Title Page
Store details
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Store code:
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Store name
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Store address
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Region:
- Cumbria & Lancs
- East Anglia
- Essex & Herts
- Home Counties
- Kent
- London Central
- London North
- London North East
- London South East
- London South West
- London West
- M1 North
- M5 Corridor
- M6 Central
- Manchester
- Midlands
- North East
- North West
- North Yorks
- Northern Ireland
- Scotland North
- Scotland South
- South Central
- South Coast
- South Wales
- South West
- South Yorks
- Sussex
- Teeside
- West Country
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Store location:
- Contact Centre
- Harrods
- Head Office
- High Street
- Pedestrian High Street
- Railway Station
- Retail Park
- Shopping Centre
Survey details
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Date survey conducted
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Surveyor name:
Store Manager details
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Store Managers name:
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Telephone number:
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Email address
Aerial installation
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What type of roof does the building have?
- Flat
- Shed
- Pitched
- Saw tooth
- Gable or saddle
- Trough
- Gambrel
- Clerestory
- Hip
- Half Hip
- Tented
- Gable / Dutch
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Illustration of common roof types:
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Proposed location for Aerial installation
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External FRONT elevation photos of additional floors above retail unit with annotated external cable route if applicable.
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External REAR elevation photos of additional floors above retail unit with annotated external cable route if applicable.
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Is there a suitable earthing location within the back office area? Please take a photo of the proposed location if applicable.
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Signal amplification required?
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Cable routing from Aerial to end point: Description
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Is there line of site to the local TV transmitter?
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Routing photos (if applicable)
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Is there a spare power socket within the comms tower?
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Is the installation feasible?
Materials required - specific to individual store installation
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Fire stopping
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Additional containment
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Access equipment
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Any other equipment required?
Tools and Equipment
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Tools and equipment required to complete site works.
- Drills
- Ladders
- Scaffolding
- Cherry picker
- None of the above
Working hours
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Can works be completed in normal trading hours?
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Details relating to working outside normal trading hours
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Normal working hours - 07:30 - 17:00
Evening hours - 18:00 - 22:00
Weekend hours - 10:00 - 17:00
Health & Safety
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Asbestos register available in store?
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RAMS required by Store / Facilities / Centre Management?
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Site specific access - what needs to happen to gain access to the environment?
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Parking - availability on site? Drop of loading bays for delivery?
Site photos
Site photos:
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Use this section to take photos of the external and internal aspects of the store.
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Photos of external store frontage
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Photos of external store rear elevation (if applicable)
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Photos of internal store layout
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Other areas such as roof, yards etc
Drawings:
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Any relevant sketches to help illustrate installation routes or issues:
Other information:
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Use this section to add any other information that supplements this survey: