VIA Mobile360 Pre-Installation Checklist

Requirements questionnaire — tell us about your site and vehicles so we can plan your installation.

Site & Company Details

1. Company Name

2. Business Email

3. Supervisor Information - Onsite contact (Name/Phone/Email)

4. Worksite Address

5. Site Specific Training

6. MSA/MSHA/Insurance Requirements

7. Site Plan (Available Amenities) (select all that apply)

8. Onsite Resources (select all that apply)

9. Hours of Work (Start/Stop)

10. Available to Work After Hours?

11. Available to Work Weekend?

12. PPE Required (select all that apply)

Vehicle Make/Model/Year

Is Vehicle a Forklift?

Fuel Type (select all that apply)

System Voltage

Vehicle Images (select all that apply)

Upload image file(s) *Drag and drop, or click to choose filesMax 50 MB per file

Review Installation Proposal (select all that apply)

Special Requirements (optional)