Master Site Survey
Master Site Survey
DATE:
SITE DATA
COMPANY:
NAME:
ADDRESS:
COUNTRY:
CITY:
STATE / PROVINCE:
CONTACT:
CONTACT’S EMAIL:
NUMBER OF POSITIONS / BAYS:
EMAIL:
COMPANY:
REPORTER DATA
NAME:
DIRECTIONS
1. Please complete all questions applicable to the installation configuration. Failure to supply required information may result in a delay in your order processing. Survey information must reflect site conditions at the time of installation.
2. For multiple positions / bays: If site conditions are not identical for each position / bay, please fill out a separate site
survey form.
3. To ensure accurate order processing, please use decimals instead of fractions when supplying dimensions and other measurements (for example 1/2" should be .50").
4. Use either imperial (e.g. lb, in) or metric (e.g. kg, mm) units of measurement consistently throughout the document.
NOTES
ISSUE DATE: FEBRUARY 2, 2016 REV.0 (PART # 038-1035E)
1. Dock Seals and Shelters
Dock Seal and Shelter Site Conditions - Project Photo Required
Overhang / Canopy
DISTANCE BETWEEN
DOORS
DOOR
WIDTH
DISTANCE TO WALL
OR OBSTRUCTION
DOOR
HEIGHT
CLEARANCE TO
OVERHANG
OR CANOPY
DOCK
HEIGHT
SECTION
3
WALL TO
FRONT BUMPER
BUILDING WALL TYPE
MASONRY
METAL
CONCRETE
DESCRIBE:
METAL
CONCRETE
DESCRIBE:
MOUNTING SURFACE
MASONRY
MOUNTING SURFACE CONDITION
EVEN
UNEVEN
DESCRIBE:
NOTES
For more information on “Wall to Front Bumper” measurement, see Section 3 “Grade and Bumper”
2. Loading Dock Details
Pit Style - Required dimensions are outlined in RED in the diagram below. Please fill in completely.
DOOR SETBACK
FROM CURB
DOOR
THICKNESS
BUMPER
DEPTH
WALL
PIT
PROJECTION
DOCK
HEIGHT
PIT PROJECTION
DOCK FACE
DOCK FACE
TOTAL
PROJECTION
OUTSIDE GRADE
OUTSIDE GRADE
SIDE / CROSS SECTION VIEW
FRONT VIEW
PIT DIMENSIONS
STANDARD PIT
DEPTH
DOCK FACE / RESTRAINT MOUNTING SURFACE
DESCRIBE (E.G. CONCRETE*, BRICK, ETC.)
Front (H) 20" (508 mm)
Rear (H1) 19.5" (495 mm)
PIT TO DECK
WIDTH
W (pit) = W (deck) + 2" (51 mm)
PIT TO DECK
LENGTH
L (pit) = L (deck)
H
H1
W
L
S1
S2
H1
S1
NO
CONCRETE CONDITION
GOOD
FAIR
L
W
PIT SQUARE WITHIN .25" (6 mm)
YES
CURB
SIZE
CURB
HEIGHT
OVERHANG
RECESS
FACE
HEIGHT
PIT
DEPTH
DOCK LEVELER PIT
DOCK LEVELER PIT
POOR
S2
H
CURB ANGLE CONDITION
GOOD
FAIR
POOR
CURB ANGLE CONFIGURATION (PIECES)
FOUR
SIX
EIGHT
*Concrete must be minimum 8" (203 mm) thick.
2. Loading Dock Details
Vertical Storing Dock Leveler - Required dimensions are outlined in RED in the diagram below. Please fill in completely.
DOOR SETBACK
FROM CURB
DOOR
THICKNESS
WALL
BUMPER
DEPTH
PIT
DEPTH
DOCK LEVELER PIT
DOCK LEVELER PIT
PIT
PROJECTION
CURB
SIZE
PIT PROJECTION
DOCK
HEIGHT
OVERHANG
CURB
HEIGHT
DOCK FACE
RECESS
FACE
HEIGHT
DOCK FACE
TOTAL
PROJECTION
OUTSIDE GRADE
OUTSIDE GRADE
SIDE / CROSS SECTION VIEW
FRONT VIEW
PIT DIMENSIONS
STANDARD
PIT DEPTH
Front (H) 12.5" (318 mm)
Rear (H1) 12" (305 mm)
PIT TO DECK
WIDTH
W (pit) = W (deck) + 2" (51 mm)
PIT TO DECK
LENGTH
L (pit) = L (deck)
H
H1
W
L
W
L
PIT
PIT
H1
BACK FRAME CENTERED TO DOOR
YES
NO
12"
H
H
CL
BACK FRAME EMBED CONDITION
GOOD
FAIR
POOR
W
CONCRETE CONDITION
GOOD
FAIR
DOOR OPENING
POOR
PIT STYLE
T-STYLE
CONTINUOUS
DOCK FACE / RESTRAINT MOUNTING SURFACE
T-Style pit shown.
DESCRIBE (E.G. CONCRETE*, BRICK, ETC.)
*Concrete must be minimum 8" (203 mm) thick.
3. Grade and Bumper
Grade
DRIVE APPROACH MATERIAL
ASPHALT
CONCRETE
OTHER (DESCRIBE):
IS THE GRADE OF THE DRIVEWAY
LEVEL
INCLINE
DECLINE (SHOWN BELOW)
GRADE CALCULATION
DOCK HEIGHT (R1)
RISE (R2)
RUN (R3)
Example: % of grade = (R1 - R2) / (R3)
Sloped Driveway Grade Calculation
Bumper
Rise is the elevation difference between
the parked dock and the driveway surface
where the rise is measured.
% GRADE
Dock area with projected pit and decline driveway.
R3
Pit
Projection
Run is the actual distance on the driveway
where the rise is measured (i.e. 50 ft. to
match the average ‘over the road’ trailer
length).
R2
R1
Total
Projection
% of grade
To determine these totals on site, use a 50 ft. string line. Restrict general access to the dock leveler and loading dock area. While observing all
appropriate safety precautions, secure the string line to the dock leveler floor or the top of the lip spool when the dock leveler is in the crosstraffic position. Walk out a distance of 50 ft. and measure the vertical drop to grade. Use level for accurate height level.
Bumper
BUMPER TYPE
NEW
REPLACEMENT
STEEL-FACED
LAMINATED
MOLDED
DUAL FLANGE
SINGLE FLANGE
NO FLANGE
MEASUREMENTS
DISTANCE BETWEEN BUMPER FACES
BUMPER SIZE (D" x H" x W")
CENTER HORIZONTAL BUMPER (STEP VAN PROTECTION)
NO
YES (SPECIFY):
Wall to Front of Bumper - Common Conditions
Flush is the optimal condition where X (Wall) = 0 and B (Bumper) is the size of the bumper.
Wall
Wall
Wall
X
B
Dock
Face
B
Dock
Face
Flush
B=
X=
B=
0
Wall
Wall
X=
X
Edge-ofDock
B
Dock
Face
Dock
Face
X
Cantilever
B=
B=
X=
X=
Wall
Setback
B
X
Dock
Face
B=
X=
B
Wall
Overhang
4. Truck and Trailer
Truck and Trailer Application Details
DIMS
TRUCK 1
TRUCK 2
W3
TRUCK 3
W2
L
H
W1
W1
W2
Note any obstructions on
back and underside of
truck / trailer
W3
L
F*
H
A
C
B
B
C
D
A
E
E
D
E
F*
*Minimum of 4 - 6" required for lip overlap. If lip overlap is not achievable, end loading is suggested.
ICC
STEP
WIDTH
STEP
DEPTH
OG
OB
OBSTRUCTION
TRUCK WITH REAR STEPS
DESCRIBE:
OB = Obstruction to Bumper YES
OG = Obstruction to Ground
NO
4. Truck and Trailer
Truck and Trailer Types
BED HEIGHT “A”
TRUCK TYPE
TOTAL HEIGHT “H”
in.
mm
in.
m
STRAIGHT SEMI
48 - 52
1219 - 1321
144 - 162
3.6 - 4.1
LOW BOY
19 - 25
483 - 635
144 - 162
3.6 - 4.1
OVERSEAS CONTAINER
55 - 62
1397 - 1575
146 - 162
3.7 - 4.1
CITY DELIVERY TRUCK
45 - 48
1143 - 1219
132 - 150
3.4 - 3.8
REFRIGERATED TRUCK
50 - 60
1270 - 1524
150 - 162
3.8 - 4.1
HIGH CUBE
36 - 42
914 - 1067
156 - 162
4 - 4.1
FLATBED
48 - 60
1219 - 1524
STEP VAN
20 - 30
635 - 762
102 - 120
2.6 - 3
STRAIGHT TRUCK
36 - 48
914 - 1219
126 - 144
3.2 - 3.7
PANEL TRUCK
20 - 24
508 - 610
96 - 108
2.4 - 2.7
OTHER
Load Orientation
YARD JOCKEYS USED
YES
NO
STACK HEIGHT
FULL HEIGHT ACCESS REQUIRED
YES
SINGLE
NO
STACK WIDTH
FULL WIDTH ACCESS REQUIRED
YES
SINGLE
NO
REFRIGERATED TRUCKS USED
YES
NO
TRUCK WITH LIFT GATE USED
YES
NO
TRUCK / TRAILER DOOR TYPE
HINGED
ROLL-UP
DOUBLE
OTHER
DOUBLE
TRIPLE
5. Dock Area Considerations
Material Handling Equipment
GENERAL INFORMATION
CARGO / LOAD TRANSPORTED
END LOADING
YES
NO
WEIGHT (LB)
MAX. TOTAL AMOUNT OF GROSS LOAD*
WEIGHT OF FORKLIFT
MAX. LOAD
* GROSS LOAD = WEIGHT OF FORKLIFT + MAX. LOAD
Suitable Material Handling Equipment Based on Grade Percentage (General Guideline)
SELECT ALL THAT ARE BEING USED ON SITE
MANUAL PALLET TRUCK: 3%
ELECTRIC PALLET TRUCK: 7%
ELECTRIC FORKLIFT: 10%
GASOLINE FORK TRUCK: 15%
GENERAL INFORMATION
3 OR 4 WHEEL TRUCKS
SOLID OR PNEUMATIC TIRES
FRONT AXLE WIDTH
Dock Design Conditions
ENCLOSED WITH OVERHEAD DOORS ABOVE
YES
OPEN PLATFORM
NO
YES
TRAFFIC VOLUME (TRUCKS PER SHIFT)
LIGHT (1 - 3)
MODERATE (4 -8)
NO
NUMBER OF SHIFTS PER DAY
HEAVY (8+)
ONE
TWO
THREE
DAILY USAGE
FULL TRUCK LOADS*
0-8
9 - 16
17 - 24
>24
LOAD CYCLES
0 - 200
201 - 400
401 - 600
>600
* FULL TRUCK LOADS = TRAFFIC VOLUME x NUMBER OF SHIFTS PER DAY
6. General Site Information
Positions
POSITION / BAY NUMBER - PROVIDE PHOTOS OF PRE-EXISTING EQUIPMENT
Dock Leveler
MANUFACTURER
MODEL
DECK DIMENSIONS
CAPACITY
SERIAL NUMBER
LIP LENGTH
LIP INTERNAL OR EXTERNAL TO PIT
YES
LIP BARRIER EQUIPPED
NO
YES
NO
Vehicle Restraint
MANUFACTURER
MODEL
SERIAL NUMBER
IS PIT FLOOR CONCRETE (OR DOCK FLOOR IF NO PIT)
YES
NO
IS PIT FLOOR BRACKET IN PLACE (HVR303 ONLY)
YES
NO
Controls
MANUFACTURER
MODEL
COMBO OR STANDALONE
VOLTAGE
Seal and Shelter
SEAL / SHELTER TYPE
COMPRESSION SEAL
SHELTER
INFLATABLE
MANUFACTURER
MODEL
DESCRIPTION
HEAD MEMBER WIDTH
OVERALL HEIGHT
OVERALL WIDTH
BOTTOM PROJECTION
TOP PROJECTION
SIDE FACE WIDTH
SIDE FACE BACK
TOP FACE HEIGHT
SIDE MEMBER HEIGHT
Corporate 410 Admiral Blvd
Mississauga ON, Canada L5T 2N6
t 905.457.3900 f 905.450.6555
If calling within North America: t 1.800.872.2583 f 1.888.378.5781
USA 6350 Burnt Poplar Road
Greensboro, NC 27409
www.bluegiant.com
© Copyright Blue Giant Equipment Corporation 2017
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