Information
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Store Number:
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Store Name:
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Conducted on
Ad-Hoc Works Sign Off
Installation Details
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Store Number:
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Store Name:
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Time on site
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Engineer Name:
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Have you called Mission Control to advise of arrival onsite?
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IF no, why not?
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Have RAMS been reviewed and understood.
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Have all aspects of work been completed?
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IF no, why not?
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Insert photo of cabinet after works completed
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List switch ports used for Logwood
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Insert photo of Chef Screen and bump bar
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Enter Serial number of Pik Box for Chef Screen
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Enter Serial number of Bump Bar for Chef Screen
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Insert photo of power and data for chef screen
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Insert photo of Servery Screen and bump bar
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Enter Serial number of Pik Box for Servery Screen
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Enter Serial number of Bump Bar for Servery Screen
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Insert photo of power and data for servery screen
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Has an additional power socket been installed for a new Microwave position?
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Please insert Photo
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Have Cafe Tills power cables been changed to Elecktrak plug tops?
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IF no, why not?
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How many Elecktrack plugs have been used?
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Have Mission Control/Level 2 advised that the Logwood system has tested correctly?
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IF no, why not?
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List any issues encountered whilst onsite
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Has the site been cleaned to the standard of which it was upon arrival?
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IF no, why not?
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Time Leaving site
Customer Sign Off
Customer Sign Off
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Elecomm Engineer Sign Off:
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Store Manager/Supervisor Signature - Signature is taken as acceptance of work completed by the engineer
