SITE MEASUREMENT SHEET

(OVER THE HEAD)

SMS NO. DATE OF SURVEY PROJECT ENGINEER NAME

CUSTOMER NAME CRM LEAD NO.

CUSTOMER SITE APPLICATION DETAILS (IN BRIEF)

ADDRESS

CONTACT PERSON CONTACT NO. SITE NAME

LINE DETAILS

DISTANCE FROM GROUND TO START DISTANCE FROM GROUND TO WORKING LEVEL (MTRS)
POINT OF LINE (MTRS)

DISTANCE FROM GROUND TO END DISTANCE FROM WORKING LEVEL TO PRIMARY LINE (MTRS)
POINT OF LINE (MTRS)

IN CASE OF RAIL SYSTEMS

OUTSIDE BENDS (NOS.) INSIDE BENDS (NOS.) CEILING BEND / FLOOR
BEND (NOS.)
STRUCTURAL DETAILS
EXISTING
PROFILE (SHS/PIPE/ISMC/ISMB/ISA/RCC)

DIMENSION (MM) (LxWxH)/(DIAxLxT)/ SIZExT)

MOC (SS/GI/OTHERS)

IF OTHERS (PLEASE SPECIFY)

IF ANY SPECIFIC
REQUIRMENT / SITE
CONDITIONS
IF ANY SPECIFIC
REQUIRMENT / SITE
CONDITIONS
 PROPOSED FIXED LINE SYSTEM
WHEATHER LINE IS STRAIGHT OR NOT IF YES
(YES / NO) LENGTH OF LINE (MTRS)

IF NO, TOTAL LENGTH FIRST SECTION LENGTH SECOND SECTION LENGTH

OF LINE (MTR) OF LINE (IN MTRS) OF LINE (IN MTRS)

THIRD SECTION FOURTH SECTION IF CORNER IS PROVIDED,

LENGTH OF LINE LENGTH OF LINE (MTRS) NOS. OF CORNERS
(MTRS) (MAX 4 CORNER)

NO. OF INTERMEDIATE, SPACING (10

T0 15 M)
TYPE OF WIRE ROPE TYPE OF ANCHOR
DIA UNIVERSAL EXTREMITY PLATE PN4000(09) TENSIONER WITH SWAGELESS END
(8MM / 10 MM) PN4000(03)SL
CORE CEILING MOUNTING BRACKET PN5000(06) TENSIONER WITH SWAGED END
(7X19 / 7X7 / 1X19) PN4000(03)
MOC WALL MOUNTING BRACKET WITH RECESS PN5000(05) WALL MOUNTING BRACKET FLUSH TYPE PN5000(04
(SS / GI)
WALL MOUNTING BRACKET FLUSH TYPE PN5000(04) SINGLE POINT ANCHOR SA12

TYPE OF CABLE EXTREMITY OTHERS, PLEASE

SPECIFY
SWAGED END PN4000(15) TYPE OF TROLLEY DOUBLE TANDEM PULLEY WITH SS SHEAVES AP016

SWAGELESS END PN7000(03) TROLLEY FOR WALL TROLLEY FOR CEILING / FLOOR CARRIAGE BODY
PN5000(12) PN5000(13) PN4000(08)
TYPE OF TENSIONER TENSIONER WITH SWAGELESS END PN400(03)SL TENSIONER WITH SWAGED END PN400(03)

TYPE OF SHOCK ABSORBER SPRING TYPE PN4000MU(02) SHOCK ABSORBER PN4000(07)

TYPE OF ANCHOR POST FABRICATED POSTS SA22 / SA23 / SA24 / SA25 / SA56 / SA57

MOC (SS / GI) OTHERS, PLEASE SPECIFY

TYPE OF CORNER BEND PN4000(21) PN4000(23) PN4000(25)

 PPE REQUIREMENTS

NO. OF USERS HARNESS ROPE LANYARD

(YES / NO) (YES / NO)

TYPE OF LANYARD LENGTH OF ROPE SRL (LENGTH / MOC -

(SINGLE / DOUBLE) LANYARD SS/GI)
SKETCH ENCLOSED (YES / NO)

SIGNATURE SIGNATURE
TECHNICAL CUSTOMER
TAILS (IN BRIEF)

PROPOSED

FOUNDATION REQUIRED
NO
 NO
YES
 NO. OF LINES

H SWAGELESS END

H SWAGED END

BRACKET FLUSH TYPE PN5000(04)

CHOR SA12

PULLEY WITH SS SHEAVES AP016

WHEEL TYPE CARRIAGE

BODY PN4000(17)
H SWAGED END PN400(03)

R PN4000(07)
 SIGNATURE
PROJECT ENGINEER
 SITE MEASUREMENT SHEET
(OVER THE ROOF)
SMS NO. DATE OF SURVEY PROJECT ENGINEER NAME

CUSTOMER NAME CRM LEAD NO.

CUSTOMER SITE APPLICATION DETAILS (IN BRIEF)

ADDRESS

CONTACT PERSON CONTACT NO. SITE NAME

ROOF DETAILS

TYPE OF ROOF MONITOR TYPE / A TYPE / NORTHLIGHT TYPE LENGTH OF ROOF

(IN MTRS)

HEIGHT OF ROOF TO HEIGHT OF ROOF TO WIDTH OF ROOF

THE EDGE (IN MTRS) THE RIDGGE (IN MTRS) (IN MTRS)

TYPE OF ROOF SHEET TRAPEZOIDAL / STANDING SEAM / CLIP LOCK / ASBESTOS

IF OTHERS, PLEASE SPECIFY ________________________________________________________________________________

AVAILIBILITY OF LADDER ACCESS ROOF PROFILE DIMENSION

(YES / NO)

IF MONITOR ROOF, DIMENSIONS OF MONITOR (M)

AVALIBILITY OF LADDER / ACCESS AVAILIBILITY OF DRAWING

(YES / NO) (YES / NO)

STRUCTURAL DETAILS
EXISTING
PROFILE (SHS/PIPE/ISMC/ISMB/ISA/RCC)
DIMENSION (MM) (LxWxH)/(DIAxLxT)/ SIZExT)

MOC (SS/GI/OTHERS)

IF OTHERS (PLEASE SPECIFY)

IF ANY SPECIFIC
REQUIRMENT / SITE
CONDITIONS

PROPOSED FIXED LINE SYSTEM

WHEATHER LINE IS STRAIGHT OR NOT IF YES
(YES / NO) LENGTH OF LINE (MTRS)

IF NO, TOTAL LENGTH FIRST SECTION LENGTH SECOND SECTION LENGTH

OF LINE (MTR) OF LINE (IN MTRS) OF LINE (IN MTRS)

THIRD SECTION FOURTH SECTION IF CORNER IS PROVIDED,

LENGTH OF LINE LENGTH OF LINE (MTRS) NOS. OF CORNERS
(MTRS) (MAX 4 CORNER)

SPACING (5 T0 12 M) FOR SPACING (8 MTRS) FOR

NO. OF INTERMEDIATE RIVET TYPE POSTS OTHER TYPE POSTS

TYPE OF WIRE ROPE TYPE OF ANCHOR TYPE OF TROLEY

DIA UNIVERSAL EXTREMITY CARRIAGE BODY
(8MM / 10 MM) PLATE PN4000(09) PN4000(08)
CORE SINGLE POINT ANCHOR TYPE OF WIRE TERMINATION
(7X19 / 7X7 / 1X19) SA12
MOC OTHERS, PLEASE SWAGED END
(SS / GI) SPECIFY PN4000(15)
TYPE OF SHOCK ABSORBER SPRING TYPE SHOCK ABSORBER
PN4000MU(02) PN4000(07)
TYPE OF ANCHOR POST FABRICATED POSTS SA22 / SA23 / SA24 / SA25 / SA56 / SA57

RIVETING POST SA07A / SA07B / SA07G / SA07H / SA07K / SA07L/ SA38 / SA38A / SA45

MOC (SS / GI) OTHERS, PLEASE SPECIFY

TYPE OF CORNER BEND PN4000(26) PN4000(27) PN4000(28)

PPE REQUIREMENTS
NO. OF USERS HARNESS ROPE LANYARD
(YES / NO) (YES / NO)
TYPE OF LANYARD LENGTH OF ROPE GRIP ADJUSTING LANYARD
(SINGLE / DOUBLE) LANYARD (YES / NO)
GRIP ADJUSTING SKETCH ENCLOSED
LANYARD LENGTH (YES / NO)
(MTR)

SIGNATURE SIGNATURE
TECHNICAL CUSTOMER
TAILS (IN BRIEF)

___________________________

PROPOSED
 FOUNDATION REQUIRED
NO
YES

TYPE OF TROLEY

E OF WIRE TERMINATION

SWAGELESS END
PN7000(03)

A38 / SA38A / SA45

 SIGNATURE
PROJECT ENGINEER
 SITE MEASUREMENT SHEET
(VERTICAL)
SMS NO. DATE OF SURVEY PROJECT ENGINEER NAME

CUSTOMER NAME CRM LEAD NO.

CUSTOMER SITE APPLICATION DETAILS (IN BRIEF)

ADDRESS

CONTACT PERSON CONTACT NO. SITE NAME

LADDER DETAILS
IS LADDER AVAILABLE IS LADDER IS IN IF NOT, SPECIFY NO. OF
(YES / NO) STRAIGHT LINE (YES/NO) SECTIONS
LENGTH OF SECTION 1 LENGTH OF SECTION 2 LENGTH OF SECTION 3
(MTR) (MTR) (MTR)
LENGTH OF SECTION 4 LENGTH OF SECTION 5 LENGTH OF SECTION 6
(MTR) (MTR) (MTR)
LENGTH OF SECTION 7 LENGTH OF SECTION 8 LENGTH OF SECTION 9
(MTR) (MTR) (MTR)
IS THERE EXTENSION OF LADDER ABOVE LANDING PLATFORM EXTENSION ARM REQUIRED (YES / NO)
(YES / NO)
PROFILE OF RUNG (ROD / ANGLE / SQUARE / CHANNEL / IF OTHER, SPECIFY
OTHERS
DIMENSION OF RUNG WIDTH OF LADDER (MM) DISTANCE BETWEEN TWO RUNGS (MM)
(MM)

PROFILE OF SIDE RAILS DIMENSION OF SIDE RAILS

SPACING BETWEEN INTERMEDIATE (MTRS), MAXIMUM DISTANCE 10 MTRS

IF NO LADDER, PROFILE OF STRUCTURE WHERE MOUNTING DIMENSION OF STRUCTURE

BRACKET IS TO BE FIXED (ROD / ANGLE / SQUARE / CHANNEL /
IF OTHERS, SPECIFY)
 EXISTING STRUCTURAL DETAILS
PRE ENGINEERING BUILDING / RCC / BUILDING / TOWER / CHIMNEY / OTHERS, PLEASE SPECIFY

DRAWING / SKETCHES OF EXISTING STRUCTURE. ATTACHED (YES / NO)

DRAWING / SKETCHES OF FABRICATION STRUCTURE. ATTACHED (YES / NO)

ALU EXTENSION REQUIRED IF YES, TYPE OF ALU

(YES / NO) EXTENSION
IF ANY SPECIFIC
REQUIRMENT / SITE
CONDITIONS

PROPOSED FIXED LINE SYSTEM

TYPE OF ANCHOR
MOUNTING BRACKET PN7000(01) MOUNTING BRACKET PN7000(01)(EC) MOUNTING BRACKET PN7000(01)V

MOUNTING BRACKET PN7000(13) MOUNTING BRACKET PN7000(13)(EC) MOUNTING BRACKET PN7000(21)

MOUNTING BRACKET PN7000(21)(EC) SINGLE POINT ANCHOR SA12 CEILING MOUNTING BRACKET PN5000(06)

EXTENDABLE MOUNTING BRACKET EXTENDABLE MOUNTING BRACKET

PN9000(13) PN9000(13)EC
TYPE OF WIRE ROPE DIA (8MM / 10 MM) CORE (7X19, 7X7, 1X19)

TYPE OF WIRE TERMINATION WIRE CRIMPING ASSEMBLY (IN COMPONENTS) WIRE CRIMPING ASSEMBLY
PN7000(14) PN7000(20)
TYPE OF TENSIONER TENSIONER WITH SWAGELESS END PN400(03)SL TENSIONER WITH SWAGED END PN400(03)

TYPE OF FALL ARRESTER WITHOUT ENERGY WITH ENERGY ABSORBER VERTICAL TROLLEY
ABSORBER RG02(112) RG02((PN600(S))(112) PN8000(01)
TYPE OF RUNGS FULL RUNG ASSEMBLY PN9000(01) HALF RUNG ASSEMBLY
PN9000(01.1)L / PN9000(01.1)R
TYPE OF ALU TRAPEZOIDAL ROOF PN8000(05) STANDING SEAM ROOF
EXTENSION SUPPORT PN8000(06)

PPE REQUIREMENTS
HARNESS ROPE LANYARD TYPE OF LANYARD
(YES / NO) (YES / NO) (SINGLE / DOUBLE)

SIGNATURE SIGNATURE
TECHNICAL CUSTOMER
TAILS (IN BRIEF)

EEN TWO RUNGS (MM)

TRUCTURE
 FOUNDATION REQUIRED

YES NO

KET PN7000(01)V

KET PN7000(21)

NG BRACKET PN5000(06)

MOC (SS / GI)

U-BOLT THIMBLE
PN7000(03)
H SWAGED END PN400(03)

LENGTH OF ROPE
LANYARD

SIGNATURE
PROJECT ENGINEER