V1 - 5/15 Thermabead Site Survey

• Company Name

• Conducted on

  Date

• Carried out by

• Address
  Address

• Contact Details for site

Access & Egress

• Main road Access

  Good

  Fair

  Poor

• Minor road access

  Good

  Fair

  Poor

• Access onto site

  Good

  Fair

  Poor

• Any height restrictions

  Good

  Fair

  Poor

• Reversing

  Good

  Fair

  Poor

• Turning of Vehicle

  Good

  Fair

  Poor

• Roller door present

  Yes

  No

  N/A

• Is there a FLT on site

  Yes

  No

  N/A

Bead Storage

• Trailer drop/Silo

  Select Trailer Drop Silo Install Existing Silo

  • Trailer Drop
  • Silo Install
  • Existing Silo

• Is the site suitable to carry out a trailer switch (drop off one while shunting the other etc)?

  No

  Yes

  N/a

• Has the client been made aware that the trailer needs to be on their insurance?

  No

  Yes

  N/a

• Is there existing equipment (Fan, transfer hose/ducting etc)

  No

  Yes

  N/a

• Additional Information

• What is the capacity/size of the silo?

• Is the silo suitable?

  No

  Yes

  N/a

• Is there a fan in place?

  No

  Yes

  N/a

• Additional Information

• What silo is required?

  Dual Cone

  Single Cone

  Custom Silo

• Will additional ducting be required? (Distance to load and extract point)

  No

  Yes

  N/a

• Is the area suitable? (Footprint/height)

  No

  Yes

  N/a

• Will a Fan be required?

  No

  Yes

  N/a

• Is there 3 phase electricity on site?

  No

  Yes

  N/a

• Is Customer aware they will need to arrange electricity supply to the installed fan?

  No

  Yes

  N/a

• Is there existing equipment (Fan, transfer hose/ducting etc)

  No

  Yes

  N/a

• Additional Information

Trailer Drop

Existing Silo

Silo Install

Vehicle Requirements

• Are existing vehicles compliant with thermabead system? (Injection Guns, Control boards etc)

  No

  Yes

  N/a

• Will customer require standard Vehicle conversion? (Glue pot, control board, etc)

  No

  Yes

  N/a

• Does customer want a bespoke vehicle conversion?

  No

  Yes

  N/a

• Has customer been made aware of how to store glue during winter months?

  Yes

  No

  N/A

• Additional Information

• Name/Signature

  Sign