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 needed 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?

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

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

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 - interior or exterior?

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

Width of stairs? - Between rails

Stair cappings secure?

Height of staircase?

Entrance

Width limits?

Steps involved? Yes/No

Number of steps?

Dimensions of facia/alcove?

Electrical

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

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

Are all wall sockets accessible?

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?

Does the water supply have adequate flow and pressure?

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

Customer signature below

If you have any comments please add them here

Please sign here...

Engineer signature below

If you have any comments please add them here

Please sign here...
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.