Site survey tool

• COF Reference

• Site survey conducted on

  Date
• Location of site survey
  Address

• Engineer name

• Please add a site survey here

Site survey

• Uplift, Install or Resite?

  Uplift

  Install

  Resite

Machine details

• Make and model of machine

• ID Number?

• Serial Number

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

  Yes

  No

  N/A

• Are all services available?

  Yes

  No

  N/A

• 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 (Detail any size restrictions)?

  Yes

  No

  N/A

• Which type of vehicle is this suitable for, 3.5/7.5 or 18 tonne vehicles?

  3.5t

  7.5t

  18t

• Is ID required to enter premises?

  Yes

  No

  N/A

• What are the access times for the site?

• Method statement/risk assessment required?

  Yes

  No

  N/A

• Width Limits?

• Steps involved? Yes/No

  Yes

  No

  N/A

• Number of steps?

• Any images related to entering and parking please upload here

  Media

Location of the machine

• What is the proposed location?

• Is there lift access?

  Yes

  No

  N/A

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

• Advise the number of doors on site?

• What is the smallest sized door?

• Dimensions of facia/alcove?

• Please draw the room layout (if necessary)

  Drawing

• Please input special instructions (if any)

• Any images related to the location please upload here

  Media

Stairs

• Are stairs to be used?

  Yes

  No

  N/A

• Number of flights and stairs per flight?

• Location?

  Interior

  Exterior

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

• Width of stairs? - Between rails

• Stair cappings secure?

  Yes

  No

  N/A

• 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 and B - Depth. Please describe height if necessary.

• A?

• B?

Electrical

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

  13 amp

  Switched spur

• Are all wall sockets accessible?

  Yes

  No

  N/A

• 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

  Media

• 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?

  Yes

  No

  N/A

• Is the pipe run feeding the unit satisfactorily?

  Yes

  No

  N/A

• Is there an existing drink machine in location?

  Yes

  No

  N/A

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

  15MM

  22MM

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

• Engineer signature below

• If you have any comments please add them here

• Engineer please sign here...

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• Customer signature below

• If you have any comments please add them here

• Customer please sign here...

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