Title Page
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Works Commenced On
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You MUST click the pin icon, do not manually type a location.
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Store Location
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Client
- Asda
- Boots
- WM Morrisons
- J Sainsbury's
- Tesco
- Gatekeeper
- NCR VOYIX
- Arcadis
- Indigo
- Lidl
- Aldi
- M&S
- Other
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Client Name:
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Store Number
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Store Name
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Conducted By
Store Info
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Has the Store Signing In Book been signed?
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Why Not?
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! Works should not commence without signing the store register !
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Photograph of Signing In Book
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Has all site H&S information been read, and understood?
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Why Not?
On Site Personnel
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Total Number Of Engineers on Site & List Operatives Full Names:
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Photo’s Of All Engineers CSCS & Any other required acreditations:
Pre Works Photos
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Photograph of Installation area before Works
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Wide angle photo of Works area, Clearly Visible
Works
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Job Completed As Per SOW
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Please List additional works required in detail (Quantities, Dimensions & Detailed Description):
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Any On Site or H&S Issues
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Please Explain
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Store Handed Back Fit To Trade
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Please Explain
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Site Lead / Engineers Comments
Photos & Details of Works Completed
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You must add a new response (Using the + Icon) for each task completed on site.
Works Action #
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Task Name:
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Photos of task:
Sign Off Documentation Images
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ATL Risk Assessment, RAMS or Safe System Of Work Declaration: (Clear Image, Signed)
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Have any other Permits been required (Provide Photo of Ladder, Hot Works, or Other as Required)
Engineers Sign Off
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ATL Lead Engineer / Supervisor
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You MUST click + and fill out the following section for each additional ATL member to sign.
Additional ATL Personnel Signature:
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Sign Here
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COMPLETION TIME & DATE
Main Contractor / Store Manager or Site Contact Signature - Must Not Be Signed by ATL on Others Behalf!
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Main Contractor / Store Manager or Site Contact Signature - Must Not Be Signed by ATL on Others Behalf!
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Job Title
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First Name
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Surname
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Signed
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COMPLETION TIME & DATE
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Sign Off Location
