Shadbolt Riser Survey

• Document No.

• Survey Title

• Client

• Conducted on

  Date
• Location
  Address

• Third Party Access

Third Party Access

• Third party access details

Clients details

• Client details

Riser specifications

• How many floors

• Size of the Riser

• Aprox. Length of the riser in meters

• How many panels

• Size of Panels

• Are there any panels required

• Location of the fan

  Bottom

  Top

• Location of isolation switch

  Kitchen

  Top

  Bottom

  Other(please write below)

• Does the riser turn/ are there turning veins

  Yes

  No

  N/A

Access issues

• Access<br>do we require key to access

  Yes

  No

  N/A

• Is there access to cupboards/ Riser

  Yes

  No

  N/A

• Is there access to the roof

  Yes

  No

  N/A

• Parking access

  Yes

  No

  N/A

• Lift/Stairs

  Yes

  No

  N/A

• How do you access the riser

Work issues

• Permit required

  Yes

  No

  N/A

• Hours of work(kitchen)

• Last cleaned

• Rigging area

• Misc: access issues

Photos and Plans

• Photo of the riser

  Media

• Drawing of the riser

  Drawing

Internal pictures

• Photo of the internal of the riser

  Media

Misc

• Misc

Summary

• Shifts required to clean

  One

  Two

  Three

  More

• Manager

  Sign