This form will prompt you for site survey information for cabling, fiber, access control, cabling cleanup and/or demolition. You only need to complete the sections that are relevant to this site.
Survey Performed on
*
-
Month
-
Day
Year
Name of Technician:
*
First Name
Last Name
Name of Client:
*
First Name
Last Name
Client Company:
*
On-site Client's Email:
*
Enter email of the contact that you are with right now.
Site Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Why do you need help?
*
Opening a new office
Upgrading an existing office
Expanding an existing office
Downsizing of existing office
Other
Indicate the types of services needed at this site (check all that apply)
Copper cabling
Fiber cabling
Wireless access points
Security cameras
Door access control
Cable management and cleanup
Demolition
Trenching
Other
When do you need the work completed?
*
ASAP
Within a few weeks
Within a few months
In 3 to 6 months
In more than 6 months
Number of Buildings:
Number of Floors:
Does this project require a Low-voltage Permit?
*
Please Select
No
Yes
They don't know
Does this project require a Certificate of Insurance (COI)?
*
Please Select
No
Yes
They don't know
Type of ceiling(s) at this site (include the % of each type)
*
Lift(s) needed for this project:
No lift is needed
Client will provide lift(s)
19' Electric Scissor Lift
26' Electric Scissor Lift
32' Electric Scissor Lift
40' Electric Scissor Lift
32' Rough Terrain Scissor Lift (for outdoors)
40' Straight Boom Lift
46' Straight Boom Lift
60' Straight Boom Lift
80' Straight Boom Lift
Other (Let us know what type is needed)
If a lift is needed, is the drop-off at dock height?
Please Select
No
Yes
Not Applicable
Status of infrastructure (if they need anything, please provide details):
Yes/No
How many?
Size
Details
Needs plywood backboard?
Yes
No
Needs J-hooks?
Yes
No
Needs wall raceway?
Yes
No
Needs EMT conduit?
Yes
No
Need data pole(s) from ceiling to desks in an open area?
Yes
No
Needs Access Panels?
Yes
No
Other
Yes
No
Hardware that they have/need for this project (If they need anything, please provide details):
Do they have?
Do they need?
Quantity
Details
Rack, frame or cabinet (and depth)
No
Yes
No
Yes
Patch panel(s)
No
Yes
No
Yes
Switch(es)
No
Yes
No
Yes
Wireless Access Point(s)
No
Yes
No
Yes
Camera system
No
Yes
No
Yes
Monitor(s) and brackets
No
Yes
No
Yes
Patch cables (from patch panel to switch)
No
Yes
No
Yes
Patch cables(from faceplates to computers)
No
Yes
No
Yes
Rack-mounted UPS
No
Yes
No
Yes
If this site needs copper cabling, click here.
What type of cabling or wiring work do you need?
Cat5e
Cat6
Cat6a
Cat7
Speaker Wiring
Other
Approximate number of cables:
Approximate number of faceplates:
Approximate average length of cable drops:
How long will the average drop be inc. up and down the walls?
If this site needs fiber cabling, click here.
Fiber Description:
Additional Equipment needed (required info):
Rack-mounted fiber enclosure(s)
Wall-mounted fiber enclosure(s)
LC Plates
Patch cable(s)
Other
If this site needs access control, click here.
Is there a specific door access or alarm system the client wants to use?
Will we need to contact the property manager to coordinate installation of the door access system?
Please Select
Yes
No
Don't know
Hardware that they have/need for this project:
Do they have?
Do they need?
Quantity
Details
Key Fobs
No
Yes
No
Yes
Key Cards
No
Yes
No
Yes
Door Access
No
Yes
No
Yes
Alarm System
No
Yes
No
Yes
Motion Detectors
No
Yes
No
Yes
Door Contacts (for alarm)
No
Yes
No
Yes
Window Contacts (for alarm)
No
Yes
No
Yes
Phone app control of the system and to be able to lock and unlock the doors
No
Yes
No
Yes
Fingerprint access
No
Yes
No
Yes
Facial or Eye access
No
Yes
No
Yes
24/7 monitoring of door access system
No
Yes
No
Yes
Intercom system
No
Yes
No
Yes
Security cameras integration
No
Yes
No
Yes
Number of Doors requiring door access:
You can add more doors to this survey. Just click the "Click Here to Input another door" button.
Door Information: Answer the questions below for each door. To add more doors, click the add door button. Be sure to label each door as Door1, Door2, Door3, etc
Describe any other important information we may need to know.
Use this file upload to upload all pictures taken of the site. Take pictures of the doors, ceilings, and IT room.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Only submit one of these forms for all the doors needing to be secured.
For the Door section above, you can add as many doors and their information you need by pressing the button that says "+ Add Door"
If they need a site assessment or cable cleanup, click here.
Assessment Services needed:
Testing for Continuity
Labeling
Tracing
Certification
Creation of a network diagram
Other
Hardware that client will need:
Rack frame(s)
Rack cabinet(s)
Patch panel(s)
Patch cables
Other
Please describe the nature of this assessment and/or cleanup project:
If they need demolition of existing cables/equipment, click here.
Hardware to be removed
How many faceplates will need to be covered with blanks?
Will they need disposal of the materials?
Yes
No
Not sure
Other
If they need trenching, click here.
Type of terrain needing trenching at this site (include the % of each type)
*
Upload photos here
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Additional Information
Submit the Survey
Should be Empty: