Site Survey Format for System Integration

RETAIL OUTLET SITE SURVEY FORM

Completion Instructions:

✓ Tick appropriate option in the Check Box.

Do not leave any column blank. Write either NIL or NA to eliminating any confusion.
Collect DIP Chart for all Tanks. All Tanks Manhole photographs should be clear visibility.
Cable Trench / Chambers and cable trench manhole photographs should be clear visibility. Collect Sales Room &
Manager Room Photographs.
Fill in appropriate (RO Manager / Dealer) Name and Sign with Date on each page of Survey Form. Send a Hard Copy to
Head Office.

Project : Retail Automation Phase 12

Date of Survey : / / (DD/MM/YYYY)

Customer: Hindustan Petroleum Corporation Limited.

Regional Office : _______________________________________

Zonal Office : ________________________________________

Site Name : _________________________________________

RO ERP Code : _________________________________________

Site Address : __________________________________________

___________________________________________
_________________________________________

District : __________________________________________

State : ___________________________________________

Pin Code : _____________________

Contact No. : _____________________

 Site Survey Format for System Integration
Forecourt Survey: Site Features
Category
a) COCO (Co. owned Co. operated) / Dealer
Operated
Volume of fuel sold per day MS HSD XtraMile XtraPre

No of transactions /day
No of pump islands (IMPORTANT)
Total no. of Dispenser Units (IMPORTANT)
Canopy coverage for all islands
(IMPORTANT)
Whether Sales room has sufficient space
to accommodate Cabinet (IMPORTANT)
Confirm availability of proper ventilation in
Sales room (YES/NO) (IMPORTANT)
Availability of connectivity
(VSAT/Dialup/Broadband/GPRS), if Yes
mention service provider (IMPORTANT)
Future Plans (new pump & Island addition,
replacement, canopy modifications, etc.)

DU DETAILS
TOTAL
DUS = Ready for
DU MAKE DUS UNDER STATUS PUMP TYPE
Automation

GVR/ MIDCO/
DU 1 Yes/No TOKHIEM/ DW/ Replacement/
OTHERS Modernization/ Realignment (Mono/Dual/MPP/MPD)
GVR/ MIDCO/
DU 2 Yes/No TOKHIEM/ DW/ Replacement/
OTHERS Modernization/ Realignment (Mono/Dual/MPP/MPD)
GVR/ MIDCO/
DU 3 Yes/No TOKHIEM/ DW/ Replacement/
OTHERS Modernization/ Realignment (Mono/Dual/MPP/MPD)
GVR/ MIDCO/
DU 4 Yes/No TOKHIEM/ DW/ Replacement/
OTHERS Modernization/ Realignment (Mono/Dual/MPP/MPD)
GVR/ MIDCO/
DU 5 Yes/No TOKHIEM/ DW/ Replacement/
OTHERS Modernization/ Realignment (Mono/Dual/MPP/MPD)
GVR/ MIDCO/
DU 6 Yes/No TOKHIEM/ DW/ Replacement/
OTHERS Modernization/ Realignment (Mono/Dual/MPP/MPD)
GVR/ MIDCO/
DU 7 Yes/No TOKHIEM/ DW/ Replacement/
OTHERS Modernization/ Realignment (Mono/Dual/MPP/MPD)
TOTAL
TANKS DETAILS
TANKS =
 Site Survey Format for System Integration
SPACE B/W
SEPRATE
Probe
MS HSD Tank CHAMBER TANKS UNDER Spare feeder available for installation of two
Nos installation
(PETROL) Nos (DIESEL) Modified FOR PROBES REPLACEMENT nos. UPS (Yes/No) (32 Amp MCB)
& STP
INSTALLATION
(400mm)
Probe Probe
Length Nos Length Nos T1 Yes/No Yes/No Yes/No Yes/No Yes/No
1500 mm 1500 mm
Probe Probe
Length Nos Length Nos T2Yes/No Yes/No Yes/No Yes/No BROAD BAND Yes/No
1750 mm 1750 mm
Probe Probe
Length Nos Length Nos T3Yes/No Yes/No Yes/No Yes/No VSAT Yes/No
2000 mm 2000 mm
Probe Probe
Length Nos Length Nos T4Yes/No Yes/No Yes/No Yes/No
2250 mm 2250 mm SPACE FOR CABNIET
Yes/No
Probe Probe INSTALLATION
Length Nos Length Nos T5Yes/No Yes/No Yes/No Yes/No
2500 mm 2500 mm
Probe Probe
Length Nos Length Nos T6Yes/No Yes/No Yes/No Yes/No
SPACE FOR (8)
2750 mm 2750 mm
BATTERIES Yes/No
Probe Probe
INSTALLATION
Length Nos Length Nos T7Yes/No Yes/No Yes/No Yes/No
3000 mm 3000 mm
Probe Probe
DG Set standard/non
Length Nos Length Nos T7Yes/No Yes/No Yes/No Yes/No
standard
3200 mm 3200 mm

Ground Level Tank Measurements -

Height A = Burial Depth
E
B ATG (3’’) Riser Pipe
Height B = Distance between the
ground level and the tank manhole top
C
Manhole Top Height C = ATG (3”) riser pipe height

A Height D = Distance between the tank

bottom to ATG riser top
D
E1 Height E = Distance between the
ground level to ATG riser top
Height E1= Distance between the tank
bottom to Tank Manhole Top
 Site Survey Format for System Integration

Full
Tank Diameter Capacity Height Height Height Height Height Height No. Of
Grade Volume
No. (mm) (KL) A B C D E E1 Manholes
(KL)
1
2
3
4
5
6
7
8
9

Power Information : (IMPORTANT)

Transformer, dedicated for site? YES / NO

Make & Model :
If yes, check Earth & Neutral Voltage:
(Possible only if HPCL Electrician present at site)
Mains Power Supply Voltage: 230Volts +/- %
Mains Frequency: 50Hz
Power Supply Fluctuations: Yes / No

Back up DG Generator STD / Non-STD KVA

Make & Model :
Power Supply Voltage: 230Volts +/- %
Power Supply Fluctuations: Yes / No

Mains Power Stabilization: Power Stabilizer UPS Other System

Lightning Arrestors:
Other special considerations:

Availability of 32 AMP double pole MCB from UPS : YES / NO

Availability of raw power in the MCB : YES / NO

Availability of 32 AMP double pole MCB for giving UPS output to DU : YES / NO
 Site Survey Format for System Integration

Parameter to be At Mains Supply (Trans output if At Generator Supply At UPS supply

checked Trans present) (stabiliser output)

Phase-Neutral (Vac)

Phase-Earth (Vac)

Neutral-Earth (Vac)

Frequency (Hz)

Total power cut off time

in a day

Note : For checking main supply voltage, if transformer is present, then measure power parameters at
power stabiliser output and for checking Generator supply voltage, switch off main power (transformer if
present) & then measure power parameters at power stabiliser output.

Forecourt Plan Details

For drawing a forecourt plan, the below points IMPORTANT be followed:
• The best way to run cables to each tank.
• The cable length required is to be shown (appro in Meters).
• The position and numbering of all pumps on the forecourt.

Forecourt Layout : Forecourt Layout should be asked to Site people. If not available at site, same to be
asked to respective HPCL Regional office.

Sales’s Room Plan Details

On the following page or printed plan, please indicate the following:

• Show where Cabinet to be installed
• Show the position of Earthing Bus Bar
 Site Survey Format for System Integration
Sales’s Room Plan Layout Drawing
(pl include 3-4 photos of Sales Room & Forecourt)
 Site Survey Format for System Integration
Proposed Forecourt Layout with cable routing for ATG & Cable length:
 Site Survey Format for System Integration
Cable Routing Distances Inside Sales Room: (With 1 Mtr extra at both ends for
Glanding / Termination)

S.N. Distance From Distance to Cable Length in Mtr.

1 IOCL A/C Input Point UPS
2 Electrical Earth Grid or Bus Bar UPS
3 UPS ATG Console
4 UPS FCC
5 Earth 1 FCC
6 Earth 2 FCC
7 FCC ATG Console

Cable Routing Distances for Forecourt Equipment’s (With 1 Mtr extra at both ends
for Glanding / Termination)

S.N. Distance From Distance to Cable Length in Mtr

1 FCC Tank 1
2 FCC Tank 2
3 FCC Tank 3
4 FCC Tank 4
5 FCC Tank 5
6 FCC Tank 6
9 FCC DU 1
10 FCC DU 2
11 FCC DU 3
12 FCC DU 4
13 FCC DU 5
17 FCC Monolith (Pylon)

Name Signature Date

HPCL
Representative

GVR Representative