Title Page

  • Client

  • Store Number

  • Store Name

  • Conducted On

  • Prepared By

  • Location
  • Version 1.0 Initial Release ( ATL & NCR signoffs combined to make one 11/2/2023

  • Version 1.1 Updated for SM confirmation of installation against SOW 16/2/2023

  • Version 1.2 Signing in book capture added 5/6/2023

Pre Installation photos

  • Photograph of Installation area before Install

  • Wide angle photo of install area from face on

  • Wide angle photo of install area from RHS

  • Wide angle photo of install area from LHS

Store Info

  • Site Safety Board On Display

  • Store signing in book

  • Work Permit Completed ATL (General)

  • Electrical Permit Completed By Electrician (Electrical)

  • Person Signing On Permits

On Site Personnel

  • Total Number Of Engineers

  • Photo’s Of All Engineers CSCS

Install

  • Store Handed Back Fit To Trade

  • Please Explain

  • Job Completed As Per SOW

  • Please Explain

  • Any On Site Issues

  • Please Explain

  • Site Lead / Engineers Comments

Photos & Details of Installation

  • Signing Off of SCO or POS

Add Photos of Individual SCO

  • Click Add Photographs of individual SCO for each SCO installed

  • Add Photographs of individual SCO
  • Lane No

  • Photographs of RHS, Face On and LHS of SCO

  • Photgraphs of SCO Branding

Photographs of all SCO, Trunking, Service Poles and RAP

  • Wide angle Photographs of full row of SCO (From LHS & RHS)

  • Wide angle Photographs of full SCO pen (From 4 corners)

  • Photographs of trunking, service poles

  • Is there a Rap cabinet & Screen

  • Photograph of Rap cabinet

  • Photograph of Rap screen

SCO Installation

  • Are the SCO installed to plan

  • Give Details

  • Screenshot of annotated drawing

  • All SCO branding fitted correctly

  • Details of what is wrong

  • Photographs of Branding

  • All SCO's up and running with no I.T issues

  • Give Details & Lane No's

  • Photograph of Screen

Floor Trunking, Electrical trunking and Service Poles

  • All trunking fitted correctly, end caps secure, sockets fitted correctly and secure

  • Give details of discrepancies

  • Photographs of trunking

  • Are services poles fitted correctly and plumb

  • Give details of whats wrong

  • Photographs of service poles

Skirting

  • All Skirting fitted correctly

  • Give Details of discrepancies

  • Take photos

Mainbank and Manned Tills

  • Did we relocate any as part of our SOW

  • Has it been relocated correctly

  • Photograph required

  • Give Details

  • Photographic Evidence or Annotated Drawing

  • Has it been relocated correctly

  • Photograph required

  • Give Details

  • Photographic Evidence or Annotated Drawing

Flooring and Ceiling works

  • Have the flooring works been completed to a satisfactory standard

  • Give details

  • Take photos

  • Have the ceiling works been completed to satisfactory standard

  • Give details

  • Take photos

Add Photos of Individual POS

  • Click Add Photographs of individual POS for each POS installed

  • Add Photographs of individual POS with errors or issues
  • POS No

  • What area are you signing off?

  • Photograph of Mainbank Face On (From operator position)

  • Photgraph of POS Screen

  • Photograph of Re-positioned Checkout Controller

  • Photograph of Perspex Screen

  • Photo of Shroud & Scale Surround

  • Photo of Peripherals

  • Photograph of POS Face On (From operator position)

  • Photgraph of POS Screen

  • Photograph of Screen Stand with cashdrawer

  • Photograph of Peripherals

  • Is the POS operational

  • Give details of errors

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

  • Signed

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.