Information
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Site number:
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Store name:
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Conducted on
Store Information
Store Information
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Store Number:
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Store Name:
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Engineer:
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Activity Date:
Issue Log
Issues Log
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Have any issues been discovered?
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Provide details of issue
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Please provide photo of issue
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Was the issue resolved?
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Photos of resolved issue
Outstanding Issue Log (Provide details of each outstanding issue below)
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Were there any issues you were unable to resolve?
Outstanding Issue
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Details
Customer Sign Off
Engineer Sign Off
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Completion date
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Time onsite
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Time off site
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Engineer sign off
Customer Sign Off
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Site left clean and tidy?
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Customer comments
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Customer sign off