Site Survey Form

• Site Name

• Site Number

• Conducted On

  Date

• Completed By

• Location
  Address

• Proposed Works

• Is site subject to Offtake Arrangements Documents (OAD) notice

  Yes

  No

  N/A

• Provide additional detail here

  Yes

  No

  N/A

• Picture of site entrance from road

  Media

• Picture of road from site entrance

  Media

• What is the lock arrangement of the gate

• What is the lock arrangement for the building

• Traffic Management Considerations

• Is parking available on site and if so, for how many vehicles

• If no parking available, provide additional details about where vehicles can be parked

• Is the site in good condition

  Yes

  No

  N/A

• please provide additional information

• Is the site ISS

  Yes

  No

  N/A

• Is the site shared (Distribution / Third Party)

  Yes

  No

  N/A

• Is there any sign of ongoing works

  Yes

  No

  N/A

• Provide additional detail here

• Existing GA drawing – list below any changes on site not shown on the drawing- mark potential new kiosk positions

• Existing Haz area drawing – List below any changes on site not shown on the drawing – check if there is a later revision on site

• Existing flow diagram – use this drawing to determine demarcation – check against site as far as possible, note any changes or comments below

• Add any additional photos of site here (shared buildings, signs of asbestos, any welfare on site

  Media

• Building construction

• Building size (L x W x H)

• Door opening size (W x H)

  Yes

  No

  N/A

• Is there a current asbestos report

  Yes

  No

  N/A

• Additional notes

Building works required

• Work item description

• Is the building shared

  Yes

  No

  N/A

• Provide additional detail here

  Yes

  No

  N/A

• Add pictures of building exterior (from each side)

  Media

• Add pictures of building interior (all walls)

  Media

• Supply Chracteristics

• PSCC

• Ze

• Is SLD correct

  Yes

  No

  N/A

• Provide additional details here

  Yes

  No

  N/A
List electrical items to be replaced

• Item, rating, cable length, location

• Is there a 1:1 Transformer Installed

  Yes

  No

  N/A

• Provide additional detail here

• Add pictures of all electrical distribution equipment here (including incomer and protection)

  Media

• Add pictures of earthing system here

  Media
List electrical field items to be replaced

• Item, rating, cable length, location

  Yes

  No

  N/A

• Existing RTU system

• Panel size (W x H x D)

Third Party Input

• Input type and details

• PSU system and details

• Space available for new panel (W x H x D)

  Yes

  No

  N/A

• Is there separate GRSC or satellite units? If so check NG equipment and list any of the DN’s equipment that is connected

• List any shared signals – ie NG equipment on DN’s RTU or vice versa

• Pressure transmitters – Check if any barriers are shared with DN’s (this is for multi-channel barriers) Note terminal numbers for isolations

• ROV’s – List terminal numbers, cable numbers for isolations and any other relevant information – if NG drawings exist check against these and red-line if necessary

• Any other equipment – list details

• Existing BT line – List details, any numbers etc written on DP equipment etc

• Any other information

• Add pictures here for RTU, BT line / DP Box, UPS System, IS and Non IS barrier systems, locations for new equipment, CP equipment etc

  Media

• Is block cable diagram correct

  Yes

  No

  N/A

• Provide additional detail here

• For all field equipment, ensure to get all existing information and picture evidence

List field instrumentation here

• Item, certification, cable length, location, keep or replace and photos

• undefined

List site valves here

• Item, certification, cable length, location, keep or replace and photos

• Is a new building required

  Yes

  No

  N/A

• Size, type, colour, orientation etc

• Are civil works required

  Yes

  No

  N/A

• Provide details, location, satellite base, cable ducts etc here and photos if relevant

• Are cable route systems sufficient and have capacity for any new cables required

  Yes

  No

  N/A

• Provide additional detail here

• Are cable routes clear and accessible

  Yes

  No

  N/A

• Yes

  No

  N/A

• Check to see if the ducts are full – check at entries to buildings, main runs and if the ducting size reduces

• Check condition of lids

• Are the entries to the control building sealed

  Yes

  No

  N/A

• Are there any transit entries to the control building – try to get manufacturers info if possible

• Check size of lids- can these be safely lifted by hand

  Yes

  No

  N/A

• Are the ducts suitably segregated? Power from instrument from sample

  Yes

  No

  N/A

• Provide additional detail here

  Yes

  No

  N/A

• Any other comments

• Is there space for welfare requirement

  Yes

  No

  N/A

• Provide additional detail here

List site hazards here

• Hazard, mitigation, etc