Synergy Site Survey Form

We recommend your dealer/installer survey your site especially if the changes to your cookline involved are complex. This sheet is designed to help you consider some of the key factors before engaging your dealer/installer.
* Must be completed.

Section 1 - About you

Full Name *

Business Name *

Business Address *

Postcode *

Phone

Section 2 - About your new Synergy Grill

What grill do you require *

Do you need any accessories? *

Accessories

Would you require a stand? *

If no, what are you placing the grill on?

Do you require Natural Gas, LPG or Electric? *

Do you have an old grill that needs to be removed? (Maximum Size we can remove is 1704mm x 540mm x 705mm) *

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:

Existing item make:

Existing item model:

Existing item dimensions in mm (WxDxH) :

Is existing unit part of a suite?

Is existing item gas (LPG or NG) or electric?

Section 4 - About installing your new Synergy Grill

Is the gas supply size available at location of install correct? (i.e. ¾” iron)?

Is the gas supply bayonet within 1.5M of installation point?

Is electrical 13 amp supply available within 1.5 metres of grill install location?

Is new installation point completely under canopy?

Does installation have sufficient permanent Make Up Air?

Is Installation interlocked and working (not bypassed)?

Please advise MAX space available for new unit in mm (WxDxH)

Floor of Installation (e.g. 2nd floor):

How many flights of stairs to manoeuvre equipment:

Lift available?

Measurement of inner frame of narrowest doorway:

Number of doorways to manoeuvre through:

Number of turns while manoeuvring equipment:

Times to avoid/access restrictions:

Is parking available on site?

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?

If yes, please write here

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