Information

  • Customer store number:

  • Prepared by? (Name Technician + Company Name):

  • Customer / Site:

  • System performance in %:

  • Location:

System Configurations Entrance and Exit

  • Installation Footprint

  • Area
  • Registration (example- Entrance / Exit):

  • 230V Electricity Outlet available?

  • Position of Nedap Power Supply:

  • Circuit breaker description (Fuse box):

  • Network socket description:

Antenna group information:

  • Antenna group registration:

  • !D Gates/Tops
  • Group name:

  • Number of antennas in group:

  • Firmware version:

  • Power settings:

  • Filtering Threshold settings:

  • Tag amount setting:

  • Group performance in %:

  • Aisle width (!D Gate) in cm:

  • Installation height (!D Top) in cm:

Network information:

  • IP address:

  • Subnetmask:

  • Gateway IP:

  • DNS 1:

  • DNS 2:

EAS database information:

  • EAS database IP:

  • Port number:

  • EAS database communication tested succesfully?

Statements Information

  • Was there a clear instruction provided by the technician?

  • Please give the names of the people who attended the handover session.

  • Give the reason why there are no instructions given

  • Any comments, notes or references

Confirmation / Signatures

  • We hereby confirm that the installation was carried out in line with the details specified in the order/order confirmation. The system has been explained and handed over in a working state.

  • I hereby confirm that the above listed information is correct. Signature of technician:

  • I hereby confirm the fulfilment of the order and that the above listed information is correct. Signature customer / Client

documentation

  • If any environmental issues have been experienced during the installation/service visit, please specify:

  • If any 3rd party issues have been experienced during the installation/service visit, please specify:

  • Pictures [add photo from entrance(s) and !D Gate(s)/Top(s)].

  • Sketches

  • Drawings

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.