Your Name Your Address Contact Person Name Contact Person Number Contact Person Email Alternative Contact Number Wall Type Select Wooden Cemented Others Wall Condition Select Good Require Repairs Wall Dimention (in feet) Ceiling Height (in feet) Electrical Parameters Voltage (230V +/- 1%) Select Yes No 5A Socket Available for Power Suppy Select Yes No 15A Socket Available for Power Suppy Select Yes No Adequate No. of Sockets for Power Suppy Select Yes No Proper Earthing (<5 Ohms) Select Yes No UPS/Stabilizer Select UPS Available Stabilizer Available Both are Available Both are Not Available Any Plan for cable routing Select Yes No Environmental Factors Ambient Temperature Select 0°-10° 10°-20° 20°-30° 30°-40° 40°-50° 50°-60° 60°-70° Humidity Select 10% - 20% 20% - 30% 30% - 40% 40% - 50% 50% - 60% 60% - 70% 70% - 80% Adequate Lighting Available Select Yes No Easy Access for Personnel Select Yes No Easy Access for Equipment Select Yes No Safety and Compliance Fire Safety Measures in Place Select Yes No Emergency Exits Available Select Yes No Adheres to Local Regulations and Building Codes Select Yes No Select Installation Schedule Select Installation Time (Working Hours) Interactive Panel Installation Quantity If any Special Instructions Documentation Site Plans and Layouts are obtained and reviewed Select Yes No Photos Taken Select Yes No If any Detailed Notes Made Select Yes No Additional Notes: Submit
