Scribd
Upload
6K views6 pages

Network Site Survey-Template

The document outlines guidelines for conducting a LAN site survey for a customer. It details procedures such as sending a letter in advance to request access, conducting background checks on surveyors, filling out required forms and checklists during the survey, being accompanied by a customer point of contact, and not disturbing any equipment without permission. It also includes forms to collect customer and site information like address, contacts, network equipment details, and new installation or upgrade requirements.

Uploaded by

Satheeskumar
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
6K views6 pages

Network Site Survey-Template

The document outlines guidelines for conducting a LAN site survey for a customer. It details procedures such as sending a letter in advance to request access, conducting background checks on surveyors, filling out required forms and checklists during the survey, being accompanied by a customer point of contact, and not disturbing any equipment without permission. It also includes forms to collect customer and site information like address, contacts, network equipment details, and new installation or upgrade requirements.

Uploaded by

Satheeskumar
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
You are on page 1/ 6

LAN Site Survey

Form

PREPARED FOR

PREPARED BY

Date

PoulSAT Local Area Network Site Survey Form

Page

LAN Site Survey


Form
The following are procedural guidelines that must be followed when setting up and conducting a site survey.
1. PoulSAT will deliver in writing, at least one week in advance of the date it wishes to conduct the site
survey, a request to the relevant Customer representative noting the building(s) it would like to visit and
stating that the information gathered during the survey will be used to provide telecom or other PoulSAT
services exclusively to the customer.
2. The letter provided by PoulSAT will also include the name, and contact info of each of its representatives
who will be conducting the survey. Additionally, the letter will provide the name of a contact person;
his/her phone number and email address.
3. As photos and drawings are necessary during the site survey, PoulSAT will put this request in writing to the
relevant Customer representative to have its representatives take photographs.
4. If appropriate given the security profile of the particular building where a site survey is to be scheduled, a
background check can be conducted by customer on the representatives of PoulSAT who are seeking
entry into the building.
5. While performing the site survey all appropriate templates and checklist should be filled out. This includes
the site survey and checklist.
6. The site survey will be scheduled at a time agreeable to the customers Point of Contact.
7. At the time of the site survey, the representatives of the PoulSAT must provide proper identification, such
as a valid drivers license. The on-site Customer representative will verify these are the same individuals
whose names were provided PoulSATs letter requesting the survey.
8. The point of contact (P.O.C) or his/her designee will accompany representatives of PoulSAT throughout
their visit to the given building. If appropriate, building security personnel may also be present.
9. Representatives of PoulSAT will disturb nothing on site without the consent of the P.O.C or his/her
designee. This includes drilling into the roof, taking photographs, and moving or installing wiring or
equipment.
10. Representatives of PoulSAT will not distribute information or canvass occupants of the building during the
site survey.
11. If a follow-up visit is required, this same procedure will be followed.

PoulSAT Local Area Network Site Survey Form

Page

LAN Site Survey


Form
Customer Information
1) Company:
3) Bureau/Division Name:
4) Site and Company Hierarchy Code:

2) Sub-Company:
5) Street Address:

6) Company Point of Contact (First and Last Name, Title, Phone, Fax and Email):
7) Secondary Company Point of Contact (First and Last Name, Title, Phone, Fax and Email):
8) Company Manager (if different than above POCs):
9) Date and Time of Scheduled Survey and with Whom:
10) Site Description (include DEMARC location in the building(s) being surveyed):
11) Environmental: (Please circle one)
*Cameras Allowed On-site? Yes No
Building Manager On-site? Yes No
Secure Premises? Yes No
*Appropriate request provided to Company? Yes No

12) Course of Action

a) Ready for Transition


b) * Changes necessary for site transition
c) * Recommendations
* For b and c please use comments section for explana

13) Comments:

Cutover Checklist
I. Building/ Wiring Specifications
How many levels does building have?
Is a floor plan available?
Y
N
(If so, provide copy of plans. If not, make approximate drawing of space on back or provide a copy of the evacuation
plan.)
Provide approximate dimensions and square footage of work room and office space.
What type of ceiling in office area? Ceiling height?
What type of ceiling in workroom area? Ceiling height?
Will cable be run overhead, through floor ducts or cable conduits?
Are more electrical outlets required?

N. If yes, state quantity required:

Are conduits available? Y N If yes, size of conduit:


Is conduit empty? Y N If not how much space is available?
Will core drilling be required? Y
II. New Cable Runs:
PoulSAT Local Area Network Site Survey Form

N. State location, material and thickness to be drilled:

Page

LAN Site Survey


Form
Describe type and quantity of new cable requested:
# CAT 5 Cable Type ( ) 1Pr ( ) 2Pr ( ) 4Pr ( ) Plenum ( ) Non-Plenum
# CAT 6 Cable Type ( ) 1Pr ( ) 2Pr ( ) 4Pr ( ) Plenum ( ) Non-Plenum
Measure longest and shortest cable runs at location. Provided actual simulated installed length for cable runs.
Longest Shortest Average Run Length
Specify number of voice runs vs. data runs per faceplate if applicable:
if CAT 3 cable, terminate with ( ) RJ11 jacks? ( ) RJ45 jacks?
If CAT 5/6 cable, what type of patch panel required? ( ) Rack mount ( ) Wall mount Number of ports:
Punched down as: ( ) 568A ( ) 568B
Condition/ age of old cable?
How will cable be jacked/ terminated? ( ) RJ11 ( ) RJ45 ( ) RJ3IX for CAT 5: ( ) 568A ( ) 568B
Indicate # of cables to be reused: _____________________________________
IV. Fiber:
Is there a fiber requirement? Y N ( ) Single Mode ( ) Multi Mode
If so, how many strand fiber? ( ) 6 ( ) 12 ( ) 24 ( ) Other:
What type of termination? ( ) ST ( ) SC ( ) Other:
Fiber length in feet: _____________________________________
What will fiber connect to?
Is Innerduct required? Y N If yes, number of feet required:
V. New System Install:
Where will system be installed? (Give room number/ name):
Is there adequate space for the system? Y N
Is there adequate ventilation? Y N
Building ground available? Y N
Dedicated power source available? Y N
Battery Backup System Required? Y N If yes, # of hours:
Is RJ2IX in room where phone system is to be installed? Y N If NOT, distance to existing RJ21X
Number of instruments required: Single Line Multi Line Multi Line with Display Other
VI. If Relocating an Existing System:
If relocating an existing system provides Model / and Manufacture:
# of Stations:
Where will system be installed? (Give room number/ name):

PoulSAT Local Area Network Site Survey Form

Page

LAN Site Survey


Form
Is there adequate space for the system? Y N
is there adequate ventilation? Y N
Building ground available? Y N If NOT, distance to nearest building ground:
Dedicated power source available? Y N
Battery Backup system required? Y N If yes # of hours:
Is RJ2l X in room where phone system is to be installed? Y N If NOT, distance to existing RJ21X:
VII. Paging System:
Does it have an existing paging system? Y N Will Paging Interface be required? Y N
Is a new paging system required? Y N
Number of speakers required? Horns Bi-Directionals Ceiling/P-Tecs
Approximate speaker cable length required in feet:
Are Attenuators required? Y N If yes, give quantity:
Are zones required? Y N If yes, give quantity:
VIII. Network Upgrade / Install:
Are Local Area Network or Wide Area Network equipment and services required? If Yes, Please fill in this section.
What network equipment exists: ( ) Switch ( ) Hub ( ) Router ( ) Bridge
What style is the existing network equipment? ( ) Standalone ( ) Chassis ( ) Both
How many switch ports exist currently?
How many additional ports are needed?
What is the bandwidth being delivered to stations? ( ) 10 Mb ( ) 100 Mb ( ) 1 Gb
What is the bandwidth on the backbone (between switches)? ( ) 100 Mb ( ) 1 Gb
What is the bandwidth to servers? ( ) 100 Mb ( ) 1 Gb
How many servers are there? Please provide complete specs and location.
How many desktops are there? Please provide specs and location.
How many printers are there? Please provide specs and location.
How many laptops are there? Please provide specs and location.
What types of applications are being used?
( ) Email ( ) Internet Access ( ) File/Print Services ( ) Voice over IP
( ) Video Conferencing ( ) Application Services ( ) Database Services ( ) Other:

PoulSAT Local Area Network Site Survey Form

Page

LAN Site Survey


Form
Is the email server provided: ( ) In House ( ) ISP ( ) WAN / Headquarters
Will the customer (allow / require) a network analysis prior to upgrade / install?
Are there any offsite locations to consider?

N If Yes, How many?

Please attach a list of locations, including the type of service and bandwidth to each.
Does adequate Power and Uninterruptible power exist for additional equipment?
Does adequate Rack space exist for additional equipment?

Please provide any additional/relevant information below

PoulSAT Local Area Network Site Survey Form

Page

You might also like