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:
- Dave Wells
- Jalaj Thapa
- James Loughran
- Joe Cockwell
- Joe Hardy
- Lloyd Jackson
- Mick Lovstad
- Nick Swindells
- Paul Caines
- Pete Meredith
- Shaun Logue
- Owen Powell
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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Is the proposed aerial location or cable route going to be visible from outside the front of the store?
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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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Are we routing cable thought the roof or slab?
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Is there and existing route or penetration?
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Please provide details for proposed location of penetration with marked up photos
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Have you confirmed with Centre Management if there are any specific requirements for reinstatement of weather proofing systems? (i.e. The need for specialist roofing contractor to support roof works)
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Please provide details of the existing penetration with marked up photos
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Take photos and mark up accordingly
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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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Please provide photographic evidence of existing aerial installations close to your location.
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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 there any bird netting on site that will hinder the installation?
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Please take photographs of the netting
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Please give written details about the netting
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Is the installation feasible?
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Please give details as to why the installation is not feasible?
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Please supply suitable photographic evidence
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Although the installation is feasible are there any issues that we may need to be aware of?
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Please detail issues
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Does the store fall under the control of the shopping centre management company?
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Have you asked the Vodafone Store Manager / Assistant Manager?
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What was the Managers / Assistant Managers response?
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Please provide details of centre management contact
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Contact name
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Contact telephone number
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Contact email address
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
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As you have selected "Scaffolding" is there a suitable access route and sufficient space for erecting scaffolding?
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Is the scaffolding to be erected on a public path or highway?
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Please take a photograph and mark up to show proposed siting location
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As you have selected "Cherry Picker" is there a suitable access route?
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Where is the cherry picker to be located?
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What is width of the Public Footpath / Highway where the cherry picker will be sited?
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Is the cherry picker to be sited in close proximity to any of the options displayed?
- Cycle path
- Pedestrian crossing
- Traffic island
- Traffic lights
- Zebra crossing
- None
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What are the distance between the items selected and the proposed location of the cherry picker?
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What type of road is the cherry picker to be located?
- One Way Street - Single lane
- One Way Street - Dual lane
- Two Way Street - Single lane
- Two Way Street - Dual carriageway
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As you have selected "Other" please provide details of location?
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Please supply annotated photographs of proposed location for cherry picker and any other considerations as above.
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As you have selected "Ladders" please confirm that there is an alternate access route other than taking them through the retail store
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Please take photos of the alternative access route
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:
