Furnx Pty Ltd PO Box 357, Zillmere QLD Australia 4034 PH: 07 3263 1848 Mob: 0422 635 695 Email: ben@furnx.com.au Sales Order No: K-006GP22-001 Company Name: Commercial Fitout Furniture Site Contact: Gary Poechhacker Phone #: 0427 666 695 Date Of Installation: 25 and 27 January (earlier delivery TBC if needed) Customer/ End User To Complete The Below, At Least 3 Days Prior To Installation Works: Is The Installation To Be Carried Out On A Ground Floor Yes No ✔ If No, Please Advise Access To The LVL/s - I.E Goods Lift, Stairs Etc. If Access Is Height Restricted, Please Advise Access will be through a goods lift. There is a loading dock which is very rarely used. You can also park outside the front doors. Note, the building isnt very busy and there is plenty of parking around the area Is There Online &/Or Site Inductions Required For Installation Works Yes ✔ No If Yes, Please Advise URL Links For Online Inductions &/Or Start Time Of Site Inductions: Site inductions will be carried out on site from 7am of everyday with our site manager. We will require your site SWMS, Green Cards and insurances prior to arriving onsite 1/2 Are The Installers Required To Wear PPE ( Please Tick Relevant Boxes ) Steel Cap Boots Hi Vis Shirt ( If Yes Long Sleeve Or Short ? ) Yes Short When Required Hard Hat Yes ✔ No Safet Glasses When required Gloves As needed Yes SWMS Notes: If A Particular Coloured Hi Vis Shirt Is Required Please Advise Is Access To The Building Less Than 100m From Accessible Parking Yes ✔ No Yes ✔ No Yes ✔ No If No, Please Provide As Much Detail As Possible: Will The Site Ready For Furniture To Be Installed Upon Arrival? Notes/Feedback If Required: Install dates to be 25 and 27 January. Earlier date for delivery is ok if arranged with Site Forman in advance Is Power Available Onsite For Charging Of Cordless Drills Etc? ( Note: All Power Tools Will be Tested & Tagged ) Notes/Feedback If Required: Name: Signature: Date: 2/2