Network & Site Survey Form Customer Contact Details Company Name Your Name Your email IT Dept Contact Name IT Dept Contact email Site Address Site Contact Name (if different from yourself) Site Contact email (if different from yourself) Networking (if required) Functions Required PrintScan to FolderScan to EmailFaxFax to FolderFax to Email Network SMTP IP Address (Mail Server) (If scan to email or fax to email function required) SMTP Authentication SMTP Username SMTP Password PIPs Communication – for automatic sending of meter readings and toner requests. This will ideally need to be installed on your server for maximum reliability. Customer to Supply Please tick Clear pathway and adequate space for location of machine Live and available network point by machine location (If network point is not live at installation, we will not be able to network the equipment.) Live and available power point by machine location Live and available fax point by machine location (if required) We do not provide cable management services (running cables through walls/ceilings). All points must be within 2 metres otherwise extension cables will be required (see clause 5 below). Network Details Static TCP/IP Address Sub Net Address Gateway Address DNS Server Addresses Company Email Address Operating Systems (Windows and Mac) Specialist software/network configuration Number of PCs to be set up to print Any other relevant information/Additional work/requests Clauses Network installation applies to up to half a day on site. Allied Office Machines reserves the right to charge for any additional time required. Please ensure network is installed and live before installation. If network is not ready at the time of installation Allied Office Machines will send an engineer within one calendar month before charges are applied. Allied Office Machines accept no responsibility for problems with the software, PC’s or server once installed on a network. All IT call-outs placed after installation will be charged at £89.00 + VAT (includes 30 minutes) and £22.25 + VAT per 15 minutes subsequently. Allied Office Machines reserves the right to charge for any additional work that is not detailed on this document. Additional cables and hubs are at the customer’s expense. Allied Office Machines can supply pricing for these if required. Site Survey What floor of the building is the machine going to be installed? Ground FloorFirst floor or higher If the machine is going upstairs, what is available for access? A liftStraight set of stairsStairs with bends or turns Are the stairs wide enough for 2 people to carry machine up, or to use a stair climber? Too narrow to go upstairs2 people can go upstairsStair climber can be used Park outside front door of office Park outside front door of officeCompany car park availableRoadside parkingNo parking available Are there any steps leading to the entrance of the office/building? YesYes, but can be avoidedNo Is there a free pathway from front door to machines install location? i.e. Plant pot in hallway, door that needs to be removed or desks in the way Free pathwayDoors need removingItems in the way Please try to make sure a free pathway is clear on the day of installation or this can cause delays to work and a machine being stuck in peoples paths . Any additional notes to help ensure a smooth installation on the day. Signature Name Date
