Title Page
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Terminal ID
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Location / Site Address
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Bank Name
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Site Name
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Date Visited
1. Personnel Detail
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1.1 Driver Name
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1.2 Crew / Custodian Name
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1.3 Third Man Name
2. Service
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2.1 Service Type
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2.2 Non Trip
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2.3 Missed Service
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2.4 Reason & OB Number
3. Check ATM
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3.1 Is the Alarm working correctly?
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3.2 Is the printer working and has it sufficient paper?
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3.3 Is the ATM cubicle clean and tidy?
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3.4 Was the ATM Key properly sealed?
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3.5 Are cross pavement limits adhered to at all times?
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3.6 All "old" cash removed and not any left inside the ATM after the service is conducted ?
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3.7 Was the Auditor present during the complete operation?
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3.8 Did the custodian remove all old cash from the cassettes/purge bins and placed it in a sealed stop loss bag?
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3.8.1 Number of bundles in R20 to be returned.
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3.8.2 Number of bundles in R50 to be returned.
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3.8.3 Number of bundles in R100 to be returned.
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3.8.4 Number of bundles in R200 to be returned.
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3.8.5.1 New stop loss bag number.
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3.8.5.2 Old stop loss bag number.
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3.9 Did the Custodian retrieve all the slips and placed them into the stop loss bag/P-envelope?
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3.10 Did the Custodian used all new cash and placed it inside the correct cassettes (per denomination)?
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3.11 No suspect cash is utilised by the Custodian (to prevent cash being rolled)?
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3.12 New cash is not mixed with the old cash?
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3.13 Safe is secured and locked after service is conducted?
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3.14 ATM is put back in service mode before leaving the ATM?
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4. Any other comments.
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5. Include photos of the ATM slips.
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I hereby acknowledge the above audit was done by me and the ATM was fully functional when the Custodian and I left the site.
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Name of ATM Auditor
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Signature of ATM Auditor
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Date Signed by ATM Auditor
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All documents and paperwork received by (Debrief Manager)
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Signature of Debrief Manager
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Date Signed by Debrief Manager