Site SurveyReport of EV Chargers Installation Rev:02,Date :26.07.

2022
Conducted by Customer Name Taj Safari, Baghvan

Date Customer Address Awargani Village, Near Pench National

Park, Tehsil Kurai Post Duria Senoi,
Madhya Pradesh 480661

Contact No.
Basic Site Information
Parking space developed Undeveloped /Level
Site Type & aesthetically suitable Surface/Develop Surface (Paver
Block/ Cement Concrete)
Space available for
Parking : Open
storage / stocking
Photographs of site & surrounding area as per below checklist
Pic taken Parking Pic taken Parking Pic taken Pic taken Pic taken
Parking
area area Power Cable
area
 profile  front  source  route 
profile left
right near + far
Site Details Observation Remarks
Survey for .. Nos. of Chargers
Survey for .. KW Charger
Charger Type
3 phase power availability & Transformer
Capacity(KVA)
Type of Installation wall base/ Foundation base
Type of existing connection
Rural / Agricultural / Commercial/ Domestic etc
Discom name + Consumer number

Sanctioned Load
Actual Load – verified with last 12 months’ bills
Flood prone area of depot infrastructure (if any)
Existing Earthing availability & Condition &Put
Remarks for New
Free Space for Canopy Installation (1.6 x 1.4 mtr)
Else mention the space available
Dedicated parking lot and access to charger
Cable distance from Meter room to Charger
Free space for MCB & New Meter at meter room
Mobile Network Strength Airtel-Good Vi Jio BSNL
Input Parameters Value Value
L1-N L1-L2
L2-N L2-L3
Input Voltages
L3-N L3-L1
PE-N Earth Res.
Tata Power Location Partner
Representative Signature Signature