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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Elecomm Survey Engineer:
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NCR Survey Engineer
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Have RAMS been reviewed and understood.
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Insert wide photo of Cafe area
Data
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Insert Photo Of Data Cabinet
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Number of Available Switch Ports
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Insert Blue patch cables into 4 x available ports and list ports taken.
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Photo of Blue patch cables installed to reserve ports and labelled "FOR CAFE LOGWOOD"
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Is a new Patch Panel Required?
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Number of spare ports on existing Patch Panel in comms cabinet?
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Is there enough space in the comms cabinet for a new patch panel if required?
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Insert description of cable route from comms cabinet to the Cafe.
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Insert photos of cable route from comms cabinet to the Cafe.
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Has a position been agreed for the new Chef Monitor (In the kitchen back of house)
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If Not, Why not?
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Insert photo of new Chef Monitor position identified by the paper template.
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What Surface is monitor bracket to mount to?
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Insert Photo of Chef Bump Bar position
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Description of Chef Bump Bar position
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Has a position been agreed for the new Serving Monitor (At serving area Front of house)
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If Not, Why not?
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Insert photo of new Serving Monitor position identified by the paper template
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What Surface is monitor bracket to mount to?
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Insert Photo of Servery Bump Bar position
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Description of Servery Bump Bar position
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Can Data outlet and Power Socket be installed behind the screen position?
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If Not, Why not?
Power
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Has the main incoming DB for the store been located?
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Decription of main incoming DB for the Store
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Please insert photo of main incoming DB in store
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Does the Cafe have it's own Electrical DB within the Cafe Area?
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State location of closest DB
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What is the make and model number of the DB?
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Are there spare ways available for a new circuit to be installed from?
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Number of spare ways
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Insert photo of DB to be used
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Description of Cable route from DB to Cafe area
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Photos of Cable route from DB to Cafe area
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Containment required for Servery Screen 2 gang power socket?
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Insert photo of position of Servery Screen 2 gang power socket?
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Containment required for Chef Screen 2 gang power socket?
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Insert photo of position of Chef Screen 2 gang power socket?
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Containment required for Microwave 2 gang power socket?
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Insert photo of position of Microwave 2 gang power socket?
Site Info
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Is a MEWP required for any part of the installation?
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State lifter type required
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Are there any alarms in the Cafe area that need disarming if working out of hours?
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If Yes, Please state where
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Does the site have any parking restrictions or processes for contractors working in the store?
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If Yes, Please detail restrictions
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Are cafe tills on electrak plugs?
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Any other information from site to report
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Date and Time off Site
Customer Sign Off
Customer Sign Off
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Elecomm Engineer Sign Off:
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NCR Project Manager Sign Off:
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Store Manager/Cafe Manager Signature - Signature is taken as acceptance of screen positions discussed and agreed during the survey and shown in the report above.