Information

  • Survey No.

  • Survey completed by:

  • Conducted on

  • Audit Title

  • Brief description of work required:

  • Client / Site

  • Existing client

  • Contact person/people for the quote

  • Contact number

  • Email address

  • Site

  • Address

  • Photo of business card

  • Client

  • Contact person

  • Contact number

  • Email address

  • Client Address

  • Postal Address

  • ABN

  • Accounts person

  • Contact number

  • Email address

  • Postal Address

  • Site contact is

  • Contact person

  • Contact number

  • Email address

  • Quote number

  • Quote for

Building and room construction details

  • Building status

  • Photo of building

  • Are plans to be provided by client?

  • Type of building?

  • Is there any Asbestos present within the building?

  • Has a copy of the asbestos register been obtained?

  • Worst case, take a photo of the register

  • Details of where the asbestos is assumed to be present

  • Photo of location that asbestos is assumed to be present

  • Worst case, draw location where assumed

  • What is the best time and day for works to proceed within the room/building?

  • Room name or numbers relevant for the installation

  • Quantity of rooms applicable

  • Is there to be a room combine function provided eg, two or more rooms can become 1 large room

  • Are there multiple rooms of the same configuration

  • How many rooms

  • Locations of significance

  • Location
  • Construction style and type

  • Location

  • Ceiling Type

  • Ceiling Height

  • Ceiling

  • Floor type (if relevant)

  • Floor

  • Roof construction (if relevant)

  • Roof

  • Additional Notes:

Basic Classroom

  • Is this a basic classroom pack, with projector, screen, speakers and one input wall plate?

  • Visual device?

  • Resolution

  • Quantity

  • Mounting

  • Length of projector drop? (Allowing for an amount in the ceiling cavity if required)

  • Image Ratio

  • Image surface

  • Type

  • Desired dimensions

  • Size

  • Mounting

  • Interactive?

  • Powered 30 watt surface mount speakers?

  • Refer to audio section

  • What length cable pack. (Includes VGA, HDMI, audio and wall plate)

  • Is power required

  • Power required for

  • Is ducting required?

  • Metres required

  • Room photo

  • Location of Visual device

  • Location of speakers

  • Location of wall input

  • Quantity of rooms

  • Additional notes. (If "other" has been selected add information here)

Vision

  • Is vision required?

  • Devices

  • Input device
  • Type

  • Quantity

  • Connector type to be used

  • Quantity

  • Connector type to be used

  • Quantity

  • Connector type to be used

  • Quantity

  • Connector type to be used

  • Quantity

  • Connector type to be used

  • Quantity

  • Connector type to be used

  • Quantity

  • Connector type to be used

  • Quantity

  • Connector type to be used

  • Quantity

  • Connector type to be used

  • Quantity

  • Connector type to be used

  • Quantity

  • Connector type to be used

  • Quantity

  • Connector type to be used

  • Quantity

  • Connector type to be used

  • Device detail

  • Quantity

  • Connector type to be used

  • Other cable Inputs

  • Connections required
  • Connections

  • Height above floor

  • Details of location eg. Above bench, next to power points, in corner of room, 500mm from whiteboard etc

  • Other details for inputs

  • Is audio to follow video in all cases

  • Display types

  • Device number
  • Type of visual device

  • Desired size

  • Mounting

  • Mount pole to

  • Drop of pole

  • Quantity from this pole

  • Mount type

  • Brand preference

  • Connections

  • Power

  • Desired size

  • Specific size:

  • Mounting

  • Mount pole to

  • Drop of pole

  • Quantity from this pole

  • Mount type

  • Brand Preference

  • Connections

  • Power

  • Desired size

  • Specific size required:

  • Brand preference

  • Mounting

  • Mount pole to

  • Drop of pole

  • Quantity from this pole

  • Mount required

  • Connections

  • Touch sensitive is required

  • Power

  • Resolution

  • Mount required

  • Projector mount drop?

  • Support for mount existing

  • Screen type

  • Painting required?

  • Resolution

  • Size Required

  • Size required:

  • Desired size

  • Size required:

  • Desired size

  • Size required:

  • Resolution

  • Size

  • Size required:

  • Size

  • Size required:

  • Size

  • Size required:

  • Resolution

  • Desired size

  • Size required:

  • Desired size

  • Size required:

  • Desired size

  • Size required:

  • Room available for projection screen?

  • Throw distance range available

  • Connections required

  • Power

  • Cable lengths

  • Description
  • From

  • To

  • Length

  • If greater than 50m, how long?

  • Additional notes. (If "other" has been selected add information here)

Audio

  • Is Audio required?

  • What inputs are required?

  • Style of microphone

  • Mic
  • Quantity

  • Preferred brand, or brand discussed

  • Quantity of Laptops and PCs?

  • Quantity of STBs required?

  • Audio connection from

  • Quantity of radios?

  • Audio connection from

  • Quantity of CD/USB/MP3 players required?

  • Audio connection from

  • Quantity of balanced audio wall plates required?

  • Quantity of MP3/iPod/iPad/phones required?

  • Other items required are:

  • Audio connection from

  • Quantity of other items

  • Is a mixer required?

  • Style?

  • Approximate number of channels desired

  • Is a multi core cable required?

  • Quantity of Sends?

  • Quantity of returns?

  • Length of multi core cable?

  • Would a Digital mixing desk be preferable?

  • Any particular brand?

  • Foldback speakers?

  • Quantity of fold back speakers required?

  • Does there need to be more than one zone of audio?

  • Quantity of zones required

  • Does there need to be any sound processing included? This includes, but not limited to, delay, EQ, ducking, filters, AGC, AEC etc?

  • What style of speaker is preferred?

  • Quantity of surface mount required?

  • Quantity of In ceiling required?

  • Quantity of in wall speakers required?

  • Quantity of outdoor horn speakers required?

  • Quantity of pendant speakers required?

  • Quantity of directional speakers required?

  • Quantity of line array speakers required?

  • Quantity of people to cater for, and room size?

  • Details

  • Is there a preferred brand of speaker

  • Desired brand?

  • Do any of the speakers need to be weather resistant

  • Quantity?

  • Is hearing augmentation required?

  • Preferred style

  • A design fee may apply if the work proceeds, to obtain an accurate system. This is mandatory from some manufacturers.
    Plans will be required indicating dimensions

  • What is the quantity of people the space is classed for? And/or the room size?

  • Cable lengths

  • Description
  • From

  • To

  • Length

  • If greater than 100m, how long?

  • Accessories required eg, mic stands, speaker stands, attenuators, connectors, cases, brackets, long cords etc

  • Additional notes. (If "other" has been selected add information here)

Control

  • Is control required?

  • What type of user interface would best suit?

  • User interface details

  • Touch Panel
  • Does the touch panel need to be wireless?

  • Approximate size of touch panel desired

  • Approximate size of touch panel desired

  • Style of touch panel required?

  • Location of touch panel?

  • Photo of touch panel location

  • Diagram of touch panel location if required

  • User interface details

  • Keypad
  • Amount of buttons on the keypad

  • Location of keypad? Size does vary, but can be up to 45mm deep.

  • Photo of keypad location

  • Diagram of keypad location if required.

  • Only one model available, operates on RF Zigbee protocol at 2.4 GHz and has 2.4" touch screen

  • Who is to supply the tablet?

  • Approximate size?

  • Quantity required?

  • Is a mount or dock required for the tablet?

  • Style of dock desired?

  • Other than the equipment to be supplied by NQAV, what other devices need to be controlled by the system

  • Control required for

  • Projector
  • Manufacturer

  • Model

  • Photo of supplied projector

  • Method of control to be

  • Quantity of this particular Projector

  • Control required for

  • Projection Screen
  • Manufacturer

  • Model

  • Photo of supplied screen

  • Method of control to be

  • Quantity of this particular Screen

  • Control required for

  • TV/Monitor
  • Manufacturer

  • Model

  • Photo of Existing TV/monitor

  • Method of control to be

  • Quantity of this particular TV/Monitor

  • Control required for

  • Set top box
  • Manufacturer

  • Model

  • Photo of Existing Set top box

  • Method of control to be

  • Quantity of this particular Set top box

  • Control required for

  • DVD/Blu ray
  • Manufacturer

  • Model

  • Photo of Existing DVD/Blu Ray player

  • Method of control to be

  • Quantity of this particular DVD/Blu ray player

  • Control required for

  • VC System
  • Manufacturer

  • Model

  • Photo of Existing VC System

  • Method of control to be

  • Control required for

  • Central switching equipment
  • Switching

  • Manufacturer

  • Model

  • Photo of Existing Switching device

  • Method of control to be

  • Quantity of this particular switching device

  • Control required for

  • Audio device
  • Manufacturer

  • Model

  • Photo of Existing Audio device

  • Method of control to be

  • Quantity of this particular audio device

  • Control required for

  • Air Conditioner
  • Manufacturer

  • Model

  • Photo of Existing Airconditioner

  • Method of control to be

  • Quantity of this particular A/C

  • Control required for

  • Lighting
  • Number of scenes to recall

  • Number of circuits

  • Manufacturer

  • Model

  • Photo of Existing lighting control system

  • Method of control to be

  • Control required for

  • Fans
  • Number of scenes to recall

  • Number of circuits

  • Manufacturer

  • Model

  • Photo of Existing Control system

  • Method of control to be

  • Control required for

  • Water Reticulation
  • Number of scenes to recall

  • Number of channels

  • Manufacturer

  • Model

  • Photo of Existing Reticulation system

  • Method of control to be

  • Control required for

  • Door/Gate
  • Manufacturer

  • Model

  • Photo of Existing Door/gate mechanism

  • Method of control to be

  • Control required for

  • Blinds/Curtains
  • Number of scenes to recall

  • Number of curtains/blinds

  • Manufacturer

  • Model

  • Photo of Existing Blind/curtain system

  • Method of control to be

  • Control required for

  • Camera
  • Number of cameras

  • Manufacturer

  • Model

  • Photo of Existing Camera and or camera control system

  • Method of control to be

  • Control required for

  • Other device
  • Description of the device

  • Manufacturer

  • Model

  • Photo of Other device

  • Method of control to be

  • Quantity

  • Other programming functionality

  • Details of other functionality required:

  • Will the equipment be connected to an existing network?

  • Is the networking equipment to be supplied by NQAV? Eg, switch with available ports, Access point etc.

  • Quantity of access points required (if any)

  • Will IP address' be assigned for Ethernet devices?

  • Any further information on the control system?

  • Additional notes. (If "other" has been selected add information here)

Video Conferencing

  • Is video conferencing required?

  • Will the hardware be portable or fixed install?

  • Preferred Manufacturer?

  • Who would you be conferencing to?

  • Details

  • Would desktop software applications for a PC be beneficial?

  • Quantity?

  • Would iOS apps be of benefit?

  • Quantity?

  • Should a RMX server be installed?

  • Do they already have VC in their office?

  • What manufacturer do they have?

  • Would you like a quote for a VC system for the other location?

  • How many cameras will be require

  • Will the second camera be PTZ or stationary?

  • Desired manufacturer of secondary camera?

  • Location of cameras

  • Diagram if required

  • Video and content required?

  • Location of content feed

  • Content feed from

  • Site license

  • Will Android or iOS apps be used to connect with

  • Quantity

  • Will a RMX server be required?

  • Output display

  • Refer to Vision tab for further detail

  • Will external speakers eg in-ceiling or surface mount speakers, be required?

  • Refer to audio tab for further detail

  • Will the speakers be within the display eg TV or supplied be used?

  • What microphone would be preferred?

  • Quantity?

  • Quantity?

  • Quantity?

  • Quantity?

  • Quantity?

  • Quantity?

  • Quantity?

  • Quantity?

  • Type?

  • Quantity?

  • Location of microphones

  • Diagram of microphone location if required

  • If more than one microphone is selected, additional echo cancellation functionality may be recommended. Some systems are capable of two.

  • Where is the endpoint to be located?

  • Which room

  • Details

  • Is there a power point and data outlet within 1m from the location?

  • Should NQAV provide additional power and or data cabling?

  • Location of the endpoint

  • Will the room lighting be adequate to display facial detail over the link?

  • Should there be additional lighting provided by NQAV?

  • Photo of ceiling and existing lighting

  • Are the acoustics of the room adequate for a video conference? Eg, natural echo, how live the room is?

  • Should there be an option to acoustically treat the room?

  • Additional notes. (If "other" has been selected add information here)

System Rack

  • Will a rack be required for equipment to be located with?

  • NQAV will inform the client of the amount of rack space, rack depth, and power requirements prior to the installation, to ensure the rack is ready to use.

  • Should the rack be on wheels?

  • Will there be any requirement for additional ventilation for the rack?

  • If the rack size is 12RU or under, should it be wall mounted?

  • If wall mounting, is there any structural support to hold the weight?

  • Where is the nearest power point?

  • Are NQAV required to install any further power for the rack?

  • Is a UPS required for the rack?

  • Location of rack

  • Photo of rack location

  • Diagram of rack location if required

  • Is there any existing or other hardware to be located within the rack other than what NQAV will be supplying?

  • What depth rack will be required to house the other hardware?

  • Approximate amount of rack space to allow for the other hardware

  • Amount of power outlets required for the other equipment

  • Additional notes. (If "other" has been selected add information here)

Other

  • Any other options to be included:

  • Additional notes:

  • Any additional PPE equipment that will be required to perform the work safely, or mandatory for working on site

  • Is there a site induction required, prior to working on site?

  • Length of time to allow for the induction?

  • Are we required to work in any of the following conditions?

  • What other conditions?

  • Will we need an Elevated work platform?

  • To a height of

  • Type

  • List any other requirements for working on site?

  • Additional notes. (If "other" has been selected add information here)

Client aceptance

  • The information listed within this document is what has been provided by our client from discussing the project Any changes to this information may change our scope of work. This may incur additional charges, including but no limited to re-stocking fees, additional items to be purchased and installed. Variations to this scope are possible and NQAV will accommodate them as much as possible without incurring additional costs. However the moment any changes are required, please advise ASAP. A copy of this report is provided to our client as part of our quality control measures. It will need to be acknowledged and accepted prior to our technicians arriving on site.

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.