Site readiness

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• SOW?

  Available and Accurate

  Available and Inaccurate

  Not Available

• Provide Reasons For Inaccurate/Not Available.

• Drawings?

  Available and Accurate

  Available and Inaccurate

  Not Available

• Provide Reasons For Inaccurate/Not Available.

• Matrix?

  Available and Accurate

  Available and Inaccurate

  Not Available

• Provide Reasons For Inaccurate/Not Available.

Initial Site Walk

• How Many Booms?

  (0) Booms on site

  (1)Boom on site

  (2) booms on site

  (3) booms on site

• 1st Boom Conduit Run

  Select (1) Conduit (2) Conduits (3)+ Conduits (2) conduits - Shared with vendors (3)+ conduits - share with vendors Na

  • (1) Conduit
  • (2) Conduits
  • (3)+ Conduits
  • (2) conduits - Shared with vendors
  • (3)+ conduits - share with vendors
  • Na

• 2nd Boom Conduit Run(s)

  Select (1) Conduit (2) Conduits (3)+ Conduits (2) conduits - Shared with vendors (3)+ conduits - share with vendors Na

  • (1) Conduit
  • (2) Conduits
  • (3)+ Conduits
  • (2) conduits - Shared with vendors
  • (3)+ conduits - share with vendors
  • Na

• 3rd Boom Conduit Run(s)

  Select (1) Conduit (2) Conduits (3)+ Conduits (2) conduits - Shared with vendors (3)+ conduits - share with vendors Na

  • (1) Conduit
  • (2) Conduits
  • (3)+ Conduits
  • (2) conduits - Shared with vendors
  • (3)+ conduits - share with vendors
  • Na

• How Many Led or Flat panels on site?

  (0) Led or Flat panels

  (1) Led or Flat panels

  (2) Led or Flat panels

  (3) Led or Flat panels

• 1st Led or Flat Panel

  (1) Conduit

  (2) Conduits

  (2) Conduits shared

  Na

• 2nd Led or Flat Panel

  (1) Conduit

  (2) Conduits

  (2) Conduits shared

  Na

• 3rd Led or Flat Panel

  (1) Conduit

  (2) Conduits

  (2) Conduits shared

  Na

• Risers present?

  Yes

  No

  Na

• Access panels?

  Yes

  No

  Na

• Site?

  Construction

  Renovation

• Electric power and communication lines to booms/walls/ceiling are active?

  Yes

  No

  Na

• Floor work Completed?

  Yes

  No

  Na

• Add media

  Media

• Speakers

  Holes cut

  No Holes

  Na

• Wall Mount?

  Yes

  No

  Na

• Wall Plates?

  Yes

  No

  Na

• Doc Station installed?

  Yes

  No

  Na

• Add media

  Media

• Permanent Lighting installed?

  Yes

  No

  Na

• Mounting brackets installed for all Stryker equipment? (Wall mounts)

  Yes

  No

  Na

• Removal of trash?

  Stryker

  Contractor

• Location of Endo Equipment

  Select In Room located, On-Site On Tower Not On-Site, delivery determined Not On-Site, Delivery Not Determined Na

  • In Room
  • located, On-Site
  • On Tower
  • Not On-Site, delivery determined
  • Not On-Site, Delivery Not Determined
  • Na

• Devices (Select all that apply)

  Select Endo Cam SDC Sidne Microphone PSB Printer Light Source Insufflator Polycom GCX Shape Arm UPS

  • Endo Cam
  • SDC
  • Sidne
  • Microphone
  • PSB
  • Printer
  • Light Source
  • Insufflator
  • Polycom
  • GCX
  • Shape Arm
  • UPS

• Multiple Vendors?

  Yes

  No

  Na