SITE SURVEY

NOTE: 

  • All Fields must be completed
  • Enter N/A if not applicable
  • If unknown; enter reason why
Surveyor's Name:
Surveyor's Full Name
Field is required!
Field is required!
Date of Survey:
Select a date
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Field is required!
Building Name:
Building Name
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Field is required!
Building Address:
Building Address
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Field is required!
Building Manager's Name:
Building Manager's Full Name
Field is required!
Field is required!
Mobile Number:
Mobile Number
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Field is required!
Phone Number:
Phone Number
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Field is required!
Owners/Body Corp Name:
Owners/Body Corp Name
Field is required!
Field is required!
Owners/Body Corp Address:
Owners/Body Corp Address
Field is required!
Field is required!
Building Type:
  • - select a option -
  • Residential
  • Mixed
  • Hotel
  • Commercial
- select a option -
Field is required!
Field is required!
Floor Order Numbering:
(Eg: B, G, Lv1-Lv10)
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Field is required!
Building Layout:
(include floor plan)
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Field is required!
Total Rooms:
Total Rooms
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Field is required!
In Pool:
In Pool
Field is required!
Field is required!

Current Internet Solution - (Ours OR Other Provider)

Detail Current Internet Solution(s):
Detail Current Internet Solution(s)
Field is required!
Field is required!
Current Solution Technologies used:
(Access, CPE, Switching, Cabling)
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Field is required!
Provider(s):
Provider(s)
Field is required!
Field is required!
Location of Current Solution:
(Cabinets, Radios etc.)
Field is required!
Field is required!
Detail Existing Roof Communication Infrastructure:
Detail Existing Roof Communication Infrastructure
Field is required!
Field is required!

Building Infrastructure

Existing Vertical Cabling:
  • - select a option -
  • NONE
  • Cat3
  • Cat5
  • Cat6
  • Fibre
  • Other
- select a option -
Field is required!
Field is required!
Can Freedom Internet Leverage this Vertical Cable?
  • - select a option -
  • Yes
  • No
- select a option -
Field is required!
Field is required!
Is there room for Freedom Cabling?
  • - select a option -
  • Yes
  • No
- select a option -
Field is required!
Field is required!
Is the Riser Cored?
  • - select a option -
  • Yes
  • No
- select a option -
Field is required!
Field is required!
If Riser is NOT cored; is there room for additional coring?
  • - select a option -
  • Yes
  • No
- select a option -
Field is required!
Field is required!
Existing Horizontal Cabling?
  • - select a option -
  • NONE
  • Cat5
  • Cat6
  • Fibre
  • Cat3
- select a option -
Field is required!
Field is required!
Can Freedom leverage this Horizontal Cable?
  • - select a option -
  • Yes
  • No
- select a option -
Field is required!
Field is required!
Can we use whole cable?
  • - select a option -
  • Yes
  • No
- select a option -
Field is required!
Field is required!
How Many Pairs can we use?
How Many Pairs can we use?
Field is required!
Field is required!
Is there conduit to room?
  • - select a option -
  • Yes
  • No
- select a option -
Field is required!
Field is required!
Conduit Size and Type:
Conduit Size and Type
Field is required!
Field is required!
Is there Power in the Riser?
  • - select a option -
  • Yes
  • No
- select a option -
Field is required!
Field is required!
# of Power Outlets in Riser?
-
+
Field is required!
Field is required!
Room for Rack in Risers?
  • - select a option -
  • Yes
  • No
- select a option -
Field is required!
Field is required!
Fireproofing in risers?
  • - select a option -
  • Yes
  • No
- select a option -
Field is required!
Field is required!
Fireproofing Type?
  • - select a option -
  • Fire Pillows
  • Collars
  • Conduit
  • N.A.
  • Foam Fire Sealant
- select a option -
Field is required!
Field is required!
Fireproof Certified by:
(company name)
Field is required!
Field is required!
Power in MDF?
  • - select a option -
  • Yes
  • No
- select a option -
Field is required!
Field is required!
Room for Cabinet in MDF Room?
  • - select a option -
  • Yes
  • No
- select a option -
Field is required!
Field is required!
Provide detail of Rooftop condition:
  • - select a option -
  • Excellent
  • Good
  • Fair
  • Poor
- select a option -
Field is required!
Field is required!
Details of Proposed MOUNT / INSTALLATION:
Detail proposed install type i.e. Vertical, Horizontal, Penetration etc
Field is required!
Field is required!

Unit Information

Existing Termination Point?
  • - select a option -
  • Yes
  • No
- select a option -
Field is required!
Field is required!
Existing Termination Point Location:
Existing Termination Point Location
Field is required!
Field is required!
Cable Condition?
  • - select a option -
  • Excellent
  • Good
  • Fair
  • Poor
- select a option -
Field is required!
Field is required!
Unit has a cable Junction box?
  • - select a option -
  • Yes
  • No
- select a option -
Field is required!
Field is required!
Power Outlet at termination point?
  • - select a option -
  • Yes
  • No
- select a option -
Field is required!
Field is required!
In Room Signal Test Result:
In Room Signal Test Result
Field is required!
Field is required!
Additional Unit Notes:
Additional Unit Notes:
Field is required!
Field is required!

Additional Freedom Services Requried

Conference Room?
  • - select a option -
  • Yes
  • No
- select a option -
Field is required!
Field is required!
# Seats in conference room:
# Seats in conference room...
Field is required!
Field is required!
CCTV Services?
  • - select a option -
  • Yes
  • No
- select a option -
Field is required!
Field is required!
Security Monitoring?
  • - select a option -
  • Yes
  • No
- select a option -
Field is required!
Field is required!
Total # of Additional APs Required:
Total # of Additional APs Required...
Field is required!
Field is required!
Any Additional Services Requested Details:
Any Additional Services Requested Details...
Field is required!
Field is required!

Building Summary

Any special key instructions to access building/risers in the day or night:
...
Field is required!
Field is required!
Car Parking: What's available and where?
...
Field is required!
Field is required!
Agreed Poster/Marketing Locations:
...
Field is required!
Field is required!
Any Additional Summary Notes:
...
Field is required!
Field is required!

List the hazards identified from above

Working at height?
  • - select a option -
  • Yes
  • No
- select a option -
Field is required!
Field is required!
Public/Vehicles?
  • - select a option -
  • Yes
  • No
- select a option -
Field is required!
Field is required!
Confined Spaces?
  • - select a option -
  • Yes
  • No
- select a option -
Field is required!
Field is required!
Weather?
  • - select a option -
  • Yes
  • No
- select a option -
Field is required!
Field is required!
Lifting/ Bending/ Setup?
  • - select a option -
  • Yes
  • No
- select a option -
Field is required!
Field is required!
Electrical/ Moving Parts?
  • - select a option -
  • Yes
  • No
- select a option -
Field is required!
Field is required!

Upload Files:

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Upload your documents...
Multiple files can be uploaded - one at a time. Each file size limit - 6 MB
Multiple files can be uploaded - one at a time. Each file size limit - 6 MB

Survey Completed By:

Name:
Your Full Name
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Field is required!
Date:
Select a date
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Email address:
Your Email Address
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Field is required!