Htg trading ltd (hubbard systems) checklist
Site survey - supply of equipment (rev2)
What does this form include?
This form contains 21 sections:
Name of Client:
Contact Name for Site:
Site Telephone number:
Select Reason for replacement Equipment:
Site 'Ice' estimate per 24 hours:
Reason for Site Survey:
Current equipment details -
Existing Equipment (Model & Serial Number):
- Why does existing equipment require replacing ?
Photograph of Existing Equipment.
Current location (Cellar, Bar etc) -
Current Location of Equipment:
- How is the current unit cooled ?
Equipment Accessories :
- Water filter required ?
- Condensate pump required ?
Removal of Existing Equipment:
- Will any redundant equipment require removal ?
Equipment Service Information:
- Are current services adequate for the equipment:
- Is current electrical supply adequate ?
- Water supply terminated with a washing machine style stopvalve ?
- Waste Drainage suitable for use ?
Services - Further comments (if required):
Please supply any relevant photographs of the units current or intended location:
Enter current ambient temperature of current or intended location:
Enter known current external temperature (as a reference):
Health & Safety Information:
- Permit to Work Required ?
- Method or Risk Assessments Required ?
- Site Induction Required ?
- Personal ID or Company Liability Insurance Required ?
Name/Position of Site Representative present :
Use this template