Title Page

Store details

  • Store code:

  • Store name

  • Store address
  • Store location:

Survey details

  • Date report conducted

  • Engineer name:

Type of installation

  • What type of aerial installation has been used?

  • Illustration of common aerial installation types

    Types of aerial
  • Photographs of aerial installation including fixings.

  • Has a Vodafone asset label been fitted to the aerial installation?

Photographic evidence of cable dressing

  • Route from aerial to point of entry into building.

  • Please take photographs of the route from the aerial to point of entry into building.

  • Route along Fire corridors / communal areas (Shopping Centres).

  • Please take photographs along Fire corridors / communal areas.

  • Point of entry to Vodafone unit.

  • Please take photographs of the point of entry into the Vodafone unit.

  • Has Fire stopping been penetrated and reinstated?

  • Please take photographs of Fire stopping that has been penetrated and reinstated.

Earthing

  • Is surge protection installed?

  • Is a Lightning Protection System / earthing strap available?

  • Building earth available in Vodafone back office?

  • Please confirm whether building earth has been installed?

Power

  • Is there a power supply available in back office for signal amplification?

  • What type of power supply is the signal amplifier connected to?

Signal Test

  • What is the signal strength? (Note: Optimal performance range is between 55-75db)

  • Did we terminate HMY cable at comms cabinet?

  • Did we replace the moulded patch cord at the TV end?

  • What is the signal strength for the entire channel up to the TV?

Access equipment required for maintenance

  • Please indicate what type of access equipment is required to maintain this installation?

  • As "Other" has been selected please give details of access equipment used?

  • Photograph of equipment used during installation for reference (if available)

Site photos

Other information:

  • Use this section to detail any relevant installation related comments.

  • Add media

Sign off - Vodafone

  • Vodafone Store Manager (or deputy)

Sign off - Shopping Centre Management (where applicable)

  • Shopping Centre Management (confirming installation meets centre requirements).

  • Shopping Centre Management comments.

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.