SITE SURVEY REPORT

Hub Copy
Organisation Name Site Code
Address Contact Person

Region
City Request Date
State Completion Date
Pin Code
Telephone Number Change Address
Mobile Number
Product Type :

S.No. Item Description Yes / No Remarks

1 UPS available and Specification If Yes KVA
2 UPS Installed If No UPS KVA Required
3 UPS Online with Isolation
4 UPS without static bypass
5 Dedicated EarthPit Available
6 EarthWire to be laid from Earthpit to ODU
7 EarthWire to be laid from Earthpit to IDU
8 Landlord Clearance Required
9 Air Conditioning Available
10 Any Platform Construction/Leveling Required for ODU
11 Any Special Iron Struction/Ladder Required
12 For Laying IFL Cable any digging of Road etc, required
13 UPS Power Points are available for IDU
14 Is the site Ready for ODU Installation
15 Is the site Ready for Commissioning
16 Site Clear for Satellite Position
Latitude DEG MIN SEC North Azimuth
Longitude DEG MIN SEC East Elevation

Height of Antenna
Meters Satellite Mean Sea Level
From Ground Level
Name of the Nearest Airport
Distance from the Airport Kms Site Type New Shifting Antenna Size Metre
Length of IFL Cable (In Feet) Feet Band C XC KU Franchisee Name

NOTE : HECL CS Benchmark for completion of this activity is 3 to 5 days

Yes/No If any deviation, was due to :
There was no deviation from Benchmark for completion of this activity
There was a deviation from Benchmark for completion of this activity

Sign of the Customer : Sign of the Franchisee Engg: Sign of TM :

Name : Name : Name :
Date : Date : Date :
SITE SURVEY REPORT
Region Copy

Organisation Name Site Code

Address Contact Person

Region
City Request Date
State Completion Date
Pin Code
Telephone Number Change Address
Mobile Number

Product Type :

S.No. Item Description Yes / No Remarks

1 UPS available and Specification If Yes KVA
2 UPS Installed If No UPS KVA Required
3 UPS Online with Isolation
4 UPS without static bypass
5 Dedicated EarthPit Available
6 EarthWire to be laid from Earthpit to ODU
7 EarthWire to be laid from Earthpit to IDU
8 Landlord Clearance Required
9 Air Conditioning Available
10 Any Platform Construction/Leveling Required for ODU
11 Any Special Iron Struction/Ladder Required
12 For Laying IFL Cable any digging of Road etc, required
13 UPS Power Points are available for IDU
14 Is the site Ready for ODU Installation
15 Is the site Ready for Commissioning
16 Site Clear for Satellite Position

Latitude DEG MIN SEC North Azimuth

Longitude DEG MIN SEC East Elevation

Height of Antenna
Meters Satellite Mean Sea Level
From Ground Level
Name of the Nearest Airport
Distance from the Airport Kms Site Type New Shifting Antenna Size Metre
Length of IFL Cable (In Feet) Feet Band C XC KU Franchisee Name

NOTE : HECL CS Benchmark for completion of this activity is 3 to 5 days

Yes/No If any deviation, was due to :
There was no deviation from Benchmark for completion of this activity
There was a deviation from Benchmark for completion of this activity

Sign of the Custome Sign of the Franchisee Engg: Sign of TM :

Name : Name : Name :
Date : Date : Date :
SITE SURVEY REPORT
Finance Copy

Organisation Name Site Code

Address Contact Person

Region
City Request Date
State Completion Date
Pin Code
Telephone Number Change Address
Mobile Number

Product Type :

S.No. Item Description Yes / No Remarks

1 UPS available and Specification If Yes KVA
2 UPS Installed If No UPS KVA Required
3 UPS Online with Isolation
4 UPS without static bypass
5 Dedicated EarthPit Available
6 EarthWire to be laid from Earthpit to ODU
7 EarthWire to be laid from Earthpit to IDU
8 Landlord Clearance Required
9 Air Conditioning Available
10 Any Platform Construction/Leveling Required for ODU
11 Any Special Iron Struction/Ladder Required
12 For Laying IFL Cable any digging of Road etc, required
13 UPS Power Points are available for IDU
14 Is the site Ready for ODU Installation
15 Is the site Ready for Commissioning
16 Site Clear for Satellite Position

Latitude DEG MIN SEC North Azimuth

Longitude DEG MIN SEC East Elevation

Height of Antenna
Meters Satellite Mean Sea Level
From Ground Level
Name of the Nearest Airport
Distance from the Airport Kms Site Type New Shifting Antenna Size Metre
Length of IFL Cable (In Feet) Feet Band C XC KU Franchisee Name

NOTE : HECL CS Benchmark for completion of this activity is 3 to 5 days

Yes/No If any deviation, was due to :
There was no deviation from Benchmark for completion of this activity
There was a deviation from Benchmark for completion of this activity

Sign of the Customer : Sign of the Franchisee Eng Sign of TM :

Name : Name : Name :
Date : Date : Date :
SITE SURVEY REPORT
Customer Copy

Organisation Name Site Code

Address Contact Person

Region
City Request Date
State Completion Date
Pin Code
Telephone Number Change Address
Mobile Number

Product Type :

S.No. Item Description Yes / No Remarks

1 UPS available and Specification If Yes KVA
2 UPS Installed If No UPS KVA Required
3 UPS Online with Isolation
4 UPS without static bypass
5 Dedicated EarthPit Available
6 EarthWire to be laid from Earthpit to ODU
7 EarthWire to be laid from Earthpit to IDU
8 Landlord Clearance Required
9 Air Conditioning Available
10 Any Platform Construction/Leveling Required for ODU
11 Any Special Iron Struction/Ladder Required
12 For Laying IFL Cable any digging of Road etc, required
13 UPS Power Points are available for IDU
14 Is the site Ready for ODU Installation
15 Is the site Ready for Commissioning
16 Site Clear for Satellite Position

Latitude DEG MIN SEC North Azimuth

Longitude DEG MIN SEC East Elevation

Height of Antenna
Meters Satellite Mean Sea Level
From Ground Level
Name of the Nearest Airport
Distance from the Airport Kms Site Type New Shifting Antenna Size Metre
Length of IFL Cable (In Feet) Feet Band C XC KU Franchisee Name

NOTE : HECL CS Benchmark for completion of this activity is 3 to 5 days

Yes/No If any deviation, was due to :
There was no deviation from Benchmark for completion of this activity
There was a deviation from Benchmark for completion of this activity

Sign of the Customer Sign of HCIL Representative

Name : Name :
Date : Date :