Updated_Telecom Site Survey Form

TELEPHONY SITE SURVEY FORM GENERAL SITE INFORMATION

What are the hours of operation at location? Building style

Tower

Campus

Office Bldg.

Customer occupies which floors of building? Customer sp space is is

Office/Professional

Strong Union presence?

Ye s

No

Retail St Store Is there a:

Institutional/School

Loading dock

Factory/Industrial

Elevator

Freight Elevator  

DMARC/MPOE location: Humidity and temperature properly controlled by HVAC? Ceilings are: Floor is: Furniture is:

Drop tile

Lock tile

Rasied tile Desks

Permanent

Ye s

No

Exposed beam/trussels

Ceiling height

Concrete Modular

PBX room is located on which floor?

Is it secure?

Dimensions of PBX room (HxWxL) Condition of PBX room: Type and location of spare electrical outlets in PBX room Is there a #6 grounding bar in PBX room PBX is mounted on:

Floor

Wall

Yes Shelf

No

Plywood on walls 19" rack

25" rack

Yes Other  

No

Yes

No

EXISTING PBX SYSTEM/PBX EQUIPMENT INVENTORY

PBX Manufacturer

PBX Model

Software Release

Modem #

Software/backup method:

Flash Card

Tape Drive

Floppy Drive

CD Drive

Network  

Please list all information on flash card or tape: System has:

Maintenance Terminal

PBX Input Power

120V/20A

Total number of cabinets

Printer 120V/50A

208V/30A

Total number of CO Trunk ports Yes

Other   Shelves per cabinet

Total number of T-1/PRI ports No

Remaining UPS capacity UPS Model

120V/20A

Media Server  

Total number of Analog Telephone ports

UPS Manufacturer UPS Inp t Po er

-48VDC

Cabinet dimensions (HxWxL

Total number of Digital Telephone ports

Is the PBX on a UPS?

Signalling Server

208V/30A

Other  

<25%

25-50%

51-75%

>75%

   /     S    0     M    0     5   :     D    e    /     S    p    0    y     M    0     T    1    D    h     S    c    t     M    i     D     w     S     O     C    I

   ?    o    t     S    I     N     D    0    0    8    e    t     S    u    I    o     N     R     D    r    e

CARRIER Name

Trunk or  Station?

Carrier Repair  No.

Billing Telephone Number

Number

Destination

DMARC location & Block

Termination type (66 block, 110 block, RJ21x, etc.)

DID

Type

In-building Location

PBX or PSTN

Hunt Group member 

Loop Start Ground Start E&M

Purpose

PIC

Incoming Outgoing Both

First Name

Last Name

Set Type/Model

User ID

Main Extension

2nd Extension

Outside Caller ID

Fwd-Busy Voice Mail or  Extension

Fwd-No Answer  Voice Mail or  Extension

Class of Service Phone: Internal, Local, Local/LD, etc«

Pick Up Group

Assigned Services Paging, Ext Mobility, Fast Dials, etc

SIDE CAR

Long Handset Cord?

Headset Required?

Shoulder  Rests needed?

Wall Mount Required?

ACD Agent: Yes Call Center Group or No? (by area)

NOTES

OPERATOR CONSOLES Qty

Manufacturer

How many operator consoles/phones have adjunct devices?

Model

Color

Power source:

Local

# of feature buttons

Bulk  

TELEPHONY ADJUNCTS

Yes

Music on hold

No

Connects to PBX how?

MOH Manufacturer  Media type:

MOH Model

Tape

CD

Yes

Overhead Paging

Radio

No

Muzak

Satellite

Phone line download

Connects to PBX how?

Paging Manufacturer

Paging controller model

Paging Amplifier model

Input

Paging dimensions (HxWxL)

How many zones can a user page?

Yes

Call Accounting

No

CAS Model

Monitor

Printer

Buffer box

CAS dimensions (HxWxL)

ACD/Call Mgmt system

Announce ments ar e: Call Recording?

Network connection

UPS

Other  

CAS estimated weight

Yes

No

Connects to PBX how?

Manufacturer System includes

Output

Connects to PBX how?

CAS manufacturer CAS includes:

mp3

Model Network connection internal to PBX Yes

No

Call recording manufacturer/model:

UPS

Wallboard

pr ovided by VM

Operating software CD/Tape/Disks provided by exter nal announcer  

Are there any spare voice ports available

Yes

Connection to PBX:

Serial cable

Voice ports only

Distance from PBX

No

If yes, how many? Patch cord

Distance from Customer's network

Through customer 's network   Is the VM on a UPS?

UPS Manufacturer

UPS Model

UPS dimensions (HxWxL)

UPS estimated weight

VM is mounted on:

PBX

VM system includes:

Tower PC

Are the following on-site:

Floor

Wall Monitor

Table

19" rack

Printer

External CD drive

Operating software CD/Tapes/disks

E911 Onsite Server or Hosted Service?

Yes

No

If onsite server how is it connected? Manufacturer If hosted service how is it routed?

Model

25" rack

Yes

Other   External Tape drive

Backup tapes/disks

No

DID INFO/CALL FLOW

What are the hours of operation?

How are calls answered during normal business hours? How are calls answered during off hours? Is there an auto-attendant?

Yes

No

If yes, is it

internal to PBX

VM

External device

Is there toll-free #'s routing through the system? I s ther e a night- be ll or r inger?

Y es

No

If yes, wher e is it locate d?

Can callers dial direct to an individual telephone (DID)?

Yes

Can use rs dial another location by dia ling just an extension number ? Digits sent by the PBX send?

Location DID ranges:

What is the outbound caller-id shown? Are there any E911 requirements?

Are CAMA trunks being used?

No Yes

No

# of loc ations

Remote users/Mobility features Is there any remote workers?

I s any softphone c lients used?

Additional mobility features used?

Yes

Y es

No If yes, is any special equipment used?

No If yes, what ver sion/rls. ?

VOIP

Is there a vlan?

Is there SIP trunks?

Yes

No

Yes

Is there QOS?

No

Yes

No

ADDITIONAL COMMENTS