Title Page

Store details

  • Store code:

  • Store name

  • Store address
  • Region:

  • Store location:

Survey details

  • Date survey conducted

  • Surveyor name:

Store Manager details

  • Store Managers name:

  • Telephone number:

  • Email address

Aerial installation

  • What type of roof does the building have?

  • Illustration of common roof types:

    no label
  • Proposed location for Aerial installation

  • Number of floors above retail unit?

  • External FRONT elevation photos of additional floors above retail unit with annotated external cable route if applicable.

  • External REAR elevation photos of additional floors above retail unit with annotated external cable route if applicable.

  • Distance from Aerial to outlet in metres

  • Is there a suitable earthing location within the back office area? Please take a photo of the proposed location if applicable.

  • Signal amplification required?

  • Cable routing from Aerial to end point: Description

  • Is there line of site to the local TV transmitter?

  • Routing photos (if applicable)

  • Is there a spare power socket within the comms tower?

  • Is the installation feasible?

Materials required - specific to individual store installation

  • Fire stopping

  • Additional containment

  • Access equipment

  • Any other equipment required?

Tools and Equipment

  • Tools and equipment required to complete site works.

Working hours

  • Can works be completed in normal trading hours?

  • Details relating to working outside normal trading hours

  • Normal working hours - 07:30 - 17:00
    Evening hours - 18:00 - 22:00
    Weekend hours - 10:00 - 17:00

Health & Safety

  • Asbestos register available in store?

  • RAMS required by Store / Facilities / Centre Management?

  • Site specific access - what needs to happen to gain access to the environment?

  • Parking - availability on site? Drop of loading bays for delivery?

Site photos

Site photos:

  • Use this section to take photos of the external and internal aspects of the store.

  • Photos of external store frontage

  • Photos of external store rear elevation (if applicable)

  • Photos of internal store layout

  • Other areas such as roof, yards etc

Drawings:

  • Any relevant sketches to help illustrate installation routes or issues:

Other information:

  • Use this section to add any other information that supplements this survey:

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.