Title Page
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Conducted On
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Client
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Store Number
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Store Name
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Store Location
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Prepared By
Revisions
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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
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Version 1.3 Scope of work confirmation added to the signoff 24/9/2023
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Version 1.4 Wm Morrisons added to client list 2/10/2023
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Version 1.5 Relocated questions and sections 27/03/2024
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
On Site Personnel
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Total Number of Personal on Site
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Photo’s of ALL site personal CSCS and other relevant accreditations
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Site Register Signing in Photo of all Personal
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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Nominated Electrical Contractor Permit Signed & Dated
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Signed ATL RAMS and H&S documentation
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Signed NCR RAMS and H&S documentation
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Signed Contractor RAMS for All other contractors working under Principal Contractor
Engineers Sign Off
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NCR Lead Engineer Sign
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Electrician Lead Engineer Sign
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ATL Lead Engineer
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Main Contractor Sign
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Site Register Sign Out Completion Photo
Future Front End - Scope of Works Summary
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Installation of workstations/kick rails as per layout, or phasing doc if superseded (to include 1 twin power socket)
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Alterations/removals of manned checkouts as per layout, or phasing doc if superseded
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Alterations to cash tube as required
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Relocation of panic alarms
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Relocation of CCTV cameras & screens to new layout/Re label as required
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Relocation of SCO cameras & screens to new layout
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Relocation of checkout soft de-tagger boxes
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Install of 1 x universal hard de-tagger per workstation, or phasing doc if superseded
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Relocation of Checkpoint Tagging Gates as per layout, or phasing doc if superseded
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Relocation of Frame as per layout
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Relocate, supply and install chrome barriers as per layout
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Relocate existing/supply & install new hanging signage (updated to brand standards)
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Supply & install SCO & COSCO Header Card & PED surround
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Minor floor repairs as required, i.e. repair bolt holes
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Minor ceiling repairs as required. New ceiling tiles where no ceiling furntire occures or a `patch` if these does occur
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Power and data as required
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Decorations as required (minimal to affected areas)
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Tri Light numbers
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Inques as per layout, or phasing doc if superseded
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Bag stands as per layout, or phasing doc if superseded (POS not included)
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Handscanner return olders to new lanes (example 10 lanes going to 12 would be 2new)
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Relocate floral and floral lighting if required
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New Tensator disabled webbings (exisitng units are nor replaced)
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Reinstate existing hearing loops and signage. Leave existing units with store
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New cradles to any workstations: this is normally established ahead of time, so will be captured accordingly
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DDA compliant till as per layout, or phasing doc if superseded
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New panic alarms will not be provided to workstations or mainbanks if not already installed
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Additional CCTV screens or cameras
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Additional SCO security monitors (if store already has these)
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Additional Checkout soft detagger boxes
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We can only install dettaggers from removed checkouts to new workstations if avaliable, Not to be removed by store
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Additional Checkpoint tagging gates
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POS signage to bag holders not included
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Exisiting floor issues. Replacement of viynl floor covering/polish of terrazzo tiles as deemed necessary. Store specific
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Additional sockets identfy as an extra
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Additional sockets identfy as an extra
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All decorations identfy as an extra
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MBC side units and Hotspots: all based on exisitng layout, i.e. already at store. These will not be supplied
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MBC clip and mount to adjacencies
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Captain Lectern relocation as per phasing doc
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Tannoy relocation as per phasing doc
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PC & screen relocation as per phasing doc
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Phone relocation as per phasing doc
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Uber relocation as per phasing doc
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Car park validation relocation as per phasing doc
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Signage - dark earth: overhead 1 x B/SCO & T/SCO
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Signage - dark earth: Smartshop table and CoSCOs
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Signage - dark earth: Scanner wall
Other Items
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Other Item Details
Snag
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Give Detail of Snag
Extra
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Give Details of Extra
Confirmation of Future Front End Scope of Works Summary
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Above is a true reflection of works carried out against the Scope Of Works
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Signature of Site Manager
Job Sign Off To Be Signed By Store
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Job Title
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Signed
