Site Visit Template

General Data
1 Date of Visit
2 Place
3 Duration
4 Project Detail
5 Nearby railway station
6 Nearby Airport
7 Customer name
Technical
8 Raw water source Yes / No
What is the major source
Is raw water being available
throughout the year?
Is raw water sample is
collected?
Is any other source available?
9 Availability of Intake facilities Yes / No
Type of pump and Size
Intake Pipe size & MOC
Type of the tank and size
Intake piping availability
10 Civil front for AQpure Yes / No
Type of building
Size of the building
Elevation
Will protect from direct sunlight
and rain?
Availability of roof space for
solar panel fixing?
10 Power Yes / No
Single phase AC
Three phase AC
Backup power
Expected shutdown in a day
11 Telecom Network Yes / No
Voice
 Date- 2G/3G/4G
12 Operation and maintenance Yes / No
resource
Skilled/unskilled

13 Storage Space Yes / No

Type and size
14 Site accessibility Yes / No
Can lifting vehicles reach the
site?
Commercial
15 Number of
beneficiaries/visitors
16 Is treated water will be used
other than drinking?
17 Current source of water for
drinking?
18 Current expense for drinking
water/litre
19 Availability of chemical in
site/nearby city to purchase
20