Your company name Name / Number order Office use only

Customer Order Ref placed under

Order No

Dimensions required for a fan and quarter landing

. . . . . .
. . . . . . . . . . . . . . . . . .
. . . .

. . . . . . required
Dimensions . . . . .for. internal
. . . . tracks Dimensions required for irregular stairs

Include all other dimensions relevant to fan, quarter and half landings and stairs

Please detail any intrusions above stringers , i.e. Handrails, pelmets , window cills etc.

All dimensions shown are required.

Note : If any walls, newel posts or stair rails are not vertical and are leaning into the stairs, then
all affected dimensions must be taken 1m up from the stair level.

Direction of travel from the bottom up must be shown

All measurements must be from stringer/skirting with stringer/skirting detailed on 3rd sheet

Confirmation of contract review (To be signed by a member of management team)

All aspects of the above survey and drawing are acceptable and achievable
Signed Office use only Print Name Office use only Date Office use only
QMS 51 Issue 0 Effective 28/07/08 Authorised
Platinum Stairlifts- Survey Sheet Guidelines
Unit 10, The Crossings,
Crosshills Business Park, Crosshills, Surveyor
Keighley, West Yorkshire, BD20 7BW
Tel: 01535 631177 Date / /
Fax: 01535 631188
Email: enquiries@platinumrails.com Order No.
Customer Details
Customer Name / Name / Number order placed o
Anticipate N of trips/Day
Order Ref : under
Address: A Measure users seated height
from chair
Installation or B Measure seat to floor
delivery address C Measure users back to knee
D Measure users back to toe

Weight Estimate users weight

Measure users height
Height standing
Disability / Condition
Describe users condition
Tel: Customer phone number
Chair Configuration Model Staircase Configuration Material
Controls Upside Platinum Curved Wood
Controls Downside 250
260 Concrete
Joystick
Buttons Specify model, Tick box Marble
Swivel Metal
Lap Harness Power Swivel
Specify swivel, Tick box
Stone
Lap-Diag Harness Specify which configuration is needed
and whether an external or internal lift ...........
Full Harness Upholstery Colour would suit better Check stair
Ankle Restraint construction
Specify configuration, Tick box Explain colours available Tick box
Rail Configuration
O
Standard Start Run on start 52 Start Hinge

Track usually follows angle of
stairs to ground floor level
Specify the distance from
st
the 1 riser to the furthest
point that you require the
arm of the chair to stop.
A stooped start can be used
to avoid using of a hinged
track if space is restricted.
This can be used when a
clear way is required for a
doorway or a hall which is
located directly at the bottom
of the stairs.

O Wrap Start O O Wrap Finish O

90 180 90 180 Standard Finish Run on Finish

A wrap around start offers A wrap around finish offers Footplate finishes as close as Specify the distance from the
less track intrusion at the an overrun without possible to the nose of the nose of the last tread to the
bottom of the stairs. obstructing part of the last step. furthest point that you require
stairway. the arm of the lift to stop.

QMS 51 Issue 0 Effective 28/07/08 Authorised

 Table 1 Measured off the Staircase

1st Flight 2nd Flight 3rd Flight 4th Flight 5th Flight 6th Flight Totals
Add up total
Number of
Number of steps in each flight number of
Risers risers
Add up total
1st Riser
This is the single height of the first step in each flight of stairs. heights of all
Height st
1 risers
st
This is the vertical measurement from the surface of the 1 step at the bottom Add up total
Vertical st
of the stairs to the surface at the top of the flight (Do not include the 1 step Heights of all
Height (b) height.) flights
st
Horizontal This is the horizontal distance from the nose of the 1 step at the bottom of the
Length (a) flight to the last nose at the top of the flight. (Only for straight flights)
st
This is the diagonal length from the nose of the 1 riser to the nose of the last
Nose-Nose riser of the flight. (Only for straight flights)
Measure stair angle with a suitable device. The stair angle is the angle created
Angle between a horizontal line and a straight line created from stair tread nose to
nose. (Only for straight flights)
Measure minimum width of staircase taking into consideration any
Min Width handrails/newel posts etc which could affect the width of the staircase in
certain areas.
Stringer
Measure width of stringers.
Width
Stringer
Measure height of stringers.
Height

Table 2 Measurements Validation (Pythagoras from Table 1) C= √(a 2

+ b 2)

Calculated
Calculate Nose to Nose using Pythagoras to check measurements listed on the
Nose-Nose table above.
(c)
Ave Ave Add up total risers/treads divide that figure between the number
Riser Tread of steps/treads to average out the individual values.

Table 3 Bulkhead Additional Information

Any additional information which could affect the
Step Height Offset
manufacture or installation of the stairlift should also be
No. (H) (o) noted.

If there is a bulkhead
measurements must be taken

Height of bulkhead (H) from

the step number. Customer Agreement:

Offset dimension (o) must be

PRICE : £
measured. VAT : £
TOTAL: £
Order Confirmation
Print Name (Signature) Date
Order Agreed with :-
  /  / 
QMS 51 Issue 0 Effective 28/07/08 Authorised