Information
-
Store Number:
-
Store Name:
-
Conducted on
Ad-Hoc Works Sign Off
Installation Details
-
Store Number:
-
Store Name:
-
Activity Date:
-
Engineer Name:
-
Have the materials been collected from the warehouse, checked off and signed for
-
Attach photo of signed off materials picklist
-
Purpose of Visit
(Please enter purpose of task below) -
Task 1
-
Task 2
-
Task 3
-
Task 4
-
Task 5
-
Has Task 1 been completed successfully?
-
If 'No' provide details
-
Has Task 2 been completed successfully?
-
If 'No' provide details
-
Has Task 3 been completed successfully?
-
If 'No' provide details
-
Has Task 4 been completed successfully?
-
If 'No' provide details
-
Has Task 5 been completed successfully?
-
If 'No' provide details
-
Engineer comments:
-
Has the online EPS been updated?
-
Record Patching Info
-
Elecomm materials returned to the office
-
Client Equipment Returned
-
Client Equipment Issues (i.e chip and pin machine missing when register removed, receipt printer faulty, etc)
Supporting Photo's
Photos
-
Please provide supporting photo's for the ad-hoc work that you have carried out
-
Supporting Photo's
Faulty Hardware
Faulty Hardware
-
Please capture the details of the Faulty hardware to be returned from this installation.
-
DOA Hardware Item
DOA Item
-
Hardware Item
-
Model Number
-
Serial Number
-
Asset Tag Number (if applicable)
-
Detail of Fault
Customer Sign Off
Customer Sign Off
-
Please note that this should be completed by the Duty/Delivery Manager - the purpose of this form is to verify that the snagging performed by the Wincor engineer is as per the 'Purpose of the Visit'.
-
Time Onsite
-
Time Off site
-
Engineers Sign Off:
-
Customer Sign Off:
Ad-Hoc Works Sign Off - duplicate
Installation Details
-
Store Number:
-
Store Name:
-
Activity Date:
-
Engineer Name:
-
Purpose of Visit
(Please enter purpose of task below) -
Task 1
-
Task 2
-
Task 3
-
Task 4
-
Task 5
-
Has Task 1 been completed successfully?
-
If 'No' provide details
-
Has Task 2 been completed successfully?
-
If 'No' provide details
-
Has Task 3 been completed successfully?
-
If 'No' provide details
-
Has Task 4 been completed successfully?
-
If 'No' provide details
-
Has Task 5 been completed successfully?
-
If 'No' provide details
-
Engineer comments:
