Title Page

  • Conducted on

  • Prepared by

  • Location
  • Site REF Number -

  • Site Name -

  • ATM Model -

  • ATM Serial Number -

ACTIVITY

  • EPP De-commissioned

  • Photo showing EPP De-commissioned & EPP Serial Number

  • ATM power cable disconnected and made safe

  • Photo showing ATM power cable disconnected and made safe

  • De-installed ATM securely bolted to a timber pallet

  • Photo showing De-installed ATM securely bolted to a timber pallet

  • Plinth/Floor Plate removed

  • Photo showing Plinth/Floor Plate removed

  • Security Boots and/or wall-fixing plate removed

  • Photo showing Security Boots and/or wall-fixing plate removed

  • Router and all power/date cables removed

  • Photo showing Router and all power/date cables removed

  • ATM Bezel Kit removed with all components intact and packaged with ATM for Transit OR

  • Photo showing ATM Bezel Kit removed with all components intact and packaged with ATM for Transit

  • ATM Bezel Kit removed with components corroded and/or damaged during removal (give details below)

  • Photo showing ATM Bezel Kit removed with components corroded and/or damaged during removal

  • All bolts removed and fixing holes made good

  • Photo showing all bolts removed and fixing holes made good

  • All external signage and branding removed

  • Photo showing all external signage and branding removed

  • Receipt Bin removed

  • Photo showing Receipt Bin removed

  • Steel Blanking Plate fixed securely over aperture

  • Photo showing Steel Blanking Plate fixed securely over aperture

  • ATM position left in clean tidy state

  • Photo showing ATM position left in clean tidy state

  • ATM Hood or Safe Door shut and Signed/Dated Anti-Tamper seal fitted

  • Photo showing ATM Hood or Safe Door shut and Signed/Dated Anti-Tamper seal fitted

  • Secured ATM wrapped with clear shrink wrap ready for Transit

  • Photo showing Secured ATM wrapped with clear shrink wrap ready for Transit

  • Sequential Seal Number Used -

  • DETAILS OF BEZEL KIT ISSUES, KEYS RETURNING WITH ATM, OUTSTANDING WORKS etc. -

SITE COMPLETION

Cashzone Call - Moves and Branding Team

  • Spoke To -

  • Reference -

CSS ROTHERHAM CALL - Scheduling Team

  • Spoke To

  • Completion Photo(s) emailed to scheduling@newwaveinstallations.co.uk

SITE SIGN OFF De-install works completed and site left in a clean and tidy state:

  • CSS Operative -

  • Site Contact -

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