Main Contractor Role For ATL Working On Behalf Of NCR - rev 2

• Site Conducted

  Select

• undefined

• Conducted On

  Date

• Prepared By

• Location
  Address

• Store Name

• Store Number

• Site Safety Board On Display

  Media

• Work Permit Completed ATL (General)

  Media

• Electrical Permit Completed By Electrician (Electrical)

  Media

• Person Signing On Permits

On Site Personnel

• Total Number Of Engineers

• Photo’s Of All Engineers CSCS

  Media

• Store Handed Back Fit To Trade

  Yes

  No

  N/A

• Please Explain

• Job Completed As Per SOW

  Yes

  No

  N/A

• Please Explain

• Any On Site Issues

  Yes

  No

  N/A

• Please Explain

• Site Lead / Engineers Comments

• Photo’s Of Installation

  Media

• Electrical Permit Signed Off

  Media

• ATL General Permit Signed Off

  Media

• Person Who Signed Off Permits

• NCR Lead Engineer Sign

  Sign

• Electrician Companies Name

• Electrician Lead Engineer Sign

  Sign

• ATL Lead Engineer

  Sign

• Main Contractor Sign

  Sign

• Job Title

• Signed

  Sign