Title Page
-
Site Conducted:
-
Conducted On:
-
Prepared By:
-
Location:
Store Info
-
Store Name
-
Store Number
-
Work Permit Completed ATL (General)
-
Electrical Permit Completed By Electrician (Electrical)
-
Person Signing On Permits
On Site Personnel Info
-
Total number of engineers:
-
Photo’s of ALL engineers CSCS cards:
-
Photos of ALL engineers appropriate certificates (according to the store being worked on):
-
Photo of site board on display:
-
Photo of Site register with names:
-
Photo of signed RAMS:
Install
-
Store handed back fit to trade?
-
Please explain:
-
Job completed as per SOW?
-
Please explain:
-
Have we used old floor trunking & tri lights?
-
Please explain:
-
Have new skirts been fitted to SSC?
-
Please explain:
-
Have front doors been removed off old SSC for recycling?
-
Please explain:
-
Have all SSC been bolted down?
-
Please explain:
-
Have XR7 heads been removed from old SSC, boxed up & returned to Holford?
-
Please explain:
-
If SSC being removed have 7879 scales have these been removed, boxed up and returned to Holford?
-
Please explain:
-
Have end of trip barcode stickers been applied by NCR engineer?
-
Please explain:
-
Have scanner holders been transferred from old to new basket shelves?
-
Please explain:
-
Has card only/card & cash signage been transferred from old SSC to new SSC or left with store?
-
Any of site issues?
-
Please explain:
-
Site lead / Engineers comments:
-
Photo’s Of installation:
Evidence
-
Photo of site before works begun:
-
Photo of filled holes in floor:
-
If patched, photos of wall skirts:
-
Completion of work photos:
Sign Off Permits
-
Electrical permit signed off:
-
ATL general permit signed off:
-
Person who signed off permits:
Engineers Sign Off
-
NCR lead engineer sign:
-
Electrician companies name:
-
Electrician lead engineer sign:
-
ATL lead engineer:
-
Main contractor sign:
Job Sign Off To Be Signed By Store
-
Job title:
-
Sign:
