SWITCHOLOGY EMS SYSTEM — SURVEY FORM

Energy Monitoring System | Site Assessment & Requirements Capture

1. COMPANY INFORMATION

1.1 Name of Company *

1.2 Company Billing Address

1.3 Contact Details

Contact Name *

Email Address *

Phone Number *

2. SITE / PLANT INFORMATION

2.1 Plant or Site Name *

2.2 Site / Plant Address

2.3 Total Transformer Load (KVA)

2.4 Service Connection Type

2.5 Number of Meters to be Monitored

3. EXISTING INFRASTRUCTURE

3.1 Do you have a Single Line Diagram (SLD) available?

YesNo

3.2 Do you already have an EMS, SCADA, or BMS at the site? If yes, provide details below.

YesNo

4. CONNECTIVITY & INSTALLATION PREFERENCES

4.1 Would you like remote monitoring of these meters?

(Note: Internet access to the gateway device will be required)

YesNo

4.2 Is IT or security approval required to connect devices to your network?

YesNo

4.3 Gateway Device Connection Preference

5. ADDITIONAL NOTES / REMARKS

6. METER DETAILS — PER METER INFORMATION

Sl No	Panel Name	Panel Location	Feeder Name	Meter Name	Meter Model	Meter has RS485?	Meter Type (MDM / KWH / VAF / Dual)	Current Rating (A)	Feeder Type (Incoming / Bus Coupler / Outgoing)
1
2
3

7. PANEL DETAILS — DISTANCE FROM MAIN PANEL

Sl No	Panel Name	Panel Location	Approx. Distance (Mtr) from Main Panel
1
2
3

DECLARATION & SIGNATURE

I confirm that the information provided above is accurate to the best of my knowledge.

Authorised Signatory Name *

Signature

Date

Fields marked * are mandatory.