Site Verification Form
Step 1
Project Information
Project Name
Project Number
Project Location
Project Contact
Project -
Phone/Email
On-Site Contact
On-Site -
Phone Number
On-Site -
Email Address
Step 2
Product & Area Information
OA Area -
Width /
OA Area -
Depth /
OA Area -
CLG Height
ACAD Available
YES
NO
Specified System
HD MOBILE
ACTIVRAC
ROTARY
XTEND
STATIC STORAGE
OTHER
Additional Area Information
Step 3
Delivery & Offload
Delivery Requirements
Direct Ship / Receive On-Site
DSSI Warehouse / Re-deliver
OTHER - Describe Below
Delivery Hours
Standard ( 7am - 3pm )
After Hours ( 5pm - 12:30am )
OTHER - Describe Below
Site Acceptance
53' Trailer
48' Trailer
24' Straight Truck
16' Box Truck
Van
On-Site Parking
YES
NO
Offload Conditions
Dock Height Door
Ground Level
OTHER - Describe Below
Staging Area
YES
NO
Elevator
Freight
Passenger
Stair Carry
Elevator CAB Dimensions
Width (L/R)
"
Depth (F/B)
"
Height
"
Elevator Door Opening
Width (L/R)
"
Height
"
ADD'L BLDG INFO - Type
New Construction
Retrofit
Relocation
Interior Doors
Width
"
Height
"
Corridors ( Travel Length )
Width
"
Distance
' (ft)
Step 4
Labor & Installation
Labor Requirement
Union
Non-Union
Prevailing Wage
Labor Hours
Standard ( 7am - 3pm )
After Hours ( 5pm - 12:30am )
OTHER - Describe Below
Finished Floor
VCT Tile
Vinyl Roll
Epoxy
Carpet Tile
Carpet Roll
OTHER
Performed By
DSS
Others
Background Checks Req.
YES
NO
Noise Restrictions
YES
NO
Floor Level Evaluation Req.
YES
NO
Additional Specialized Labor
Moving/Storage
Flooring
Floor Scan
Electrical
Painting
Protective Barriers
Fire Suppression
Millwork
Inventory Control
Concrete Cutting
Metal Fabrication
Elevator Operator
OTHER
Step 5
Equipment Checklist
Rental Truck
Hand Truck
Fork Lift
Portable Heater
Loading Ramp
Dollies
Extended Forks
Portable Lights
Pallet Jack
Blankets
Telehandler
Grinder
Panel Carts
Tarps
Ladders
(PPE) Protective Equipment
Other
Other
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