Site Visit Template

• Prepared by

• Conducted on

  Date

• Tentative Start Date

  Date

• Due Date

  Date
• Location
  Address

• End User

• Main Contact

• Phone Number

• Email Address

• Secondary Contact

• Phone Number

• Email Address

• Electrical Contractor

• Salesman

• Phone Number

• Email Address

• Project Manager

• Phone Number

• Email Address

• Foreman

• Phone Number

• Email Address

• Safety Coordinator

• Phone Number

• Email Address

• Painting Contractor

• Name

• Phone Number

• Email Address

• Has a meeting to discuss painted cable taken place?

  Yes

  No

  N/A

• Attendees?

• Has the 'Painted Cable Liability Form' been filled out and signed by the GC and painter?

• When is this meeting scheduled?

• Drywall Contractor

• Name

• Phone Number

• Email Address

• Mechanical Contractor

• Name

• Phone Number

• Email Address

• Ceiling Contracor

• Name

• Phone Number

• Email Address

• Is this project eligible for State of Utah contract AR1416?

  Yes

  No

  N/A

• Is this a new or existing customer?

  Yes

  No

  N/A

• How will this work be invoiced?

  Select Lump Sum Time & Material Not to Exceed Cost Plus Margin Check Other

  • Lump Sum
  • Time & Material
  • Not to Exceed
  • Cost Plus Margin
  • Check
  • Other

• Additional Info

• Bonding Requirements?

  Yes

  No

  N/A

• Select Payment & Performance Bid Bond

  • Payment & Performance
  • Bid Bond

• Basic Scope of Work

• Manufacturer

• Does this match the existing?

  Yes

  No

  N/A

• Will all of the cable be the same Category and color?

  Yes

  No

  N/A

• Cable Color

• Category

  Select Category 5e Category 6 Category 6A Singlemode Multimode (50) Multimode (62.5)

  • Category 5e
  • Category 6
  • Category 6A
  • Singlemode
  • Multimode (50)
  • Multimode (62.5)

• Jacket Type

  Select Plenum PVC Armored OSP

  • Plenum
  • PVC
  • Armored
  • OSP

Voice

• Color

• Category

  Select Category 5e Category 6 Category 6A Singlemode Multimode (50) Multimode (62.5)

  • Category 5e
  • Category 6
  • Category 6A
  • Singlemode
  • Multimode (50)
  • Multimode (62.5)

• Jacket Type

  Select Plenum PVC Armored OSP

  • Plenum
  • PVC
  • Armored
  • OSP

Data

• Color

• Category

  Select Category 5e Category 6 Category 6A Singlemode Multimode (50) Multimode (62.5)

  • Category 5e
  • Category 6
  • Category 6A
  • Singlemode
  • Multimode (50)
  • Multimode (62.5)

• Jacket Type

  Select Plenum PVC Armored OSP

  • Plenum
  • PVC
  • Armored
  • OSP

Camera

• Color

• Category

  Select Category 5e Category 6 Category 6A Singlemode Multimode (50) Multimode (62.5)

  • Category 5e
  • Category 6
  • Category 6A
  • Singlemode
  • Multimode (50)
  • Multimode (62.5)

• Jacket Type

  Select Plenum PVC Armored OSP

  • Plenum
  • PVC
  • Armored
  • OSP

Wireless

• Color

• Category

  Select Category 5e Category 6 Category 6A Singlemode Multimode (50) Multimode (62.5)

  • Category 5e
  • Category 6
  • Category 6A
  • Singlemode
  • Multimode (50)
  • Multimode (62.5)

• Jacket Type

  Select Plenum PVC Armored OSP

  • Plenum
  • PVC
  • Armored
  • OSP

Other

• Label

• Color

• Category

  Select Category 5e Category 6 Category 6A Singlemode Multimode (50) Multimode (62.5)

  • Category 5e
  • Category 6
  • Category 6A
  • Singlemode
  • Multimode (50)
  • Multimode (62.5)

• Jacket Type

  Select Plenum PVC Armored OSP

  • Plenum
  • PVC
  • Armored
  • OSP

Coax

• Label

• Color

• Category

  Select Category 5e Category 6 Category 6A Singlemode Multimode (50) Multimode (62.5)

  • Category 5e
  • Category 6
  • Category 6A
  • Singlemode
  • Multimode (50)
  • Multimode (62.5)

• Jacket Type

  Select Plenum PVC Armored OSP

  • Plenum
  • PVC
  • Armored
  • OSP

• Shielded

  Yes

  No

  N/A

Ceiling Type

• Drop tile

• Add media

  Media

• Hardlid

• Add media

  Media

• Exposed

• Add media

  Media

• Height

• Lift?

• Type

  Scissor

  Boom

• Size

Supports

• Existing

• Types

  Select Hooks Tray Conduit None

  • Hooks
  • Tray
  • Conduit
  • None

• New

• Types

  Select Hooks Tray Conduit None

  • Hooks
  • Tray
  • Conduit
  • None

• Potential installation difficultly (0=easy, 10=extremely difficult)

• Add drawing

  Drawing

Faceplate

• Faceplate

  Off

  On

• Color

• Configurations & Quantities

• Add media

  Media

• Furniture

  Off

  On

• Color

• Configurations & Quantities

• Add media

  Media

• MUTOA

  Off

  On

• Color

• Configurations & Quantities

• Add media

  Media

• Add media

  Media

Jacks

• Voice

  Off

  On

• Quantity

• Color

  Select White Blue Green Red Black Purple

  • White
  • Blue
  • Green
  • Red
  • Black
  • Purple

• Notes

• Add media

  Media

• Data

  Off

  On

• Quantity

• Color

  Select White Blue Green Red Black Purple

  • White
  • Blue
  • Green
  • Red
  • Black
  • Purple

• Notes

• Add media

  Media

• Cameras

  Off

  On

• Quantity

• Color

  Select White Blue Green Red Black Purple

  • White
  • Blue
  • Green
  • Red
  • Black
  • Purple

• Notes

• Add media

  Media

• Other

  Off

  On

• Quantity

• Color

  Select White Blue Green Red Black Purple

  • White
  • Blue
  • Green
  • Red
  • Black
  • Purple

• Notes

• Add media

  Media

• Telecom Room Template

Telecom Room

• Telecom Room Number

• Are there existing racks?

  Yes

  No

  N/A

• Is there available RU space?

  Yes

  No

  N/A

• How many available RU?

• Do we need to install new racks?

  Yes

  No

  N/A

• Type

  Two Post

  Four Post

  Wall Mount Swing Rack

  Wall Mount Cabinet

• Size?

• Color

• Quantity

• Cable Management

• Vertical

• Type & Quantity

• Horizontal

• Type & Quantity

• Add media

  Media

• Do we need to install new ladder rack?

  Yes

  No

  N/A

• Size

  Select 6" 12" 18" 24"

  • 6"
  • 12"
  • 18"
  • 24"

• Color

  Black

  Gray

• Quantity

• Misc Parts

• Sketch

  Drawing

• Is there available space on the existing Voice termination hardware?

  Yes

  No

  N/A

• How much space is available?

• New Voice Termination Hardware

• Patch Panel

• Angled?

  Yes

  No

  N/A

• Quantity 48 Ports

• Quantity 24 Ports

• 110 Blocks

• Size

• Rack mounted?

  Yes

  No

  N/A

• 66 blocks

• Backboard

• Add media

  Media

• Is there available space on the existing Data termination hardware?

  Yes

  No

  N/A

• How much space?

• New Data Termination Hardware

• Patch Panel

• Angled?

• Quantity 48 Ports

• Quantity 24 Ports

• 110 Blocks

• Size

• Rack Mount?

• Add media

  Media

• Is there an existing ground bar?

  Yes

  No

  N/A

• How many feet of ground wire do we need?

• How many lugs are needed?

• Do we need to supply a new one?

  Yes

  No

  N/A

• Size? How close is the panel, rod or building steel?

• Do we need to supply new power strips?

  Yes

  No

  N/A

• Amps? Plugs?

• Additional Notes

• Sketch

  Drawing

• Photo

  Media

• Room type - office, classroom, conference room etc.

Room

• Sketch

  Drawing

• Pictures

  Media

• Notes

• Copper

  Off

  On

• Pathway

  Select Hooks Tray Conduit None

  • Hooks
  • Tray
  • Conduit
  • None

• Jacket Type

  Plenum

  PVC

  Armored

  OSP

• Length

• Pair Counts & Telecom Rooms

• Termination Type

  Select Patch Panel 110 Block

  • Patch Panel
  • 110 Block

• Lightning Protection?

  Off

  On

• Size and type? Number of fuses?

• Additional Info

• Sketch

  Drawing

• Add media

  Media

• Fiber

  Off

  On

• Pathway

  Select Hooks Tray Conduit None

  • Hooks
  • Tray
  • Conduit
  • None

• Innerduct?

  Yes

  No

  N/A

• New?

  Yes

  No

  N/A

• Quantity?

• Length?

• Is there space in the existing innerduct?

  Yes

  No

  N/A

• Fiber Type

  Select Singlemode OM1 OM2 OM3 OM4

  • Singlemode
  • OM1
  • OM2
  • OM3
  • OM4

• Strand Counts & Telecom Rooms

• Jacket Type

  Select Plenum PVC Armored OSP

  • Plenum
  • PVC
  • Armored
  • OSP

• Length

• Enclosure Type

  Select Rack Mount Wall Mount Splice Case

  • Rack Mount
  • Wall Mount
  • Splice Case

• Enclosure size?

  Select 1U 2U 3U 4U

  • 1U
  • 2U
  • 3U
  • 4U

• How many panels? Description?

• Size of case? Number of cards? Number of entry ports needed? Heat shrinks?

• Additional Info

• Add drawing

  Drawing

• Add media

  Media

• Coax

  Off

  On

• Pathway

  Select Hooks Tray Conduit None

  • Hooks
  • Tray
  • Conduit
  • None

• Jacket Type

  Plenum

  PVC

  Armored

  OSP

• Length

• Size & Telecom Rooms

• Additional Info

• Add drawing

  Drawing

• Add media

  Media

• Additional Info

• Mount Access Points?

  Off

  On

• Quantity?

• Ceiling Condition?

  Select Drop tile Hardlid Open

  • Drop tile
  • Hardlid
  • Open

• Photo of ceiling

  Media

• Mount Network Equipment?

  Off

  On

• Quantity?

• Add media

  Media

• Additional Info

• Electrician

  Off

  On

• Who?

• Scope of Work

• Do we have a quote?

  Yes

  No

  N/A

• Concrete cutting

  Off

  On

• Who?

• Scope of Work

• Do we have a quote?

  Yes

  No

  N/A

• Other

  Off

  On

• Who?

• Scope of Work

• Do we have a quote?

  Yes

  No

  N/A

• Add media

  Media

• Additional Info

• Patch Cords

  Off

  On

• Type?

  Select Category 5e Category 6 Category 6A Singlemode Multimode (50) Multimode (62.5)

  • Category 5e
  • Category 6
  • Category 6A
  • Singlemode
  • Multimode (50)
  • Multimode (62.5)

• Connector Type?

  Select LC SC ST RJ45 Visipatch (Legacy) Visipatch 360

  • LC
  • SC
  • ST
  • RJ45
  • Visipatch (Legacy)
  • Visipatch 360

• Lengths?

• Additional info

• Add media

  Media

• Grid wire

  Off

  On

• How many?

• Additional Notes

• Fire sleeves

  Off

  On

• How many? Sizes?

• Additional Notes