Site Survey

• Site conducted

  Select

• Company

• Project Name

• Conducted on

  Date

• Prepared by

• Location
  Address

Project Site

• Company:

• Project Name:

• Project Address:
  Address

• Project City, State, Zip

• Building/Floor/Room(s):

Key Decision Stakeholders (Authority)

• Project Main Contact:

  Yes

  No

  N/A

• Site Contact:

  Yes

  No

  N/A

• IT/Networking Contact:

  Yes

  No

  N/A

• Architect/Consultant:

  Yes

  No

  N/A

• General Contractor:

  Yes

  No

  N/A

• Key Decision Stakeholders (Authority)

  Yes

  No

  N/A

• Other:

  Yes

  No

  N/A

Type of Room

• Room Name

• Select type of room

  Select Auditorium Boardroom Classroom Conference Room Digital Signage Teleconferencing Room Training Room Other

  • Auditorium
  • Boardroom
  • Classroom
  • Conference Room
  • Digital Signage
  • Teleconferencing Room
  • Training Room
  • Other

• Specify

Room Dimensions

• Room Length ("side" wall):

• Room Width ("screen" wall):

• Room Height (floor to ceiling):

• Plenum Height (ceiling to structure):

• Assumptions:

Ceiling Type

• Select ceiling type

  Grid/Tile

  Open Rafter

  Cathedral (slanted)

  Corrugated Metal

  Drywall

• Select

  2x2 Grid

  2x4 Grid

  Grid Concealed (not visible)

  Grid Open (no tiles)

• Select

  Steel

  Wood

• Select

  Textured

• Assumptions

Structure Above Ceiling

• Select

  Steel Beam

  Pan (Corrugated Metal)

  Wood Beam

  Concrete

  Air Space Above Ceiling

• Select

  Pre/Post Tensioned Slab

• Select

  Plenum

  Non-Plenum

• Assumptions

Wall Type

• Structure

  Wood Studs

  Steel Studs

  Concrete Block

  Brick

  Lath & Plaster

• Finish

  Drywall (gypsum board)

  Wood Paneling

  Fabric

• Glass

  Floor to Ceiling

  Windows

• Adequate path for fishing cable through walls, ceilings and floors is available.

  Yes

  No

• Wall where wall plate will be installed is a hollow wall. If wall is not hollow, system cabling will need to be surface mounted.

  Yes

  No

• All walls have insulation and fire blocking inside them.

  Yes

  No

• Assumptions

Floor Information

• Construction

  Select Concrete Slab Concrete Slab w/ Steel Structure Wooden Joist Raised Floor

  • Concrete Slab
  • Concrete Slab w/ Steel Structure
  • Wooden Joist
  • Raised Floor

• Finish

  Carpet

  Hardwood

  Stained Concrete

  Sheet Vinyl

  Tile

• Location

  Basement

  First

  2nd or Above

• Specify

• Any Floors Above This Floor?

  Yes

  No

• Assumptions:

Furniture

• In Wall

  Select AAP (architectural adapter plate) Surface Raceway

  • AAP (architectural adapter plate)
  • Surface Raceway

• Specify

  Electrical Power

  Voice/Data Jack

• In Floor

  Floor Box

  Floor Stub Out

  Floor Track

• Specify

  Electrical Power

  Voice/Data Jack

• In Furniture

  Cable Cubby

  Pull-Through

• Specify

  Electrical Power

  Voice/Data Jack

• Details:

• Conduit Size(s):

• Assumptions:

• Pre-Integration Electrical Responsibilities

  Select Customer Will Arrange Coordinate with Customer's Architect/General Contractor/Electrician Existing - Complete Existing - Modifications Needed New - During Construction

  • Customer Will Arrange
  • Coordinate with Customer's Architect/General Contractor/Electrician
  • Existing - Complete
  • Existing - Modifications Needed
  • New - During Construction

• Assumptions:

Room Environmental Factors

• Ambient Noise Level db:

• Ambient Light Level

• Temperature deg.:

• Assumptions:

Obstructions in Area of Integration (check all that apply) - Document with photos!

• Select

  Select Air Duct Air Register Sprinkler Head Sprinkler Pipe Electrical Conduit Cable Tray Insulation Concerns About Asbestos - PM to bring up concern with customer. Concerns About Vibrations In The Room - Raising concern does not place obligation for solving or avoiding to the A/V Integrator. Speaker Fan Ceiling Mounted Light Fixture Pendant Light Fixture Fire Enunciator (Strobe) Smoke Detector Exit Sign Motion Sensor Wall Clock Window Artwork/Mirror White/Blackboard Map Rail Wall Unit/Shelving

  • Air Duct
  • Air Register
  • Sprinkler Head
  • Sprinkler Pipe
  • Electrical Conduit
  • Cable Tray
  • Insulation
  • Concerns About Asbestos - PM to bring up concern with customer.
  • Concerns About Vibrations In The Room - Raising concern does not place obligation for solving or avoiding to the A/V Integrator.
  • Speaker
  • Fan
  • Ceiling Mounted Light Fixture
  • Pendant Light Fixture
  • Fire Enunciator (Strobe)
  • Smoke Detector
  • Exit Sign
  • Motion Sensor
  • Wall Clock
  • Window
  • Artwork/Mirror
  • White/Blackboard
  • Map Rail
  • Wall Unit/Shelving

• Assumptions

Verifications

• Select

  Select Wall Plate(s) can be installed on a hollow, non-insulated wall. Electrical power is available near location of equipment/rack. There will be no obstructions present at the locations specified for wall plates, rack and speakers Room drawing is attached and locations for equipment and furniture are noted. If system will use a ceiling mounted screen; there is at least 12" of space above the ceiling tile along the entire width of the screen case. All ceiling mounted obstructions to projector installation are documented. There will be no obstructions along the light path of the projector. Room lights can be dimmed in the vicinity of the projection screen.

  • Wall Plate(s) can be installed on a hollow, non-insulated wall.
  • Electrical power is available near location of equipment/rack.
  • There will be no obstructions present at the locations specified for wall plates, rack and speakers
  • Room drawing is attached and locations for equipment and furniture are noted.
  • If system will use a ceiling mounted screen; there is at least 12" of space above the ceiling tile along the entire width of the screen case.
  • All ceiling mounted obstructions to projector installation are documented.
  • There will be no obstructions along the light path of the projector.
  • Room lights can be dimmed in the vicinity of the projection screen.

Project Site Details

• Building/Room Construction

  New (see drawings)

  Existing

• Select

  Renovation

• Safety and Personal Protective Equipment (PPE)

  Select Hard Hat Safety Vest/Shirt Eye/Hearing Protection Safety Training Required Steel-Toe Boots

  • Hard Hat
  • Safety Vest/Shirt
  • Eye/Hearing Protection
  • Safety Training Required
  • Steel-Toe Boots

• Vehicle Parking

  Select Open Parking in Main Lot Special Parking for Service Vehicles Pay Lot: Validated by Customer Pay Lot: Not Validated Street

  • Open Parking in Main Lot
  • Special Parking for Service Vehicles
  • Pay Lot: Validated by Customer
  • Pay Lot: Not Validated
  • Street

• Select

  Metered

  Free

• Hours of Room Availability

  Mon-Fri, 7:00AM-6:00PM

  Nights Only (refer to PM)

  Weekends Only (refer to PM)

  Specific Hours - Details:

• Details

• Security

  Select Visitors Must Obtain and Wear Badges Visitors Must Be Escorted to Destination Visitors Must Show Identification Visitors Must Show Proof of Vehicle Insurance Contractors Require Background Check Other Security

  • Visitors Must Obtain and Wear Badges
  • Visitors Must Be Escorted to Destination
  • Visitors Must Show Identification
  • Visitors Must Show Proof of Vehicle Insurance
  • Contractors Require Background Check
  • Other Security

• Specify

• Delivery Information

  Select Loading Dock: Elevator Receiving Department Main Entrance Side or Special Entrance

  • Loading Dock:
  • Elevator
  • Receiving Department
  • Main Entrance
  • Side or Special Entrance

• Select

  Scheduled

  Freight

  Truck/Van

• Specify

  Scheduled

  Freight

• Structure Access

  Select Lift Required Owner Provided Integrator Provided Extension Ladder Required

  • Lift Required
  • Owner Provided
  • Integrator Provided
  • Extension Ladder Required

• Assumptions

Sketch

• Upload here

  Media

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• Prepared by

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