Title Page

  • SSL ATM SWAP OUT SURVEY

  • Client / Site

  • Conducted on

  • Ian Foxall ALS regional Supervisor

  • Location

Survey Details

  • Surveyor Name:

  • Survey Date

General Site Information

  • Store Name:

  • Store Number:

  • Store Manager:

  • Store address
  • Store Telephone Number:

  • Store Opening Times:

  • Is there a night shift ?

  • Key holder

  • Landlord control site

Delivery Of Hardware

  • Location to Off Load:

  • Photos Of Location for Delivery Vehicle To Off Load:

  • Delivery restrictions

  • Traffic restrictions

  • Noise restrictions

  • Parking restrictions

  • Parking Restrictions

  • Delivery via dock leveller

  • Dock Leveller SWL

  • Photo of dock leveller

  • Specify Special Delivery Equipment Required, i.e. pallet truck, skates etc.

  • Are there any Kerbs?

  • Photo of kerb

  • Height of kerb

  • External Floor Types:

  • Are there any Stairs or Steps on route ?

  • Photo of stairs/steps

  • Height and length of stairs/steps ?

  • Is there a matt well ?

  • Photo of Matt well

  • Mat well dimensions

  • Any other obstructions on route ?

  • Photo of Obstruction

  • Obstruction information/ Solution

  • ATM route from Vehicle to Installation position step by step

  • Ceiling Height

  • Photo of ceiling type

  • Ceiling type and dimensions

External Detail:

  • Is The Exterior Lighting Adequate In The ATM Area?

  • Existing ATM Details

  • ATM
  • ATM Serial Number

  • ATM Photo from a distance

  • ATM Photo from the left

  • ATM Photo close up

  • ATM Photo from the right

  • ATM Photo from the rear

  • Key 5 Height

  • Plinth Height

  • Is There A Difference in External and Internal Floor Levels if so please state clearly the difference

  • Vibration alarm attached to ATM Yes / No

  • Any Chains Fitted

  • ATM 1 Power to ATM's Spur or Plug

  • Aperture over all Height

  • Aperture width

  • What Material Will The Aperture Be Going Through?

  • Do External Graphics Need Relocating - Yes/No. If Yes Specify

  • Other:

  • Add media

  • List door and door ways on Route

  • Door list

  • Door
  • Door type ?

  • Door opening dimension (when the door is fully open)

  • Internal Floor Types:

  • Other:

  • Measure Floor tiles

  • Internal Floor Covering:

  • Add media

  • Are There Any Services Impeding ATM Location Yes/No If Yes Please Specify.

  • Add media

  • Is there a Canopy over the ATM's

  • Add media

  • Is there canopy lighting

  • Add media

  • Size Of Glazed Panel Where Aperture Will Go:

  • Is Glazing panel single glazed or double

  • Add media

  • Any Refrigeration Need Relocating, Yes or No? If Yes Specify

  • Add media

  • Any Tills Need Relocating, Yes or No? If Yes Specify?

  • Add media

  • Any Shelving/Gondola Need Relocating, Yes or No? If Yes Specify

  • Any Other Obstacles Need Relocation? Yes or No, If Yes Specify With Possible Relocation Position.

  • Add media

  • Any Internal Signage To be Relocated Yes or No? If Yes Specify

  • Add media

  • Any Internal Services To Be Relocated? Yes or No. If Yes Specify.

  • Add media

  • Aisle Width Measurement Created When Bastion Unit In Place If Applicable:

Electrical/Data Detail

  • Fuse board Location

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.