Title Page

  • Store Number

  • Store Name

  • Engineer Name

  • Location

Pre Works Information

  • Photo of PZE - Clocking-in Machine with clear image of the store number

  • Photo of Phone with base unit clearly showing the aerial

  • Make and model of phone

  • Wide angled photo of phone base unit in current location

Phone Signal Survey

  • Phone signal in existing position

  • Image of store visio with signal strength in existing position and the phone position clearly indicated

  • Wide angled photo of phone base unit in requested test position

  • Phone signal in requested test position

  • Image of store visio with signal strength in test position and phone position clearly indicated

  • Wide angled photo of phone returned to original position

  • Confirmation phone is working before engineer leaves store

  • Any engineer comments (example - Is there available power sockets/data points? are the cabling routes clear/height of ceiling or basket work?)

Store Survey Sign-Off

  • Managers signature

  • Engineers signature

  • Photo of LMF

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.