Site Survey Only — Mountain Top Telecom

Customer name

Full name of customer paying for this account

First Name

Last Name

Engineer Name

Engineer(s) that performed site survey

Tower(s) Attempted

Name of tower(s) you attempted to find a signal from

Tower(s) you found a signal from

Towers you found a signal from (even if weak)

Radios Used for Site Survey

List the radios you used to find a signal

Speed Test Results

Run a speed test from any signal you find. Record results.

Date of Site Survey

YYYY

Time Site Survey Took Place

ie: 2pm-3:45pm

Travel Time & Hours

Log how long your travel time was to get to the client site. Log hours worked for this install.

Usable Signal Found?

Yes

Customer present at site survey?

Yes

NOTES

Explain where you looked for the signal on their property. If SS was successful, but they could not install at that time, detail here when they said to return for the install.