TV Site Survey

• TV Site Survey Job Number

• Business Name

• Conducted on

  Date

• Prepared by

• Parking Information (Location and cost)

Health and Safety

• Can the visit be complete within Sky Health and Safety guidelines

  DTH

  DAT

  SAT

  H&S Impossible

• Why is it Health and Safety impossible?

• Add photos to support this

  Media

• What Risk Assessment form needs to be completed?

  Standard / Paper

  RAMS

  Escalated RAMS

  H&S Impossible

• What type of property is this?

  Detached

  Semi-detached

  Terraced

  Office Block

  Other

• Please specify

• How many floors?

  1

  2

  3

  4+

• Can the visit proceed?

  Yes

  No

Dish location

• Dish location

• Add wide angle photos of dish location

  Media

• Select dish type

  Zone 1

  Zone 2

  Communal

  Fibre

• LNB Type

  Quad

  Octo

  Wideband

  Hybrid

  Fibre

STB 1 Location

• Detail STB 1 location

• Add wide angle photo of STB location

  Media

• Is there an existing cable in place?

  Yes

  No

• Show cable route from dish to STB 1 (Using Skitch)

  Media

• How many TV's will connect to STB 1

  1

  2

  3

  4+

• How many screens to be connected?

• Is there an STB 2?

  Yes

  No

STB 2 Location

• Detail STB 2 location

• Add wide angle photo of STB 2 location

  Media

• Is there an existing cable in place?

  Yes

  No

• Show cable route from dish to STB 2 (Using Skitch)

  Media

• How many TV's will connect to STB 2

  1

  2

  3

  4+

• How many screens to be connected?

• Is there an STB 3?

  Yes

  No

STB 3 Location

• Detail STB 3 location

• Add wide angle photo of STB 3 location

  Media

• Is there an existing cable in place?

  Yes

  No

• Show cable route from dish to STB 3 (Using Skitch)

  Media

• How many TV's will connect to STB 3

  1

  2

  3

  4+

• How many screens to be connected?

Screen 1

• Detail screen location

• Add wide angle photo of Screen location

  Media

• Which STB is this screen connected to?

  Select STB 1 STB 2 STB 3

  • STB 1
  • STB 2
  • STB 3

• Connection type

  Select UHD HD RF

  • UHD
  • HD
  • RF

• Is there an existing cable in place?

  No

  Coax

  Cat 5/6

  HDMI

• Show cable route from screen to STB(s)

  Media

• Is there a Screen 2

  Yes

  No

Screen 2

• Detail screen location

• Add wide angle photo of Screen location

  Media

• Which STB is this screen connected to?

  Select STB 1 STB 2 STB 3

  • STB 1
  • STB 2
  • STB 3

• Connection type

  Select UHD HD RF

  • UHD
  • HD
  • RF

• Is there an existing cable in place?

  No

  Coax

  Cat 5/6

  HDMI

• Show cable route from screen to STB(s)

  Media

• Is there a Screen 3

  Yes

  No

Screen 3

• Detail screen location

• Add wide angle photo of Screen location

  Media

• Which STB is this screen connected to?

  Select STB 1 STB 2 STB 3

  • STB 1
  • STB 2
  • STB 3

• Connection type

  Select UHD HD RF

  • UHD
  • HD
  • RF

• Is there an existing cable in place?

  No

  Coax

  Cat 5/6

  HDMI

• Show cable route from screen to STB(s)

  Media

• Is there a Screen 4<br>

  Yes

  No

Screen 4

• Detail screen location

• Add wide angle photo of Screen location

  Media

• Which STB is this screen connected to?

  Select STB 1 STB 2 STB 3

  • STB 1
  • STB 2
  • STB 3

• Connection type

  Select UHD HD RF

  • UHD
  • HD
  • RF

• Is there an existing cable in place?

  No

  Coax

  Cat 5/6

  HDMI

• Show cable route from screen to STB(s)

  Media

• Is there a Screen 5<br>

  Yes

  No

Screen 5

• Detail screen location

• Add wide angle photo of Screen location

  Media

• Which STB is this screen connected to?

  Select STB 1 STB 2 STB 3

  • STB 1
  • STB 2
  • STB 3

• Connection type

  Select UHD HD RF

  • UHD
  • HD
  • RF

• Is there an existing cable in place?

  No

  Coax

  Cat 5/6

  HDMI

• Show cable route from screen to STB(s)

  Media

• Is there a Screen 6<br>

  Yes

  No

Screen 6

• Detail screen location

• Add wide angle photo of Screen location

  Media

• Which STB is this screen connected to?

  Select STB 1 STB 2 STB 3

  • STB 1
  • STB 2
  • STB 3

• Connection type

  Select UHD HD RF

  • UHD
  • HD
  • RF

• Is there an existing cable in place?

  No

  Coax

  Cat 5/6

  HDMI

• Show cable route from screen to STB(s)

  Media

• Is there a Screen 7<br>

  Yes

  No

Screen 7

• Detail screen location

• Add wide angle photo of Screen location

  Media

• Which STB is this screen connected to?

  Select STB 1 STB 2 STB 3

  • STB 1
  • STB 2
  • STB 3

• Connection type

  Select UHD HD RF

  • UHD
  • HD
  • RF

• Is there an existing cable in place?

  No

  Coax

  Cat 5/6

  HDMI

• Show cable route from screen to STB(s)

  Media

• Is there a Screen 8<br>

  Yes

  No

Screen 8

• Detail screen location

• Add wide angle photo of Screen location

  Media

• Which STB is this screen connected to?

  Select STB 1 STB 2 STB 3

  • STB 1
  • STB 2
  • STB 3

• Connection type

  Select UHD HD RF

  • UHD
  • HD
  • RF

• Is there an existing cable in place?

  No

  Coax

  Cat 5/6

  HDMI

• Show cable route from screen to STB(s)

  Media

• Is there a Screen 9<br>

  Yes

  No

Screen 9

• Detail screen location

• Add wide angle photo of Screen location

  Media

• Which STB is this screen connected to?

  Select STB 1 STB 2 STB 3

  • STB 1
  • STB 2
  • STB 3

• Connection type

  Select UHD HD RF

  • UHD
  • HD
  • RF

• Is there an existing cable in place?

  No

  Coax

  Cat 5/6

  HDMI

• Show cable route from screen to STB(s)

  Media

• Is there a Screen 10<br>

  Yes

  No

Screen 10

• Detail screen location

• Add wide angle photo of Screen location

  Media

• Which STB is this screen connected to?

  Select STB 1 STB 2 STB 3

  • STB 1
  • STB 2
  • STB 3

• Connection type

  Select UHD HD RF

  • UHD
  • HD
  • RF

• Is there an existing cable in place?

  No

  Coax

  Cat 5/6

  HDMI

• Show cable route from screen to STB(s)

  Media

Van Stock Items Required

STB

• Do you require any Sky HD STBs?

  Yes

  No

• How many Sky HD STB's are required?

• Do you require and Sky+ HD STB's?

  Yes

  No

• How many Sky+ HD STB's are required?

• Do you require any SkyQ STB's?

  Yes

  No

• How many Sky Q STB's are required?

Cable

• Do you require CT63 cable?

  Yes

  No

• How many metres of CT63 is required?

• Do you require CT100 cable?

  Yes

  No

• How many metres of CT100 is required?

• Do you require Cat 5 cable?

  Yes

  No

• How many metres of CAT 5 cable is required?

Leads

• Do you require 1m HDMI leads?

  Yes

  No

• How many 1m HDMI cables are required?

• Do you require 5m HDMI leads?

  Yes

  No

• How many 5m HDMI cables are required?

• Do you require 10m HDMI leads?

  Yes

  No

• How many 10m HDMI cables are required?

• Do you require 20m HDMI leads?

  Yes

  No

• How many 20m HDMI cables are required?

• Do you require any HDMI extenders?

  Yes

  No

• How many HDMI extenders are required?

Splitters

• Do you require any 2 Way HDMI splitters?

  Yes

  No

• How many 2 Way HDMI splitters are required?

• Do you require any 4 Way HDMI splitters?

  Yes

  No

• How many 4 Way HDMI splitters are required?

• Do you require any 2 way RF120 splitters?

  Yes

  No

• How many 2 Way RF 120 splitters are required?

• Do you require any 4 Way RF140 splitters?

  Yes

  No

• How many 4 Way RF 140 splitters are required?

• Do you require any I/O Links?

  Yes

  No

• How many I/O links are required?

• Do you require any TV Links?

  Yes

  No

• How many TV links are required?

Non van stock items

• Are any non van stock items required?

  Yes

  No

• Do you require any audio / visual connectors?

  Yes

  No

• How many 'F' to Phono connectors are required?

  2

  4

  6

  8

  10

• How many Scart to RCA adaptors are required?

  1

  2

  3

  4+

• Do you require any HDMI over Cat 5 converter sets?

  Yes

  No

• How many HDMI to CAT 5 converter sets are required?

• Do you require any HDMI over Cat 6 converters sets?

  Yes

  No

• How many HDMI to CAT 6 converter sets are required?

• Do you require any CT125 cable?

  Yes

  No

• How many metres of CT125 is required?

• How many CT125 'F' connectors are required?

• Will you require a CT125 crimp tool? (please add this to the iPad survey)

  Yes

  No

• Is a HDMI matrix required?

  Yes

  No

• How many inputs and outputs are required?

  2 inputs x 4 outputs

  2 inputs x 8 outputs

  4 inputs x 4 outputs

  4 inputs x 8 outputs

  8 inputs x 8 outputs

• Do you require any Cat 6 cable? (UHD installs only)

  Yes

  No

• How many metres of Cat 6 cable do you require?

• Is Fire Sealant required?

  Yes

  No

• What type of Fire Sealant is required?

• Are any other special order items required? (ie Trunking, PSU's etc)

  Yes

  No

• Please list any other special order items required (ie Trunking)

Additional information

• Any additional job specific comments to support the installation

• Will any work be carried out by 3rd party contractors?

  Yes

  No

• Detail work to be carried out by 3rd party contractor

• Estimated time required to complete the visit?