structure Span?)

Height from bottom of attachment structure to finished floor?

Height of interstitial space?(space from attachment point to ceiling)

Equipment/Dimensions
Equipment to be installed? (Only check one)

Manufacturer of equipment

Model #

Number of rails?

Height of finish rails to finish floor?

Height from finish plate to finish floor height?

Is Burgess required to supply mounting plate?

Do we have plate dimensions/configuration?

Who is responsible for providing information?

When do we expect to receive information?

Obstructions/Concerns

Are there noticeable obstructions?

What type of obstruction(s)? (Can select multiple)

What is/are the obstruction(s)?

Photo of obstruction

Is there adequate access to anchor points?

Describe condition and potential solution.

Photo of condition.

Are there items in room that will require protection?

Describe the item and proposed protection.

Who is responsible for providing and installing protection?

Photo of item to be protected?

Are there other concerns?

What other concerns are there?

Photo of area of concern.
Area B - Room 16-112
Installation information
Structure attachment

Is attachment structure within tolerance? (i.e. +/- 1/4" horizontally & vertically)

How far out of tolerance is it?

Picture of condition

What type of equipment will we be installing from?

Can we mark layout of finish rails on floor?

Dimensions

Is room square/rectangular?

Length of room?

Width of room?

If room is not square - draw layout of room with dimensions.

Width of room?

If room is not square - draw layout of room with dimensions.

Ceiling height?(from finished floor)

Spacing between attachment points? (Structure Span?)

Height from bottom of attachment structure to finished floor?

Height of interstitial space?(space from attachment point to ceiling)

Equipment/Dimensions
Equipment to be installed? (Only check one)

Manufacturer of equipment

Model #

Number of rails?

Height of finish rails to finish floor?

Height from finish plate to finish floor height?

Is Burgess required to supply mounting plate?

Do we have plate dimensions/configuration?

Who is responsible for providing information?

When do we expect to receive information?

Obstructions/Concerns

Are there noticeable obstructions?

What type of obstruction(s)? (Can select multiple)

What is/are the obstruction(s)?

Photo of obstruction

Is there adequate access to anchor points?

Describe condition and potential solution.

Photo of condition.

Are there items in room that will require protection?

Describe the item and proposed protection.

Who is responsible for providing and installing protection?

Photo of item to be protected?

Are there other concerns?

What other concerns are there?

Photo of area of concern.
Area B - Room 16-114
Installation information
Structure attachment

Is attachment structure within tolerance? (i.e. +/- 1/4" horizontally & vertically)

How far out of tolerance is it?

Picture of condition

What type of equipment will we be installing from?

Can we mark layout of finish rails on floor?

Dimensions

Is room square/rectangular?

Length of room?

Width of room?

If room is not square - draw layout of room with dimensions.

Ceiling height?(from finished floor)

Spacing between attachment points? (Structure Span?)

Height from bottom of attachment structure to finished floor?

Height of interstitial space?(space from attachment point to ceiling)

Equipment/Dimensions
Equipment to be installed? (Only check one)

Manufacturer of equipment

Model #

Number of rails?

Height of finish rails to finish floor?

Height from finish plate to finish floor height?

Is Burgess required to supply mounting plate?

Do we have plate dimensions/configuration?

Who is responsible for providing information?

When do we expect to receive information?

Obstructions/Concerns

Are there noticeable obstructions?

What type of obstruction(s)? (Can select multiple)

What is/are the obstruction(s)?

Photo of obstruction

Is there adequate access to anchor points?

Describe condition and potential solution.

Photo of condition.

Are there items in room that will require protection?

Describe the item and proposed protection.

Who is responsible for providing and installing protection?

Photo of item to be protected?

Are there other concerns?

What other concerns are there?

Photo of area of concern.
Area B - Room 16-116
Installation information
Structure attachment

Is attachment structure within tolerance? (i.e. +/- 1/4" horizontally & vertically)

How far out of tolerance is it?

Picture of condition

What type of equipment will we be installing from?

Can we mark layout of finish rails on floor?

Dimensions

Is room square/rectangular?

Length of room?

Width of room?

If room is not square - draw layout of room with dimensions.

Ceiling height?(from finished floor)

Spacing between attachment points? (Structure Span?)

Height from bottom of attachment structure to finished floor?

Height of interstitial space?(space from attachment point to ceiling)

Equipment/Dimensions
Equipment to be installed? (Only check one)

Manufacturer of equipment

Model #

Number of rails?

Height of finish rails to finish floor?

Height from finish plate to finish floor height?

Is Burgess required to supply mounting plate?

Do we have plate dimensions/configuration?

Who is responsible for providing information?

When do we expect to receive information?

Obstructions/Concerns

Are there noticeable obstructions?

What type of obstruction(s)? (Can select multiple)

What is/are the obstruction(s)?

Photo of obstruction

Is there adequate access to anchor points?

Describe condition and potential solution.

Photo of condition.

Are there items in room that will require protection?

Describe the item and proposed protection.

Who is responsible for providing and installing protection?

Photo of item to be protected?

Are there other concerns?

What other concerns are there?

Photo of area of concern.
Area B - Room 16-118
Installation information
Structure attachment

Is attachment structure within tolerance? (i.e. +/- 1/4" horizontally & vertically)

How far out of tolerance is it?

Picture of condition

What type of equipment will we be installing from?

Can we mark layout of finish rails on floor?

Dimensions

Is room square/rectangular?

Length of room?

Width of room?

If room is not square - draw layout of room with dimensions.

Ceiling height?(from finished floor)

Spacing between attachment points? (Structure Span?)

Height from bottom of attachment structure to finished floor?

Height of interstitial space?(space from attachment point to ceiling)

Equipment/Dimensions
Equipment to be installed? (Only check one)

Manufacturer of equipment

Model #

Number of rails?

Height of finish rails to finish floor?

Height from finish plate to finish floor height?

Is Burgess required to supply mounting plate?

Do we have plate dimensions/configuration?

Who is responsible for providing information?

When do we expect to receive information?

Obstructions/Concerns

Are there noticeable obstructions?

What type of obstruction(s)? (Can select multiple)

What is/are the obstruction(s)?

Photo of obstruction

Is there adequate access to anchor points?

Describe condition and potential solution.

Photo of condition.

Are there items in room that will require protection?

Describe the item and proposed protection.

Who is responsible for providing and installing protection?

Photo of item to be protected?

Are there other concerns?

What other concerns are there?

Photo of area of concern.
Area B - Room 16-120
Installation information
Structure attachment

Is attachment structure within tolerance? (i.e. +/- 1/4" horizontally & vertically)

How far out of tolerance is it?

Picture of condition

What type of equipment will we be installing from?

Can we mark layout of finish rails on floor?

Dimensions

Is room square/rectangular?

Length of room?

Width of room?

If room is not square - draw layout of room with dimensions.

Ceiling height?(from finished floor)

Spacing between attachment points? (Structure Span?)

Height from bottom of attachment structure to finished floor?

Height of interstitial space?(space from attachment point to ceiling)

Equipment/Dimensions
Equipment to be installed? (Only check one)

Manufacturer of equipment

Model #

Number of rails?

Height of finish rails to finish floor?

Height from finish plate to finish floor height?

Is Burgess required to supply mounting plate?

Do we have plate dimensions/configuration?

Who is responsible for providing information?

When do we expect to receive information?

Obstructions/Concerns

Are there noticeable obstructions?

What type of obstruction(s)? (Can select multiple)

What is/are the obstruction(s)?

Photo of obstruction

Is there adequate access to anchor points?

Describe condition and potential solution.

Photo of condition.

Are there items in room that will require protection?

Describe the item and proposed protection.

Who is responsible for providing and installing protection?

Photo of item to be protected?

Are there other concerns?

What other concerns are there?

Photo of area of concern.
Area B - Room 16-122
Installation information
Structure attachment

Is attachment structure within tolerance? (i.e. +/- 1/4" horizontally & vertically)

How far out of tolerance is it?

Picture of condition

What type of equipment will we be installing from?

Can we mark layout of finish rails on floor?

Dimensions

Is room square/rectangular?

Length of room?

Width of room?

If room is not square - draw layout of room with dimensions.

Ceiling height?(from finished floor)

Spacing between attachment points? (Structure Span?)

Height from bottom of attachment structure to finished floor?

Height of interstitial space?(space from attachment point to ceiling)

Equipment/Dimensions
Equipment to be installed? (Only check one)

Manufacturer of equipment

Model #

Number of rails?

Height of finish rails to finish floor?

Height from finish plate to finish floor height?

Is Burgess required to supply mounting plate?

Do we have plate dimensions/configuration?

Who is responsible for providing information?

When do we expect to receive information?

Obstructions/Concerns

Are there noticeable obstructions?

What type of obstruction(s)? (Can select multiple)

What is/are the obstruction(s)?

Photo of obstruction

Is there adequate access to anchor points?

Describe condition and potential solution.

Photo of condition.

Are there items in room that will require protection?

Describe the item and proposed protection.

Who is responsible for providing and installing protection?

Photo of item to be protected?

Are there other concerns?

What other concerns are there?

Photo of area of concern.
Area B - Room 16-124
Installation information
Structure attachment

Is attachment structure within tolerance? (i.e. +/- 1/4" horizontally & vertically)

How far out of tolerance is it?

Picture of condition

What type of equipment will we be installing from?

Can we mark layout of finish rails on floor?

Dimensions

Is room square/rectangular?

Length of room?

Width of room?

If room is not square - draw layout of room with dimensions.

Ceiling height?(from finished floor)

Spacing between attachment points? (Structure Span?)

Height from bottom of attachment structure to finished floor?

Height of interstitial space?(space from attachment point to ceiling)

Equipment/Dimensions
Equipment to be installed? (Only check one)

Manufacturer of equipment

Model #

Number of rails?

Height of finish rails to finish floor?

Height from finish plate to finish floor height?

Is Burgess required to supply mounting plate?

Do we have plate dimensions/configuration?

Who is responsible for providing information?

When do we expect to receive information?

Obstructions/Concerns

Are there noticeable obstructions?

What type of obstruction(s)? (Can select multiple)

What is/are the obstruction(s)?

Photo of obstruction

Is there adequate access to anchor points?

Describe condition and potential solution.

Photo of condition.

Are there items in room that will require protection?

Describe the item and proposed protection.

Who is responsible for providing and installing protection?

Photo of item to be protected?

Are there other concerns?

What other concerns are there?

Photo of area of concern.
Area B - Room 16-126
Installation information
Structure attachment

Is attachment structure within tolerance? (i.e. +/- 1/4" horizontally & vertically)

How far out of tolerance is it?

Picture of condition

What type of equipment will we be installing from?

Can we mark layout of finish rails on floor?

Dimensions

Is room square/rectangular?

Length of room?

Width of room?

If room is not square - draw layout of room with dimensions.

Ceiling height?(from finished floor)

Spacing between attachment points? (Structure Span?)

Height from bottom of attachment structure to finished floor?

Height of interstitial space?(space from attachment point to ceiling)

Equipment/Dimensions
Equipment to be installed? (Only check one)

Manufacturer of equipment

Model #

Number of rails?

Height of finish rails to finish floor?

Height from finish plate to finish floor height?

Is Burgess required to supply mounting plate?

Do we have plate dimensions/configuration?

Who is responsible for providing information?

When do we expect to receive information?

Obstructions/Concerns

Are there noticeable obstructions?

What type of obstruction(s)? (Can select multiple)

What is/are the obstruction(s)?

Photo of obstruction

Is there adequate access to anchor points?

Describe condition and potential solution.

Photo of condition.

Are there items in room that will require protection?

Describe the item and proposed protection.

Who is responsible for providing and installing protection?

Photo of item to be protected?

Are there other concerns?

What other concerns are there?

Photo of area of concern.
Area B - Room 16-128
Installation information
Structure attachment

Is attachment structure within tolerance? (i.e. +/- 1/4" horizontally & vertically)

How far out of tolerance is it?

Picture of condition

What type of equipment will we be installing from?

Can we mark layout of finish rails on floor?

Dimensions

Is room square/rectangular?

Length of room?

Width of room?

If room is not square - draw layout of room with dimensions.

Ceiling height?(from finished floor)

Spacing between attachment points? (Structure Span?)

Height from bottom of attachment structure to finished floor?

Height of interstitial space?(space from attachment point to ceiling)

Equipment/Dimensions
Equipment to be installed? (Only check one)

Manufacturer of equipment

Model #

Number of rails?

Height of finish rails to finish floor?

Height from finish plate to finish floor height?

Is Burgess required to supply mounting plate?

Do we have plate dimensions/configuration?

Who is responsible for providing information?

When do we expect to receive information?

Obstructions/Concerns

Are there noticeable obstructions?

What type of obstruction(s)? (Can select multiple)

What is/are the obstruction(s)?

Photo of obstruction

Is there adequate access to anchor points?

Describe condition and potential solution.

Photo of condition.

Are there items in room that will require protection?

Describe the item and proposed protection.

Who is responsible for providing and installing protection?

Photo of item to be protected?

Are there other concerns?

What other concerns are there?

Photo of area of concern.
Area B - Room 16-130
Installation information
Structure attachment

Is attachment structure within tolerance? (i.e. +/- 1/4" horizontally & vertically)

How far out of tolerance is it?

Picture of condition

What type of equipment will we be installing from?

Can we mark layout of finish rails on floor?

Dimensions

Is room square/rectangular?

Length of room?

Width of room?

If room is not square - draw layout of room with dimensions.

Ceiling height?(from finished floor)

Spacing between attachment points? (Structure Span?)

Height from bottom of attachment structure to finished floor?

Height of interstitial space?(space from attachment point to ceiling)

Equipment/Dimensions
Equipment to be installed? (Only check one)

Manufacturer of equipment

Model #

Number of rails?

Height of finish rails to finish floor?

Height from finish plate to finish floor height?

Is Burgess required to supply mounting plate?

Do we have plate dimensions/configuration?

Who is responsible for providing information?

When do we expect to receive information?

Obstructions/Concerns

Are there noticeable obstructions?

What type of obstruction(s)? (Can select multiple)

What is/are the obstruction(s)?

Photo of obstruction

Is there adequate access to anchor points?

Describe condition and potential solution.

Photo of condition.

Are there items in room that will require protection?

Describe the item and proposed protection.

Who is responsible for providing and installing protection?

Photo of item to be protected?

Are there other concerns?

What other concerns are there?

Photo of area of concern.
Area B - Room 16-132
Installation information
Structure attachment

Is attachment structure within tolerance? (i.e. +/- 1/4" horizontally & vertically)

How far out of tolerance is it?

Picture of condition

What type of equipment will we be installing from?

Can we mark layout of finish rails on floor?

Dimensions

Is room square/rectangular?

Length of room?

Width of room?

If room is not square - draw layout of room with dimensions.

Ceiling height?(from finished floor)

Spacing between attachment points? (Structure Span?)

Height from bottom of attachment structure to finished floor?

Height of interstitial space?(space from attachment point to ceiling)

Equipment/Dimensions
Equipment to be installed? (Only check one)

Manufacturer of equipment

Model #

Number of rails?

Height of finish rails to finish floor?

Height from finish plate to finish floor height?

Is Burgess required to supply mounting plate?

Do we have plate dimensions/configuration?

Who is responsible for providing information?

When do we expect to receive information?

Obstructions/Concerns

Are there noticeable obstructions?

What type of obstruction(s)? (Can select multiple)

What is/are the obstruction(s)?

Photo of obstruction

Is there adequate access to anchor points?

Describe condition and potential solution.

Photo of condition.

Are there items in room that will require protection?

Describe the item and proposed protection.

Who is responsible for providing and installing protection?

Photo of item to be protected?

Are there other concerns?

What other concerns are there?

Photo of area of concern.
Area B - Room 16-154
Installation information
Structure attachment

Is attachment structure within tolerance? (i.e. +/- 1/4" horizontally & vertically)

How far out of tolerance is it?

Picture of condition

What type of equipment will we be installing from?

Can we mark layout of finish rails on floor?

Dimensions

Is room square/rectangular?

Length of room?

Width of room?

If room is not square - draw layout of room with dimensions.

Ceiling height?(from finished floor)

Spacing between attachment points? (Structure Span?)

Height from bottom of attachment structure to finished floor?

Height of interstitial space?(space from attachment point to ceiling)

Equipment/Dimensions
Equipment to be installed? (Only check one)

Manufacturer of equipment

Model #

Number of rails?

Height of finish rails to finish floor?

Height from finish plate to finish floor height?

Is Burgess required to supply mounting plate?

Do we have plate dimensions/configuration?

Who is responsible for providing information?

When do we expect to receive information?

Obstructions/Concerns

Are there noticeable obstructions?

What type of obstruction(s)? (Can select multiple)

What is/are the obstruction(s)?

Photo of obstruction

Is there adequate access to anchor points?

Describe condition and potential solution.

Photo of condition.

Are there items in room that will require protection?

Describe the item and proposed protection.

Who is responsible for providing and installing protection?

Photo of item to be protected?

Are there other concerns?

What other concerns are there?

Photo of area of concern.
Area B - Room 16-156
Installation information
Structure attachment

Is attachment structure within tolerance? (i.e. +/- 1/4" horizontally & vertically)

How far out of tolerance is it?

Picture of condition

What type of equipment will we be installing from?

Can we mark layout of finish rails on floor?

Dimensions

Is room square/rectangular?

Length of room?

Width of room?

If room is not square - draw layout of room with dimensions.

Ceiling height?(from finished floor)

Spacing between attachment points? (Structure Span?)

Height from bottom of attachment structure to finished floor?

Height of interstitial space?(space from attachment point to ceiling)

Equipment/Dimensions
Equipment to be installed? (Only check one)

Manufacturer of equipment

Model #

Number of rails?

Height of finish rails to finish floor?

Height from finish plate to finish floor height?

Is Burgess required to supply mounting plate?

Do we have plate dimensions/configuration?

Who is responsible for providing information?

When do we expect to receive information?

Obstructions/Concerns

Are there noticeable obstructions?

What type of obstruction(s)? (Can select multiple)

What is/are the obstruction(s)?

Photo of obstruction

Is there adequate access to anchor points?

Describe condition and potential solution.

Photo of condition.

Are there items in room that will require protection?

Describe the item and proposed protection.

Who is responsible for providing and installing protection?

Photo of item to be protected?

Are there other concerns?

What other concerns are there?

Photo of area of concern.
Area B - Room 16-158
Installation information
Structure attachment

Is attachment structure within tolerance? (i.e. +/- 1/4" horizontally & vertically)

How far out of tolerance is it?

Picture of condition

What type of equipment will we be installing from?

Can we mark layout of finish rails on floor?

Dimensions

Is room square/rectangular?

Length of room?

Width of room?

If room is not square - draw layout of room with dimensions.

Ceiling height?(from finished floor)

Spacing between attachment points? (Structure Span?)

Height from bottom of attachment structure to finished floor?

Height of interstitial space?(space from attachment point to ceiling)

Equipment/Dimensions
Equipment to be installed? (Only check one)

Manufacturer of equipment

Model #

Number of rails?

Height of finish rails to finish floor?

Height from finish plate to finish floor height?

Is Burgess required to supply mounting plate?

Do we have plate dimensions/configuration?

Who is responsible for providing information?

When do we expect to receive information?

Obstructions/Concerns

Are there noticeable obstructions?

What type of obstruction(s)? (Can select multiple)

What is/are the obstruction(s)?

Photo of obstruction

Is there adequate access to anchor points?

Describe condition and potential solution.

Photo of condition.

Are there items in room that will require protection?

Describe the item and proposed protection.

Who is responsible for providing and installing protection?

Photo of item to be protected?

Are there other concerns?

What other concerns are there?

Photo of area of concern.
Area B - Room 16-160
Installation information
Structure attachment

Is attachment structure within tolerance? (i.e. +/- 1/4" horizontally & vertically)

How far out of tolerance is it?

Picture of condition

What type of equipment will we be installing from?

Can we mark layout of finish rails on floor?

Dimensions

Is room square/rectangular?

Length of room?

Width of room?

If room is not square - draw layout of room with dimensions.

Ceiling height?(from finished floor)

Spacing between attachment points? (Structure Span?)

Height from bottom of attachment structure to finished floor?

Height of interstitial space?(space from attachment point to ceiling)

Equipment/Dimensions
Equipment to be installed? (Only check one)

Manufacturer of equipment

Model #

Number of rails?

Height of finish rails to finish floor?

Height from finish plate to finish floor height?

Is Burgess required to supply mounting plate?

Do we have plate dimensions/configuration?

Who is responsible for providing information?

When do we expect to receive information?

Obstructions/Concerns

Are there noticeable obstructions?

What type of obstruction(s)? (Can select multiple)

What is/are the obstruction(s)?

Photo of obstruction

Is there adequate access to anchor points?

Describe condition and potential solution.

Photo of condition.

Are there items in room that will require protection?

Describe the item and proposed protection.

Who is responsible for providing and installing protection?

Photo of item to be protected?

Are there other concerns?

What other concerns are there?

Photo of area of concern.
Area B - Room 16-170
Installation information
Structure attachment

Is attachment structure within tolerance? (i.e. +/- 1/4" horizontally & vertically)

How far out of tolerance is it?

Picture of condition

What type of equipment will we be installing from?

Can we mark layout of finish rails on floor?

Dimensions

Is room square/rectangular?

Length of room?

Width of room?

If room is not square - draw layout of room with dimensions.
If room is not square - draw layout of room with dimensions.

Ceiling height?(from finished floor)

Spacing between attachment points? (Structure Span?)

Height from bottom of attachment structure to finished floor?

Height of interstitial space?(space from attachment point to ceiling)

Equipment/Dimensions
Equipment to be installed? (Only check one)

Manufacturer of equipment

Model #

Number of rails?

Height of finish rails to finish floor?

Height from finish plate to finish floor height?

Is Burgess required to supply mounting plate?

Do we have plate dimensions/configuration?

Who is responsible for providing information?

When do we expect to receive information?

Obstructions/Concerns

Are there noticeable obstructions?

What type of obstruction(s)? (Can select multiple)

What is/are the obstruction(s)?

Photo of obstruction

Is there adequate access to anchor points?

Describe condition and potential solution.

Photo of condition.

Are there items in room that will require protection?

Describe the item and proposed protection.

Who is responsible for providing and installing protection?

Photo of item to be protected?

Are there other concerns?

What other concerns are there?

Photo of area of concern.
Area B - Room 16-172
Installation information
Structure attachment

Is attachment structure within tolerance? (i.e. +/- 1/4" horizontally & vertically)

How far out of tolerance is it?

Picture of condition

What type of equipment will we be installing from?

Can we mark layout of finish rails on floor?

Dimensions

Is room square/rectangular?

Length of room?

Width of room?

If room is not square - draw layout of room with dimensions.

Ceiling height?(from finished floor)

Spacing between attachment points? (Structure Span?)

Height from bottom of attachment structure to finished floor?

Height of interstitial space?(space from attachment point to ceiling)

Equipment/Dimensions
Equipment to be installed? (Only check one)

Manufacturer of equipment

Model #

Number of rails?

Height of finish rails to finish floor?

Height from finish plate to finish floor height?

Is Burgess required to supply mounting plate?

Do we have plate dimensions/configuration?

Who is responsible for providing information?

When do we expect to receive information?

Obstructions/Concerns

Are there noticeable obstructions?

What type of obstruction(s)? (Can select multiple)

What is/are the obstruction(s)?

Photo of obstruction

Is there adequate access to anchor points?

Describe condition and potential solution.

Photo of condition.

Are there items in room that will require protection?

Describe the item and proposed protection.

Who is responsible for providing and installing protection?

Photo of item to be protected?

Are there other concerns?

What other concerns are there?

Photo of area of concern.
Area B - Room 16-174
Installation information
Structure attachment

Is attachment structure within tolerance? (i.e. +/- 1/4" horizontally & vertically)

How far out of tolerance is it?

Picture of condition

What type of equipment will we be installing from?

Can we mark layout of finish rails on floor?

Dimensions

Is room square/rectangular?

Length of room?

Width of room?

If room is not square - draw layout of room with dimensions.

Ceiling height?(from finished floor)

Spacing between attachment points? (Structure Span?)

Height from bottom of attachment structure to finished floor?

Height of interstitial space?(space from attachment point to ceiling)

Equipment/Dimensions
Equipment to be installed? (Only check one)

Manufacturer of equipment

Model #

Number of rails?

Height of finish rails to finish floor?

Height from finish plate to finish floor height?

Is Burgess required to supply mounting plate?

Do we have plate dimensions/configuration?

Who is responsible for providing information?

When do we expect to receive information?

Obstructions/Concerns

Are there noticeable obstructions?