Store Survey Form

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Survey Prepared By

  Select Andrew Wilson Derek Barker Vince Cairns Derek Barker Bob Bamber Bob Hawkins Doug Pryde Pete Fox

  • Andrew Wilson
  • Derek Barker
  • Vince Cairns
  • Derek Barker
  • Bob Bamber
  • Bob Hawkins
  • Doug Pryde
  • Pete Fox
• Location
  Address

• Store Name

• Store Number

• Introduction

• General Overview

• Budget Recommendations

Aerial Photo provided by Google Maps

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Loading Area

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• Is the area shared?

  Yes

  No

  N/A

• Is the surface in good condition?

  Yes

  No

  N/A

Front Elevation

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• Is the signage illuminated?

  Yes

  No

  N/A

• Is the cladding clean and in good condition?

  Yes

  No

  N/A

• Is the brickwork clean and in good condition?

  Yes

  No

  N/A

• Are the rainwater goods free running?

  Yes

  No

  N/A

• Are the windows in good condition?

  Yes

  No

  N/A

• Are the doors in good condition?

  Yes

  No

  N/A

• Is there an entrance lobby?

  Yes

  No

  N/A

Left Hand Side Elevation

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• Enter details on condition

Right Hand Side Elevation

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• Enter details on condition

Rear Elevation

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• Enter details on condition

Roof Details

• Roof Type, Flat, Pitched, Mansard

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• Skylights on site?

  Yes

  No

  N/A

• Skylights

• Internal Access to roof?

  Yes

  No

  N/A

• Sketch roof

  Drawing

General Property Information

• Public Sales Entrances

• Number of Storeys

• Sales floor Gallery Floor

  Yes

  No

  N/A

• Stockroom, Warehouse Mezzanine Floor

  Yes

  No

  N/A

• Unoccupied areas?

  Yes

  No

  N/A

Mechanical Services

• Enter details of heating installed to the sales floor, Gas Unit Heater, Gas Air Handling Unit, Electric Air Handling Unit, Cassettes, Chaffoteux, LPHW

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• Enter details of heating installed to the warehouse or stock area, Gas Unit Heater, Gas Air Handling Unit, Electric Air Handling Unit, Cassettes, Chaffoteux, LPHW

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• Enter details of cooling system, cooling coil or cassettes

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• Enter details of cooling gas ie.R22

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• Enter details of control system, Innotech, Cylon, Trend etc

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• Enter details of front entrance over door heater, Electric or LPHW,

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• How many overdoor heaters to the sales floor?

• Enter details of loading bay entrance over door heater, Electric or LPHW,

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• How many over door heaters to the loading bay

• Enter details of conservatory or other over door heaters, Electric or LPHW,

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• How many over door heaters are there to the conservatory

Electrical Services

• Enter details of lighting installed to the sales floor, modular, high bay, fluorescent etc

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• Enter details of lighting installed to the warehouse or stockroom, modular, fluorescent, corridor mode etc

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• Enter details of fire alarm panel, sniffer system etc

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• Is there an Energy Management Panel?

  Yes

  No

  N/A

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Entrance Doors

• Are the doors automated?

  Yes

  No

  N/A

• Number of auto doors

• Enter details of the automatic doors installed, slider, bi fold etc

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• Enter details of the make of the doors if automatic

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• Enter details of the back edge protection to the doors, pocket screens, barriers, alarms etc

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Lift and conveyor information

• Enter details of passenger lift including serial numbers and safe working load

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• Passenger Lift

• Enter details of goods lift including serial numbers and safe working load

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• Goods Lift

• Enter details of conveyors including serial numbers and safe working load

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• Conveyor

• Enter details of Scissor lifts or platform hoist

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• Scissor Lift or platform hoist

• Enter details of Escalators

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• Escalator

Electricity at Work

• Date of last EAW fixed wire test

  Date

Asbestos Information

• Add details of asbestos survey (date and survey no.) and if ACM's present

Asset Information

• Projecting Signs?

  Yes

  No

  N/A

• Projecting Signs

• Totem Signs?

  Yes

  No

  N/A

• Totem Signs

• Fascia Signs?

  Yes

  No

  N/A

• Fascia Signs

• Auto Doors?

  Yes

  No

  N/A

• Auto Doors

• Shutters?

  Yes

  No

  N/A

• External Entrance Shutter

• Internal Entrance Shutter

• Window Grilles

• Goods In Shutters

• Goods In Loading Bay Doors

• Scissor LIft?

  Yes

  No

  N/A

• Scissor Lift

• Hoist?

  Yes

  No

  N/A

• Hoists

• Escalators?

  Yes

  No

  N/A

• Escalators

• Conveyors?

  Yes

  No

  N/A

• Conveyors

• Lifts?

  Yes

  No

  N/A

• Lifts

• Comfort Cooling?

  Yes

  No

  N/A

• Air tubes?

  Yes

  No

  N/A

• Fire Alarms?

  Yes

  No

  N/A

• Emergency Lighting?

  Yes

  No

  N/A

• Smoke Detection?

  Yes

  No

  N/A

• Fire Extinguishers?

  Yes

  No

  N/A

• Hose Reels?

  Yes

  No

  N/A

• Sprinkler Systems?

  Yes

  No

  N/A

• Valve Sets?

  Yes

  No

  N/A

• Sprinkler Tanks?

  Yes

  No

  N/A

• Smoke Vents?

  Yes

  No

  N/A

• Smoke Vents

• Pumps?

  Yes

  No

  N/A

• Shelving System

  Linpac

  Metalrax Bar

  Metalrax Clip

  Link 51

  Timber

Contract Information

• Landscaping

  Yes

  No

  N/A

• Automatic Doors

  Yes

  No

  N/A

• Lift

  Yes

  No

  N/A

• Platform or Scissor lift

  Yes

  No

  N/A

• Conveyor

  Yes

  No

  N/A

• Escalators

  Yes

  No

  N/A

• HVAC

  Yes

  No

  N/A

• Air tubes

  Yes

  No

  N/A

• Fire Alarms and Emergency Lighting

  Yes

  No

  N/A

• Fire Extinguishers

  Yes

  No

  N/A

• Hose Reels

  Yes

  No

  N/A

• Sprinkler Systems

  Yes

  No

  N/A

• Smoke Vents

  Yes

  No

  N/A

• Methane/ Gas Detection

  Yes

  No

  N/A

• Media System

  Yes

  No

  N/A

• Relamping

  Yes

  No

  N/A

• Asbestos

  Yes

  No

  N/A

• Fixed Wire Testing (last test)

  Yes

  No

  N/A

• PAT Testing (last date)

  Yes

  No

  N/A

Utilities

• Electricity Meter Location

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• Electricity MPAN

• Electricity Serial Number

• Electricity Reading

• Gas Meter Location

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• Gas MPRN

• Gas Meter Serial Number

• Gas Meter Reading

• Water Meter Location

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• Water Meter Serial Number

• Water Meter Reading