RISK ASSESSMENT / SURVEY SHEET

1. Subscribers name & address

2. Site address(if different)

Risk assessment (alarms)

Type of premises/business

What is the system expected to detect an attack against? (i.e. risk target(s).

Estimated max loss

£

Previous theft history

No of incidents

Value if losses

Level of crime in area (circle)

Client not prepared to provide details

Occupation considerations

Expected response e.g. police/keyholder

Note: contracted keyholder service must be SIA licensed

Required grading (circle)

1

2

3

4

Environment class

Environment class

Environment class

Environment class

Hazards & Site Risks (Health & Safety).

All risks that affect anyone visiting the site (e.g. installation and service engineers).Examples include working at high level also site has petrol, chemicals, settlement tanks, river frontage. ammunitions, high voltage electricity, toxic materials, swimming pools, razor wire, open pits or basements. (if no hazards state none).

Invoice address 1 or 2 (above)

Where more than one condition below exists tick all relevant boxes

Below insert number of transmission systems required by grade e.g. Audible 2

Confirmed alarm technology, where more than one condition below exists tick all relevant boxes

Type of service plan required (tick box)

System unsetting method (circle)               *Not acceptable to insurers

Subcontractors name & costs

Notes for engineer

Brokers commission payable

Checked

Date