SITE SURVEY FORM
Form to be filled out by Technicians during site survey. Please fill all fields. Type N/A where information is not available or applicable. If there are multiple Technicians, only one form needs to be submitted per property.
Technician Name
*
First Name
Last Name
Technician Email
*
example@example.com
Technician Phone
*
-
Area Code
Phone Number
Property Name
*
Property Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Property Contact Name
*
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Site Survey Date
*
-
Month
-
Day
Year
Date
Site Survey Start Time
*
Hour Minutes
AM
PM
AM/PM Option
Do you have a floor plan of the property? Please ask the property contact for a floor plan.
Floor Plan received prior to Site Survey
Floor Plan received during Site Survey
Other
Please specify property access procedures. (For example, Gate PIN for gated community, etc.)
Are Rope Detectors needed? If yes, then approximately how many?
Do Leak Detectors need security covers for securing them to the walls/base molding?
If you answered yes above, what is the molding height and depth (from the wall)? Please be aware that the optimal molding height should be a minimum of 3.5 inches
Is adequate space available for installation?
Yes
No
If you have answered no above, please describe any obstacles and foreseen problems that may obstruct the installation tasks
Using your GPS test kit, please set up a gateway and pair leak detectors to check signal strength at the corners of the building farthest from the gateway. Please describe any problems in signal strength, if any
Location of poor network, is there poor network in any of the desired areas of device install etc.?
Number of Installers needed to complete installation
Anticipated hours needed onsite to complete installation
Will additional technical expertise be required for installation? If yes, please describe
Are there any ADDITIONAL materials/equipment needed? If yes, provide a full list of additional materials needed for installation
Is there any ADDITIONAL work being requested by the property contact other than installation of devices that were provided? If yes, please describe
Preferred Dates and Times for Installation
Please upload a completed Pre-Provisioning Spreadsheet (PSS) https://docs.google.com/spreadsheets/d/1NBo8roZk5xgca9qMSjXuQ09PyVtlRcOznYLxIcUWtmg/edit#gid=0
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Please upload property floor plan outline showing ALL Gateway placements
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Please upload photos of ALL proposed Gateway placement locations showing where power will be accessed
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Please upload photos or floor plan showing proposed Leak Detector and Rope Probe placements - May only be one per type (Sink, Washer, etc.) if all units are similar
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Additional Notes
Additional File Upload
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