Barrier Specification Form NameThis field is for validation purposes and should be left unchanged.Site DetailsCustomerSite ContactType of IndustryTime Hours : Minutes AM PM AM/PM Date MM slash DD slash YYYY Address Street Address Address Line 2 City County / State / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Installation SpecificationHave we completed work on site before? Yes No Are Site Inductions required? Yes No Is Plant Equipment Required (MEWP etc)? Yes No Have we completed work on site before? Yes No Is there space to build section horizontal and lift into position? (Avoid Working at Height)? Yes No Vehicle Access on site Yes No Normal Site Working Hours Yes No Delivery of Material Delivery Company Emtek Van Emtek Van + Trailer Specific Fixings Required? Internal External Cold Storage Wet Room Environment 10x100 Concrete Fix (External) Stainless Steel Fixing (Wetroom) Site Specific PPE?Operations InformationPurpose of Barrier SystemType of Vehicles OperatingWarehousing Ambient Chill Freezer A-Safe Barrier RequirementsSelect iFlex P3R iFlex ST+ Monoplex Bollard 2m Slide Gate Topple Barrier Column Guard mFlex Ped iFlex ST iFlex DT+ 1.2m Gate Removable Ped Height Restrictor RackEye iFlex DT iFlex Bollards 2m Swing Gate Removable Traffic Rackguards eFlex RackEnd Barrier RemovalIs there existing barrier needing removed? Yes No If yes, will Emtek remove or Client? Emtek Client Resin/M60 required for floor repairs? Yes No File Drop files here or Select files Max. file size: 128 MB. Total Number of Posts to removeGround Type / ConditionsSelect Ground Type Concrete Tarmac/Bitmac Loose Stone Reenforced Concrete Is the ground sloping / on a ledge? Yes No Need M60? Yes No Any cracking/holes in ground? Yes No Concrete Pads Required? (Only if ground is Tarmac & System is Traffic) Yes No Defects in way of barrier such as Drainage / Manholes Yes No File Drop files here or Select files Max. file size: 128 MB. Survey Notes / Site PhotosUntitled
