Information
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ITS SURVEY DOC
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Audit Title
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Client / Store number / Store
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Conducted on
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Prepared by
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RPM Signature
Retail
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Which retail store
MAIN-BANK CHECKOUTS
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Main bank Checkout survey
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Mainbank Checkout number
- Checkout 1
- Checkout 2
- Checkout 3
- Checkout 4
- Checkout 5
- Checkout 6
- Checkout 7
- Checkout 8
- Checkout 9
- Checkout 10
- Checkout 11
- Checkout 12
- Checkout 13
- Checkout 14
- Checkout 15
- Checkout 16
- Checkout 17
- Checkout 18
- Checkout 19
- Checkout 20
- Checkout 21
- Checkout 22
- Checkout 23
- Checkout 24
- Checkout 25
- Checkout 26
- Checkout 27
- Checkout 28
- Checkout 29
- Checkout 30
- Checkout 31
- Checkout 32
- Checkout 33
- Checkout 34
- Checkout 35
- Checkout 36
- Checkout 37
- Checkout 38
- Checkout 39
- Checkout 40
- Checkout 41
- Checkout 42
- Checkout 43
- Checkout 44
- Checkout 45
- Checkout 46
- Checkout 47
- Checkout 48
- Checkout 49
- Checkout 50
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Checkout ID
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Asset number
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Checkout hand
- Pair LH
- Pair RH
- Straight LH
- Straight RH
- LH Single B2W
- RH Single B2W
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Red panel present and free from damages
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Blue prongs present and free from damages
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Stickers present and not worn away
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Black gasket present and free from damages
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Detagger present and not damaged
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Cupboard doors present and not damaged
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Foot stall present and not damaged
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Printer tray present and free from damages
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Chip and pin present and free from damages
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Display pole present and free from damages
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Bag holder / bag 4 Life present and not damaged
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Crumb Trays present and free from damages
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Screen / Space pole present and free from damages
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Hand scanner bracket and black scanner cup present and free from damages
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Operator gate present and free from damages
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Operator keep present and free from damages
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Customer gate / Tensator present and free from damages
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Blighline rubber and tracking to checkout
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Bumb Rubber / End caps present and free from damages
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Hopper Bumb rubber present and free from damages
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Next customer rail present and free from damages<br>Nylon block included
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Input Belt in good condition <br>
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Controller, belts and eyes all operational
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Call light all working and free from damage
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Pod holder present and free from damages
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Table / Back 2 Wall present and free from damages
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Does this checkout have a Workstation<br>
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Front End Workstation
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Management desk
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Add media
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TPF / Kessler damaged complete or missing
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Checkout / Skirting free from damages
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Additional Information
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Add media
MAIN-BANK CHECKOUTS
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Main bank Checkout survey
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Mainbank Checkout number
- Checkout 1
- Checkout 2
- Checkout 3
- Checkout 4
- Checkout 5
- Checkout 6
- Checkout 7
- Checkout 8
- Checkout 9
- Checkout 10
- Checkout 11
- Checkout 12
- Checkout 13
- Checkout 14
- Checkout 15
- Checkout 16
- Checkout 17
- Checkout 18
- Checkout 19
- Checkout 20
- Checkout 21
- Checkout 22
- Checkout 23
- Checkout 24
- Checkout 25
- Checkout 26
- Checkout 27
- Checkout 28
- Checkout 29
- Checkout 30
- Checkout 31
- Checkout 32
- Checkout 33
- Checkout 34
- Checkout 35
- Checkout 36
- Checkout 37
- Checkout 38
- Checkout 39
- Checkout 40
- Checkout 41
- Checkout 42
- Checkout 43
- Checkout 44
- Checkout 45
- Checkout 46
- Checkout 47
- Checkout 48
- Checkout 49
- Checkout 50
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Checkout ID
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Asset number
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Checkout hand
- Pair LH
- Pair RH
- Single LH Table
- Single RH Table
- Single LH DDA
- Single RH DDA
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Stickers present and not worn away
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Detagger present and not damaged
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Foot stall present and not damaged
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Chip and pin present and free from damages
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Display pole present and free from damages
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Bag holder / bag 4 Life present and not damaged
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Crumb Trays present and free from damages
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Screen Bracket / Space pole present and free from damages
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Hand scanner bracket present and free from damages
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Tensator present correct colour and free from damages
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Blighline rubber and tracking to checkout
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Bumb Rubber / End caps present and free from damages
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Hopper Bumb rubber present and free from damages
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Next customer rail present and free from damage
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Belt / Belts in good condition <br>Include back belt if applicable
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Controller, belts and eyes all operational
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Call light all working and free from damage
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Table present and free from damages
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Banking point damaged complete or missing
- N/A
- Half Banking point complete
- Full banking point complete
- Mobile banking point No damage
- Mobile banking point damaged
- Full banking point incomplete
- Half banking point incomplete
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Checkout / Skirting free from damages
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Additional Information
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Add media
MAIN-BANK CHECKOUTS
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Main bank Checkout survey
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Mainbank Checkout number
- Checkout 1
- Checkout 2
- Checkout 3
- Checkout 4
- Checkout 5
- Checkout 6
- Checkout 7
- Checkout 8
- Checkout 9
- Checkout 10
- Checkout 11
- Checkout 12
- Checkout 13
- Checkout 14
- Checkout 15
- Checkout 16
- Checkout 17
- Checkout 18
- Checkout 19
- Checkout 20
- Checkout 21
- Checkout 22
- Checkout 23
- Checkout 24
- Checkout 25
- Checkout 26
- Checkout 27
- Checkout 28
- Checkout 29
- Checkout 30
- Checkout 31
- Checkout 32
- Checkout 33
- Checkout 34
- Checkout 35
- Checkout 36
- Checkout 37
- Checkout 38
- Checkout 39
- Checkout 40
- Checkout 41
- Checkout 42
- Checkout 43
- Checkout 44
- Checkout 45
- Checkout 46
- Checkout 47
- Checkout 48
- Checkout 49
- Checkout 50
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Checkout ID
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Asset number
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Checkout hand
- Pair LH
- Pair RH
- Straight LH
- Straight RH
- LH Single B2W
- RH Single B2W
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Red panel present and free from damages
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Blue prongs present and free from damages
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Stickers present and not worn away
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Black gasket present and free from damages
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Detagger present and not damaged
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Cupboard doors present and not damaged
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Foot stall present and not damaged
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Printer tray present and free from damages
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Chip and pin present and free from damages
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Display pole present and free from damages
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Bag holder / bag 4 Life present and not damaged
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Crumb Trays present and free from damages
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Screen / Space pole present and free from damages
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Hand scanner bracket and black scanner cup present and free from damages
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Operator gate present and free from damages
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Operator keep present and free from damages
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Customer gate / Tensator present and free from damages
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Blighline rubber and tracking to checkout
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Bumb Rubber / End caps present and free from damages
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Hopper Bumb rubber present and free from damages
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Next customer rail present and free from damages<br>Nylon block included
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Input Belt in good condition <br>
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Controller, belts and eyes all operational
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Call light all working and free from damage
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Pod holder present and free from damages
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Table / Back 2 Wall present and free from damages
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Does this checkout have a Workstation<br>
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Front End Workstation
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Management desk
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Add media
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TPF / Kessler damaged complete or missing
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Checkout / Skirting free from damages
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Additional Information
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Add media
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Smoked Perspex cheque writing shelf free from damage
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Measurements to replace?
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Smoked Perspex express free from damage?
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Measurements to replace?
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Chrome screen plate free from damage?
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Chrome screen bracket free from damage?
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Straight Top Trim - Barbless damaged?
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Top trim 90 degrees corner damaged?
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Top trim 75 degrees corner damaged?
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ABS rear bay damaged?
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Cash box storage bay damaged?
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P53 customer display box damaged?
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Checkout gate damaged?
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Electrical checkout control set type
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Checkout control type
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Key pad type
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Stop button
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Motherboard type
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Magic eye
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Switch cable
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Front conveyor trim damaged?
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Rear conveyor trim damaged?
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Belt length
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Motor type?
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Additional Information
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Store Checkout Manager / Manager
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Position
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Main Contractor
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Position