Title Page

  • Site conducted

  • Audit title

  • Client

  • Personnel

  • Prepared by

Customer details

  • Customer Name

  • Initial UKTH Contact

  • Customer Contact Requesting Survey

  • Date Survey Was Requested

  • Site Contact

  • Was The Contact Present

  • Address of Site

Machine Requirements

  • What is the required platform height (m)

  • What is the horizontal outreach (m)

  • Does the machine need to be articulated

  • What is the machine required to do

Site restrictions

  • Is there any height restrictions

  • What is the height restriction

  • Is there a width restriction

  • What is the width restriction

  • Is the any length restrictions

  • What is the length restriction

  • Is there any weight restriction

  • What is the weight restriction

  • Are there any obstructions

  • What are the obstructions

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  • What are the ground conditions

  • Delivery restrictions (truck access/ timed delivery

Working in Road/ pavement

  • Type of Road (30mph/ private)

  • Permit required

Machine selection

  • Date machine required

  • 1st choice machine

  • Alternative machine

  • Site pictures

  • Surveyor Name

  • Surveyor signature

Media Sumnary

  • Disclaimer This survey is produced with the specific site conditions as they are at the time of the survey. We are not responsible if the conditions have changed since the day of the survey.

  • http://www.ukth.co.uk/

  • 🇬🇧UK Powered Access Brochure 🇬🇧 https://ukpoweredaccess.co.uk/brochure/

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.