Title Page
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Client
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Store Number
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Store Name
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Conducted On
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Prepared By
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Location
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Version 1.0 Initial Release ( ATL & NCR signoffs combined to make one 11/2/2023
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Version 1.1 Updated for SM confirmation of installation against SOW 16/2/2023
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Version 1.2 Signing in book capture added 5/6/2023
Pre Installation photos
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Photograph of Installation area before Install
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Wide angle photo of install area from face on
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Wide angle photo of install area from RHS
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Wide angle photo of install area from LHS
Store Info
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Site Safety Board On Display
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Store signing in book
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Work Permit Completed ATL (General)
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Electrical Permit Completed By Electrician (Electrical)
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Person Signing On Permits
On Site Personnel
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Total Number Of Engineers
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Photo’s Of All Engineers CSCS
Install
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Store Handed Back Fit To Trade
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Please Explain
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Job Completed As Per SOW
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Please Explain
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Any On Site Issues
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Please Explain
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Site Lead / Engineers Comments
Photos & Details of Installation
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Signing Off of SCO or POS
Add Photos of Individual SCO
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Click Add Photographs of individual SCO for each SCO installed
Add Photographs of individual SCO
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Lane No
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Photographs of RHS, Face On and LHS of SCO
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Photgraphs of SCO Branding
Photographs of all SCO, Trunking, Service Poles and RAP
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Wide angle Photographs of full row of SCO (From LHS & RHS)
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Wide angle Photographs of full SCO pen (From 4 corners)
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Photographs of trunking, service poles
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Is there a Rap cabinet & Screen
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Photograph of Rap cabinet
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Photograph of Rap screen
SCO Installation
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Are the SCO installed to plan
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Give Details
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Screenshot of annotated drawing
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All SCO branding fitted correctly
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Details of what is wrong
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Photographs of Branding
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All SCO's up and running with no I.T issues
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Give Details & Lane No's
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Photograph of Screen
Floor Trunking, Electrical trunking and Service Poles
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All trunking fitted correctly, end caps secure, sockets fitted correctly and secure
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Give details of discrepancies
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Photographs of trunking
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Are services poles fitted correctly and plumb
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Give details of whats wrong
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Photographs of service poles
Skirting
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All Skirting fitted correctly
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Give Details of discrepancies
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Take photos
Mainbank and Manned Tills
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Did we relocate any as part of our SOW
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Has it been relocated correctly
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Photograph required
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Give Details
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Photographic Evidence or Annotated Drawing
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Has it been relocated correctly
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Photograph required
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Give Details
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Photographic Evidence or Annotated Drawing
Flooring and Ceiling works
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Have the flooring works been completed to a satisfactory standard
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Give details
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Take photos
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Have the ceiling works been completed to satisfactory standard
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Give details
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Take photos
Add Photos of Individual POS
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Click Add Photographs of individual POS for each POS installed
Add Photographs of individual POS with errors or issues
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POS No
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What area are you signing off?
- Mainbank
- Customer Services
- Kiosk
- Cafe
- Pharmacy
- Opticians
- George
- Electrical
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Photograph of Mainbank Face On (From operator position)
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Photgraph of POS Screen
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Photograph of Re-positioned Checkout Controller
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Photograph of Perspex Screen
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Photo of Shroud & Scale Surround
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Photo of Peripherals
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Photograph of POS Face On (From operator position)
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Photgraph of POS Screen
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Photograph of Screen Stand with cashdrawer
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Photograph of Peripherals
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Is the POS operational
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Give details of errors
Sign Off Permits
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Electrical Permit Signed Off
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ATL General Permit Signed Off
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Person Who Signed Off Permits
Engineers Sign Off
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NCR Lead Engineer Sign
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Electrician Companies Name
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Electrician Lead Engineer Sign
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ATL Lead Engineer
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Main Contractor Sign
Job Sign Off To Be Signed By Store
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Job Title
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Signed
