Synergy Site Survey Form Synergy Site Survey Form Please complete the site survey form below prior to your installation date * Must be completed. Section 1 - About you Full Name * Business Name * Business Address * Postcode * Email Phone Phone Section 2 - About your new Synergy Grill What grill do you require * Synergy SG630 (600 wide) Synergy SG630SH (600 wide) Synergy Trilogy ST630 (600 wide) Synergy SG900D (900 wide) Synergy SG900DSH (900 wide) Synergy Trilogy ST900D (900 wide) Synergy CGO630 (600 wide with lid) Synergy CGO900 (900 wide with 2 lids) Synergy CGO900DUAL (900 wide with 1 lid) Synergy SG1300 (1300 wide) Synergy SG1300SH (1300 wide) Synergy Trilogy ST1300 (1300 wide) Synergy Trilogy ST1700 (1700 wide) Do you need any accessories? * Yes No Accessories Garnish Rail Slow Cook Shelf Resting Shelf Griddle Plate (ST Range only) Wok (ST Range only) Rotisserie (ST Range only) Divider Plate Would you require a stand? * Yes No If no, what are you placing the grill on? Do you require Natural Gas, LPG? * Natural Gas LPG Do you have an old grill that needs to be removed? * If Yes Complete Section 3 Yes No Section 3 - About removing your old equipment Location of existing unit (e.g. main kitchen, 3rd floor pantry etc): Same location for new install? If not, new install location: Yes No Existing item make: Existing item model: Existing item dimensions in mm (WxDxH) : Is existing unit part of a suite? Yes No Is existing item gas (LPG or NG) or electric? Natural Gas LPG Electric Section 4 - About installing your new Synergy Grill Is the gas supply size available at location of install correct? (i.e. ¾” iron)? Please note, additional charges may apply if no Yes No Is the gas supply bayonet within 1.5M of installation point? Please note, additional charges may apply if no Yes No Is electrical 13 amp supply available within 1.5 metres of grill install location? Please note, additional charges may apply if no and must not be connected to an extension lead Yes No Is new installation point completely under canopy? Please note, additional charges may apply if no Yes No Does installation have sufficient permanent Make Up Air? Please note, additional charges may apply if no Yes No Is Installation interlocked and working (not bypassed)? Please note, additional charges may apply if no Yes No Please advise MAX space available for new unit in mm (WxDxH) Floor of Installation (e.g. 2nd floor): Please note, additional charges may apply if requiring a 2 man delivery and installation Ground Floor 1st Floor 2nd Floor or Higher How many flights of stairs to manoeuvre equipment: Please note, additional charges may apply if requiring a 2 man delivery and installation 0 1 2 3 4 5 6 7 8 9 10 or more Lift available? Yes No Number of doorways to manoeuvre through: Please note, additional charges may apply if requiring a 2 man delivery and installation 1 2 3 4 5 6 7 8 9 10 or more Number of turns while manoeuvring equipment: 1 2 3 4 5 6 7 8 9 10 or more Times to avoid/access restrictions: Is parking available on site? Yes No If no, details of nearest parking and costs: Section 5 - Other information Is there any further information you feel would be useful for our engineers to know about the installation? Yes No If yes, please write here Terms & Conditions * Accept Synergy Terms & Conditions * Click Here to read our Privacy Policy or Here to read our Terms & Conditions Submit Interested? Find out more and arrange a FREE demonstration today Contact Us FollowFollowFollowFollowFollow Promoting Environmental Responsibility ✓
