Access Control Site Survey Form

Jim 770 402 0831

Mike 404 713 9265

Customer # _______________________________________________________________________
In order to quote the right equipment, please fill out this site survey form and e-mail it to
Name _______________________________________________________________________
In order
ourto quote
sales the right equipment,
department please fill outOr
at espparts@gmail.com. thiscall
site survey form and
1-800-595-5006 withe-mail
any it to
our sales department
questions. at espparts@gmail.com.
(Please reference ANSI/NFPA101Or call 1-800-595-5008
Life Safety Code when withinstalling
any questions. Phone number _______________________________________________________________________
locking products)
(Please reference ANSI/NFPA101 Life Safety Code when installing locking products) Email address _______________________________________________________________________

How would you describe your current access control needs? Door swing
In-Swing
Looking for a new system Out-Swing

Looking to expand current system

Looking to replace current system Existing door hardware
Mortise
Number of doors being controlled? Knob set
Interior Dead bolt
Exterior Exit bar

Number of buildings? Request-to-exit device

Motion sensor
What type of locks are required for each door?
Push-button
Electric Strikes Touch sensitive exit bar
Magnetic Locks Mechanical exit bar
Other _____________________________________________________________________
What reader technology is desired?
Keypad Voltage requirements
Mag Stripe 12VAC
Proximity 12VDC
Proximity/Smart Card 24VAC
Biometric 24VDC

What type of credential will you be using? What are the wiring distances between the controller, lock power, and the doors?
Keyfob
Magstrip
Proximity Card
Smart Card
Card Tag Is a TCP/IP connection required?
Yes
Number of cardholders No
Not sure
Door material

Wood Will this system integrate with CCTV?

Metal Yes
Glass No
Other ___________________________________________________________________
How long does the system, including locks, need to operate in the event of a power failure?

Door frame material

Wood
Metal What is your buying timeframe for this system?
Glass ASAP
Other ___________________________________________________________________ Within the next month
Within the next two months
Door type More than two months

Single

Double Are there any emergency exits? How many? ____________________________________

Parking gate