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    Site Survey Form

    ersion

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    #

    Contents

    Contents #

    $ables %

    Figures &

    'bout $is Site Survey Form

    *istory

    +evie,

    Site Details -

    .lectrical Considerations &

    Cabling -

    Net,or0 Syncroni1ation ##

    Carrier Circuits #2

    Periperal Data Communications .3uipment #4

    Periperal oice Communications .3uipment #5

    Site Survey Completion %#

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    %

    $ables

    $able +evision *istory

    $able # +evision +evie,

    $able % Site Details -

    $able 2 Site Details (cont") #

    $able & .lectrical Considerations &

    $able 4 Cabling -

    $able Net,or0 Syncroni1ation ##

    $able 5 Carrier Circuits #2

    $able - Periperal Data Communications .3uipment #4

    $able 6 Periperal oice Communications .3uipment #5

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    2

    $ables

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    &

    Figures

    Figure Site 7ayout

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    4

    Figures

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    'bout $is Site Survey Form

    Author:

    !hange Authorit":

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    5

    'bout $is Site Survey Form

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    -

    Site Details

    #" ;at is te siteC778/code

    %" ;at is te site address

    2" ;at is te sippingaddress

    (if different from the above)

    &" ;o is te site contact Name:

    Title:

    Telephone:

    +obile:

    (a0:

    1ager:

    2mail:

    Out of hours contact number:

    4" 8s tis site o,ned andmaintained by tecustomer

    3es/No

    4ho:

    " 8s tis a manned site 3es/No

    5" ;at are te ours o9operation

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    6

    Site Details

    -" ;at is te number o9 tetelepone nearest to teCisco e3uipment and itslocation

    Telephone:

    ocation:

    6" ;at are te building and

    room access procedures(For example, must visitingpersonnel be escorted bycustomer personnel?)

    " 're tere any specialsecurity/sa9etyprocedures

    (such as safety glasses, safetyshoes, and hard hat areas)

    3es/No

    4hat:

    #" ;at is te name andnumber o9 te site

    coordinator ,o isresponsible 9or ensuringtat te site is preparedade3uately 9or teinstallation o9 te Ciscoe3uipment

    Name:

    Telephone:

    %" ;at ,ill te cabinetlocation be

    (loor:

    #oom:

    1osition:

    1rovide a diagram/s or setch/es of the e-uipment location/s to include the following:

    All !isco e-uipment locations

    1ower receptacle locations 5wall, post, or under raised floor6

    !ircuit breaer locations and circuit breaer number

    Telco demarc locations

    $$( locations

    !able tra" locations

    ocation of other devices

    4here applicable, also include diagrams that the route e-uipment must follow to reach this location whenit is delivered to the customer site.

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    Site Details

    7e0ample8

    Figure 1 Site Layout

    P1

    P1

    Manchester

    Harbour xchange

    !elehouse "eeds

    dinburgh#irmingham

    #ay 1

    P1P$

    P1

    P1 P1

    %&1$'' P1P$

    P$

    "*P$

    P1

    P1 P1

    &1P1

    P1

    P1P$

    P1

    P$P1

    P1

    &$

    %&1$''"*

    &1&$

    +loucester oad

    -hancery "ane

    eading

    arth

    Pro.ect Manager/Pro.ect ngineer/0escription/

    evision /2riginal 0ate/

    -ustomer/

    -isco Pro.ect !eam

    1$314

    5$346* outer

    5$346* outer

    -atalyst &7itch

    +igabit &7itch outer

    P$

    P1

    &1

    0- po7er%- po7er

    arth

    #ay $

    #ay 8

    6P solution

    %- po7er disribution

    %- po7er disribution

    %- po7er disribution

    M& 9 6Psc

    %nti9static table

    -ustomer rac:s

    -isco Pro.ect !eam

    &torage

    &torage

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    %

    Site Details

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    2

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    &

    .lectrical Considerations

    " 8s te correct 'C po,ersource available

    (fused 7ithin $m of the -iscoe;uipment position)

    3es/No

    )oltage range:

    ocation:

    #" 8s te correct DC po,ersource available

    (fused 7ithin $m of the -isco

    e;uipment position)

    3es/No

    )oltage range:

    ocation:

    %" ;ill te Cisco e3uipmentbe po,ered 9rom a =PS('C) or battery bac0up(DC)

    3es/No

    91/;atter"

    2" Does te bac0up po,ersource ave su99icientcapacity 9or tis ne,e3uipment

    3es/No

    !apacit":

    &" Does tis site aveadditional bac0up 9romgenerator po,er

    3es/No

    $etails:

    4" 're tere any restrictionsas to ,en te Ciscoe3uipment migt bepo,ered up

    3es/No

    $etails:

    " 're tere any #26v 'Coutlets available ,itin #mo9 te Cisco e3uipment 9orperiperal e3uipment

    (such as P-s, test e;uipment)

    3es/No

    *ow man":

    $istance:

    ocation:

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    4

    .lectrical Considerations

    5" 8s tere an isolated eartpoint available close to teCisco e3uipmentposition

    3es/No

    $istance:

    ocation:

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    .lectrical Considerations

    -" ;at is te agreed plan torecti9y any outstandingpoints 9rom tis sectionand any notes or specialcomments 9or teimplementation team

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    5

    .lectrical Considerations

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    -

    Cabling

    " *as te cable scedule9rom te S+S documentbeen discussed and doeste customerunderstand/agree ,it tere3uirements

    3es/No

    #" 're cables tat aree!ternal to te cabinets to

    be installed(such as rac: to rac:, 00F topatch panel)

    3es/No

    !able run length 5m6:

    !able run route:

    %" 're e!ternal cablinglengts ,itin tedistances re3uired by tee3uipment to avoid signaldegradation

    3es/No

    +a0 cable length:

    2" ;ere Cisco ,ill beinstalling cables tat aree!ternal to te cabinetsare tere restrictions on

    ,en cables migt bepulled over cable trays orunder te 9loor

    3es/No

    $etails:

    &" Do local 9ire codesstipulate tat specialcables are mandatory

    3es/No

    !able spec:

    4" 're additional overeadcable trays drop posts oroter trun0ing re3uired toinstall te Ciscoe3uipment

    3es/No

    #esponsible part":

    !ompletion date:

    $etails:

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    #6

    Cabling

    " 8s tere su99icientclearance under overeadcable trays

    3es/No

    !learance 5mm6:

    5" 89 a raised 9loor e!ists issu99icient space available

    9or routing cables

    3es/No

    $epth of space 5mm6:

    -" ;at is te agreed plan torecti9y any outstandingpoints 9rom tis sectionand any notes or specialcomments 9or teimplementation team

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    #

    Cabling

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    ##

    Net,or0 Syncroni1ation

    3es/No

    #" 89 yes ,at level o9S$+'$=? accuracy doesit con9orm to

    T#AT9+ level:

    ocation:

    $etails:

    %" 're tere oter @uilding

    8ntegrated $iming Sourcescon9igured at tis site

    3es/No

    ocation:

    $etails:

    2" 89 te cloc0 source as yetto be implemented ,at iste due date 9or itscompletion

    $ate:

    T#AT9+ level:

    ocation:

    $etails:

    &" *ave primary andsecondary timing

    connection assignments9or te Cisco e3uipmentbeen reserved

    3es/No

    $etails:

    4" ;at is te agreed plan torecti9y any outstandingpoints 9rom tis sectionand any notes or specialcomments 9or teimplementation team

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    #%

    Net,or0

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    #2

    Carrier Circuits

    (e8,&!M91 7ith single9modefibre and &- connector)

    Destination Circuit $ype/Presentation

    %" 89 telco circuits areto be presented viaa DDF ,at are tetermination bloc0identi9iers 9or botte telco circuitsand te cables tatconnect to teCisco e3uipment

    (such as frame 0,horiontal@verticallocator, termination 0)

    Destination Carrier Circuit DDF$ermination @loc0 8D

    Cisco .3uipment DDF$ermination @loc0 8D

    &" ;at is te agreedplan to recti9y anyoutstanding points9rom tis sectionand any notes orspecial comments9or teimplementationteam

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    #&

    Carrier Circuits

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    #4

    Periperal Data Communications.3uipment

    " ;ill a datacommunicationsCP. be connectedto te Ciscoe3uipment at tissite

    (such as02A1@-isco$=31@*$1 interface 7ithexisting 0#1= malecable running Frameelay at 1'B> :bps)

    Customer Device 8D ?anu9acturer/ ?odel 8nter9ace/Cabling

    &" ;at is te agreedplan to recti9y anyoutstanding points9rom tis sectionand any notes orspecial comments9or teimplementationteam

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    #

    Periperal Data Communications .3uipment

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    #5

    Periperal oice Communications.3uipment

    " ;ill any voicecommunicationsCP. be connectedto te Ciscoe3uipment at tissite

    (such as0P#*1@ricssonM0113@1 +0P&& to remote siteP#*)

    Customer Device 8D ?anu9acturer/ ?odel 8nter9ace/Cabling

    &" 89 P@A circuits areto be presented viaa DDF ,at are tetermination bloc0identi9iers 9or botte P@A circuitsand te cables tatconnect to teCisco e3uipment

    (such as frame 0,

    horiontal@verticallocator, termination 0)

    Circuit 8D P@A Circuit DDF$ermination @loc0 8D

    Cisco .3uipment DDF$ermination @loc0 8D

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    #-

    Periperal oice Communications .3uipment

    " Detail te P@Aprimary andsecondary cloc0sources ascurrentlycon9igured"

    5" ;at is te agreedplan to recti9youtstanding points9rom tis sectionas ,ell as anynotes or specialcomments 9or teimplementationteam

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    %6

    Periperal oice Communications .3uipment

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    %

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    'cceptance Certi9icate

    Site Survey Completion

    !ertificate t"pe: "#escription o! Si$n%o!!&

    "stem description: "Customer N'me (ple'se do not include ' lo$o) 'nd *ro+ect,#eliver'ble N'me&

    $ocument version: -ersion ".&

    This ite urve" (orm has accuratel" captured the status of relevant ph"sical, electrical, and environmental

    re-uirements for all the e-uipment to be installed at premises at .

    The site surve" at has been completed and agreed actions recorded for all sections.

    1lease note an" comments below.

    /or 'nd on beh'l! o! Cisco Sstems0

    Name: ignature: $ate:

    51rint6 5ign6

    /or 'nd on beh'l! o! "Customer&0

    Name: ignature: $ate:

    51rint6 5ign6

    !omments, variations or caveats:

    This A!!21TAN!2 !2#T(!AT2 is to be completed/signed and returned to the !isco "stems proect

    manager.

    Corpor'te 1e'd2u'rters0 Cisco Sstems3 Inc.3 456 7est T'sm'n #rive3 S'n 8ose3 CA 9:4;SA

    !op"right = &&? !isco "stems, nc. All rights reserved.

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    'cceptance Certi9icate

    "Check this document '$'inst the !ollowin$ 2u'lit criteri'0

    1's this SS/ been checked to ensure consistenc 'nd 'ccur'c in0

    Spellin$ 'nd $r'mm'r

    Ch'pter re!erences

    ?uestion numberin$

    @ener'l !orm'ttin$ 'nd loc'tion o! p'$e bre'ks

    *'$e numberin$ 'nd d'te !orm'ts

    #oes this SS/ det'il how unresolved items will be corrected 'nd how the will be !ed b'ck to the

    customer 'nd pro+ect te'ms

    #oes this SS/ cle'rl spell out the responsibilities o! di!!erent p'rtiesCisco,p'rtner 'nd customer

    1's this SS/ been discussed 'nd '$reed with the customer,user 'nd ' si$n%o!! obt'ined

    Is the process !or de'lin$ with test !'ilures cle'rl understood

    Is it cle'r th't i! the site is not re'd3 or i! subse2uent problems 're !ound3 such issues could del' the

    implement'tion

    1've 'll inst'nces o! "Customer& been repl'ced b the customer n'me

    Is there 'n rem'inin$ tet in "& or D br'ckets

    I! ' p'rtner h's produced this document3 h's the ori$in'l Cisco !orm'ttin$ 'nd stlin$ been

    ret'ined

    Cross%re!erences should be included where 'pplic'ble to e'se *C%b'sed re'din$. (Insert %& Cross%

    re!erence %& Re!erence tpe %& 1e'din$ %& Insert re!erence to %& 1e'din$ tet).

    7here possible3 documents should be sent to the customer in *#/ !orm't. This s'ves on the

    document !ile siFe 's well 's securin$ the in!orm'tion cont'ined within it. Gou c'n downlo'd the

    so!tw're to convert 7ord3 Ecel3 'nd other documents to *#/ !orm't !rom So!tTr'cker ('t

    http://wwwin'download.cisco.com) under the he'din$ Adobe Acrob't

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