Title Page
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Site conducted
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Conducted on
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Prepared by
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SELECT LOCATION
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ROOM NAME or NUMBER
ENVIROMENTAL
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ANY POSSIBLE ENVIRONMENTAL CONCERNS?
- Asbestos
- Heat
- Cooling
- Ambient Light
- Dust
- Noise
- Vibration
- No visible environmental concerns
ROOM FINISHES
Room Details
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ROOM (LxWxH)
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CONFERENCE TABLE (LxW)
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NUMBER OF SEATS AT TABLE?
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DISTANCE FROM SCREEN TO FURTHEST SEAT?
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DISTANCE TO TABLE EDGE FROM SCREEN LOCATION?
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Room Sketch (provide a layout sketch if possible)
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WALLS
- Drywall/Plaster
- Glass
- Wood
- Other
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FLOORING
- Hardwood
- Laminate
- Tiles
- Carpet
- Other
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CEILING
- Drywall
- Acoustic Tiles
- Other
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CEILING TILE DIMENSIONS
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DISTANCE FROM THE CEILING TILE GRID TO THE DECK OR PAN ABOVE
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NUMBER OF WINDOWS
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NUMBER OF DOORS
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WHITEBOARD
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WHITEBOARD DIMENSIONS
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Please take photos from multiple angles of the room
CABLE CUBBIES AND GROMMETS
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ARE THERE EXISTING CABLE CUBBIES?
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QTY OF EXISITING CABLE CUBBIES
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DIMENSIONS OF CABLE CUBBY OPENING (LxW)
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CONECTIVITY IN CABLE CUBBIES
- HDMI
- POWER
- USB
- LAPTOP POWER SUPPLY 1
- LAPTOP POWER SUPPLY 2
- OTHER
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ARE NEW CABLE CUBBIES REQUIRED?
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HOW MANY REQUIRED?
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TABLE GROMMETS?
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HOW MANY EXISITING TABLE GROMMETS?
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ARE ADDITIONAL GROMMETS REQUIRED?
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HOW MANY NEW GROMMETS ARE NEEDED?
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ARE GROMMETS REQUIRED?
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HOW MANY NEW GROMMETS ARE NEEDED?
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Please take multiple photos of the table (both top and underside)
IN-ROOM PC
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Does the room currently have an in room PC?
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Will the in Room PC be staying?
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Will the in room PC require a refresh?
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Will a new Wireless Keyboard and Mouse be required?
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Is an in Room PC required?
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Is a new wireless keyboard and mouse required?
POWER AND DATA
POWER AND DATA
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ELECTRICAL OUTLET LOCATIONS?
- AT DISPLAY LOCATION?
- UNDER TABLE?
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QTY OF DUPLEX OUTLETS AT DISPLAY LOCATION?
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ELECTRICAL OUTLET LABLE NUMBERS (if available)
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ARE ADDITIONAL DUPLEX OUTLETS REQUIRED AT THIS LOCATION?
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HOW MANY?
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QTY OF DUPLEX OUTLETS AT UNDER THE TABLE?
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ELECTRICAL OUTLET LABLE NUMBERS (if available)
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ARE ADDITIONAL DUPLEX OUTLETS REQUIRED AT THIS LOCATION?
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HOW MANY?
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DATA JACK LOCATIONS
- AT DISPLAY LOCATION?
- UNDER TABLE?
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QTY OF DATA JACKS AT DISPLAY LOCATION?
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DATA JACK LABEL NUMBERS (if available)
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ARE ADDITIONAL DATA JACKS REQUIRED AT THIS LOCATION?
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HOW MANY?
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QTY OF DATA JACKS UNDER THE TABLE?
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DATA JACK LABLE NUMBERS (if available)
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ARE ADDITIONAL DATA JACKS REQUIRED AT THIS LOCATION?
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HOW MANY?
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Please take photos of all data jacks and electrical outlets
CABLE PATHWAY
DETAILS
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Please review and provide the details for the cable pathway from the front wall to the table.
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CABLE PATHWAY PHOTOS (if possible)
MISC
DETAILS
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ANY “RESTORATION” THAT MAY BE NEEDED AFTER INSTALL IE. PATCHING DRYWALL HOLES (BY OTHERS) (if yes please provide details)
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PROVIDE DETAILS ON WHAT NEEDS TO BE RESTORED
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EXISTING EQUIPMENT? (If yes please document what is there)
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PLEASE PROVIDE PHOTOS OF EXISITING EQUIPMENT
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CEILING SPEAKERS?
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HOW MANY?
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ARE MORE REQUIRED?
NOTES
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Please add any notes or photos that could provide more details for the design team.