AGED CARE CHANNEL- SITE SURVEY
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CONTACT DETAILS
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Company: [[Company]]
Organisation Name: [[OrganisationName]]
Street Address: [[StreetAddress]]
Suburb: [[Suburb]]
State: [[State]]
PostCode: [[PostCode]]
Contact Name: [[ContactName]]
Telephone: [[Telephone]]
Email: [[Email]]
Position: [[Position]]
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EQUIPMENT & BUILDING DESCRIPTION
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Name of the room to be connected to the Aged Care Channel: [[RoomName]]
Is there a TV in the room? [[IsTV]]
Is there a DVD RECORDER in the room? [[IsDVD]]
When will the TV / DVD RECORDER be in the designated room? [[WhenTV]]
Age of Building: [[AgeBuilding]]
Number of Storeys: [[NoStoreys]]
What floor is the room on? [[RoomFloor]]
What is the roof material above the designated room? [[RoofMaterial]]
How does the installer access the roof? [[RoofAccess]]
Is there a powerpoint in the designated room? [[IsPpt]]
Are there any OHS requirements the installer must comply with? [[OHS]] [[OHSDetails]]
Does the facility have Satellite Pay TV? [[PayTV]]
Is there heritage listing on any part of the building? [[HeritageLstg]]
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