Appendix F: Site Survey Form

Please note that all fields marked with an asterisk (*) are required.

Site Details

Site Name*

 

Site Code*

 

Site Address*

 

Person In-Charge*

 

Contact Number*

 

Installation Date Time*

Monday to Friday (9am - 6pm) or others

 

Counter Proposed Location

Ceiling Height (metre)*

 

Ceiling Composition*

Type of ceiling (plastered ceiling, glass ceiling or synthetic drop tile) and colour.

Door Width (metre)*

 

Floor Slope*

 

Head-end Distance (metre)*

Distance from the back-office comms cabinet with router and midspan to the counter head.

Remarks

 

Sketch of Counter Position

 

 

Counter Proposed Location [Optional]

Ceiling Height (metre)*

 

Ceiling Composition*

Type of ceiling (plastered ceiling, glass ceiling or synthetic drop tile) and colour.

Door Width (metre)*

 

Floor Slope*

 

Head-end Distance (metre)*

Distance from the back-office comms cabinet with router and midspan to the counter head.

Remarks

 

Sketch of Counter Position

 

Updated on February 1, 2021