Midwest Security Products, Inc Site Survey
Store #
*
Store Name
*
Surveyor Name
First Name
Last Name
Surveyor Phone
-
Area Code
Phone Number
Door 1
Door Location
Please Select
North
South
East
West
Is door used as customer entrance?
Please Select
Yes
No
Is door used as employee entrance?
Please Select
Yes
No
Door Location Description
Key cylinder on outside
Please Select
Yes
No
Key Cylinder on Inside
Please Select
Yes
No
Will NexgenXT be installed on this door?
Please Select
Yes
No
If possible, record manufacturer of lock hardware
Is there another Alum Door w/ mortise lock?
Please Select
Yes
No
Is there a Knox Box on this facility?
Please Select
Yes
No
If so, where?
Notes on door hardware
Swing of door
Please Select
Yes
No
Closer Operation
Please Select
Yes
No
Bolt/Latch function
Please Select
Yes
No
Hinges
Please Select
Yes
No
Does door close and latch (or lock) properly?
Please Select
Yes
No
Door Photo- Inside
Door Photo-Outside
Door Photo-Edge
Additional Photos
Additional Photos
Additional Photos
Submit
Do you want to add another door?
*
yes
no
Back
Next
Submit
Door 2
Door Location
Please Select
North
South
East
West
Is door used as customer entrance?
Please Select
Yes
No
Is door used as employee entrance?
Please Select
Yes
No
Door location discription
Key cylinder on outside?
Please Select
Yes
No
Key cylinder on inside?
Please Select
Yes
No
Will Nexgen XT be installed on this door?
Please Select
Yes
No
If possible, record manufaturer of lock hardware
Is there another Alum Door w/ Mortise lock?
Please Select
Yes
No
Is there a Knox Box on this facility?
Please Select
Yes
No
If so, where?
Notes on door hardware
Swing of door
Please Select
Yes
No
Closer operation
Please Select
Yes
No
Bolt/Latch function
Please Select
Yes
No
Hinges
Please Select
Yes
No
Does door close and latch (or lock) properly?
Please Select
Yes
No
Photo of inside of door
Photo of outside of door
Photo of edge of door
Additional Photo
Additional Photo
Additional Photo
Submit
Should be Empty: