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

  • Version 1.3 Scope of work confirmation added to the signoff 24/9/2023

  • Version 1.4 Wm Morrisons added to client list 2/10/2023

Pre Installation Photos & Videos

  • 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

  • The video clip should include for:
    • Name of MC (NCR) and individual making the announcement.
    • Store name and number along with date and time of announcement

  • Short video of working Tannoy system pre relocation if required

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

Tannoy System

  • The video clip should include for:
    • Name of MC (NCR) and individual making the announcement.
    • Store name and number along with date and time of announcement

  • Did we relocate the tannoy system

  • Short video of working Tannoy system after relocation

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

Future Front End - Scope of Works Summary

  • Installation of workstations/kick rails as per layout, or phasing doc if superseded (to include 1 twin power socket)

  • Alterations/removals of manned checkouts as per layout, or phasing doc if superseded

  • Alterations to cash tube as required

  • Relocation of panic alarms

  • Relocation of CCTV cameras & screens to new layout/Re label as required

  • Relocation of SCO cameras & screens to new layout

  • Relocation of checkout soft de-tagger boxes

  • Install of 1 x universal hard de-tagger per workstation, or phasing doc if superseded

  • Relocation of Checkpoint Tagging Gates as per layout, or phasing doc if superseded

  • Relocation of Frame as per layout

  • Relocate, supply and install chrome barriers as per layout

  • Relocate existing/supply & install new hanging signage (updated to brand standards)

  • Supply & install SCO & COSCO Header Card & PED surround

  • Minor floor repairs as required, i.e. repair bolt holes

  • Minor ceiling repairs as required. New ceiling tiles where no ceiling furntire occures or a `patch` if these does occur

  • Power and data as required

  • Decorations as required (minimal to affected areas)

  • Tri Light numbers

  • Inques as per layout, or phasing doc if superseded

  • Bag stands as per layout, or phasing doc if superseded (POS not included)

  • Handscanner return olders to new lanes (example 10 lanes going to 12 would be 2new)

  • Relocate floral and floral lighting if required

  • New Tensator disabled webbings (exisitng units are nor replaced)

  • Reinstate existing hearing loops and signage. Leave existing units with store

  • New cradles to any workstations: this is normally established ahead of time, so will be captured accordingly

  • DDA compliant till as per layout, or phasing doc if superseded

  • New panic alarms will not be provided to workstations or mainbanks if not already installed

  • Additional CCTV screens or cameras

  • Additional SCO security monitors (if store already has these)

  • Additional Checkout soft detagger boxes

  • We can only install dettaggers from removed checkouts to new workstations if avaliable, Not to be removed by store

  • Additional Checkpoint tagging gates

  • POS signage to bag holders not included

  • Exisiting floor issues. Replacement of viynl floor covering/polish of terrazzo tiles as deemed necessary. Store specific

  • Additional sockets identfy as an extra

  • Additional sockets identfy as an extra

  • All decorations identfy as an extra

  • MBC side units and Hotspots: all based on exisitng layout, i.e. already at store. These will not be supplied

  • MBC clip and mount to adjacencies

  • Captain Lectern relocation as per phasing doc

  • Tannoy relocation as per phasing doc

  • PC & screen relocation as per phasing doc

  • Phone relocation as per phasing doc

  • Uber relocation as per phasing doc

  • Car park validation relocation as per phasing doc

  • Signage - dark earth: overhead 1 x B/SCO & T/SCO

  • Signage - dark earth: Smartshop table and CoSCOs

  • Signage - dark earth: Scanner wall

  • Other Items
  • Other Item Details

  • Snag
  • Give Detail of Snag

  • Extra
  • Give Details of Extra

Confirmation of Future Front End Scope of Works Summary

  • Above is a true reflection of works carried out against the Scope Of Works

  • Signature of Site Manager

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.