Title Page

  • COF Reference

  • Site survey conducted on

  • Location of site survey
  • Engineer name

Uplift, Install and Resite

  • Please add a site survey here

  • Site survey
  • Uplift, Install or Resite?

Machine details

  • Make and model of machine

  • ID & serial number

  • For installs and resites will the machine fit on in the new site?

  • Are all services available?

  • What are the changes to be made? And who is going to implement them?

Entering and parking

  • Permission to park lorry for duration of install (legally and safely)?

  • Is the site suitable for 3.5/7.5 and 18 tonne vehicles?

  • Security requirements? (detail as applicable)

  • Is parking provision adequate for lorry - Detail any size restrictions?

  • Size restrictions?

  • Is ID required to enter premises?

  • What are the access times for the site?

  • Method statement/risk assessment required?

  • Any images related to entering and parking please upload here

Location of the machine

  • What is the proposed location?

  • Is there lift access?

  • Please describe what heavy machinery is needed? e.g Stair walker, securing brackets?

  • Please describe the door measurements and the number of doors on site?

  • Please draw the room layout (if necessary)

  • Please input special instructions (if any)

  • Any images related to the location please upload here

Stairs

  • Are stairs to be used?

  • Number of flights and stairs per flight?

  • Location?

  • Type of stairs? - Wood, metal, marble etc.

  • Width of stairs? - Between rails

  • Stair cappings secure?

  • Height of staircase?

  • Please describe the dimensions of the lift. A - Width, B - Depth and C - Door width. Please describe height if necessary.

  • A?

  • B?

  • C?

  • Please describe the dimensions for landings. A - Width, B - Depth and C - Door Width. Please describe height if necessary.

  • A?

  • B?

  • C?

Entrance

  • Width limits?

  • Steps involved? Yes/No

  • Number of steps?

  • Dimensions of facia/alcove?

Electrical

  • Please specify the type of electrical outlet? e.g 13 amp or switched spur?

  • Are all wall sockets accessible?

  • How many are accessible? Is the customer aware of this?

  • Where is the isolation point located for the electrical supply?

  • Any images related to electrics please upload here

  • If you were denied any of these questions please state a name and a contact number for queries

Water supply

  • Is the water supply direct from a rising main/approved drinking water storage tank?

  • Is there an existing drink machine in location?

  • Is the pipe run feeding the unit satisfactorily?

  • Is a stopcock with 15MM pipe outlet available - Within 1 meter of the proposed location?

Please complete a new site survey for each machine (unless banked)

Save and submit

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  • Engineer signature below

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