Title Page

  • Site conducted

  • PM Name

  • Telephone Number

  • Store Name

  • Store Number

  • Store Manager

  • Store Address
  • Store Opening Times

  • Email

  • Date

  • INSTRUCTIONS
    _______________

    1. Please answer all the questions below.
    2. To add a Corrective Measure click on the Paperclip icon then ""Add Action"", provide a description, assign to a member, set priority, and due date
    3. Complete audit by providing digital signature
    4. Share your report by exporting as PDF, Word, Excel or Web Link.

Key Dates

  • Pre Start Meeting Date & Time

  • Main Installation Stage 1

  • Handover/Training Start Time/Day/Date

  • Go Live

Version Control and Change Log

  • Click "Add Item"

  • Item
  • Version

  • Brief Description of Changes

  • Date

Pre-Start Meeting Attendance

  • Click "Add Attendee"

  • Attendee
  • Store Management Team

  • Representative

  • Contact Details

Pre-Start Meeting - Others in Attendance

  • Click "Add Attendee"

  • Attendee
  • Discipline

  • Company

  • Representative

  • Contact Details

Required Night 1

  • Builders work : ATL <br>

  • Signage : ATL

  • SS90 Bench Installation

  • Till Renumbering : Fujitsu

  • AOIF Cameras : Herbert's

  • Power & Data : ISG

  • SCO Equipment : NCR

  • Express Checkout Installation: ITAB

  • Cash System Works : ATL

  • Install/Removal : ATL

1.00 Items to be Checked Out

  • 1.01 Check all working to same approved drawing and verify on site survey any anomalies

  • Dwg No

1.02 : Look outs that may obstruct install

  • Lighting, Sprinklers, Smoke Detectors, Air Con

  • Grilles, Columns, Bulkheads, CCTV, AOIF Cameras

  • Alarm System, Refrigeration, Walls or Partitions

  • Any other items found

  • Please specify.

1.03 : Cash System/Service Poles/Floor Channel

  • Cash System

  • Is the cash system working to the Main Bank

  • No visible damage to stations

  • Is the cash system currently operational

  • Any other cash system issues in store

  • Store to keep Volumatic Cash Caches from Checkouts being removed

1.04 : Checkouts and Furniture

  • Mainbank Type

  • Do the Mainbank numbers match the issued drawing

  • • Please state numbers of checkouts to be removed

  • No. of Mainbank checkouts to De-install

  • No. of Mainbank checkouts to install or resite

1.04 : SCO Equipment

  • No of LH 1 Bag V5 Self Scan Checkouts to Resite

  • No of RH 1 Bag V5 Self Scan Checkouts to Resite

  • No of LH 2 Bag V5 Self Scan Checkouts to Resite

  • No of RH 2 Bag V5 Self Scan Checkouts to Resite

  • No of LH Self Scan Checkouts to Remove

  • No of RH Self Scan Checkouts to Remove

  • No of lengths of Floor Trunking Required

  • • Size

  • • Qty

  • Additional Different Lengths of Trunking

  • • Size

  • • Qty

  • Lanes that have the 8 port switches in the bagwell section

  • No. of Coupon Bins to Install

  • Is the Coupon Bin Present

  • Is the Coupon Key present

  • Where is it kept

  • Do the existing SCO have Welsh Branding

  • Do the existing SCO have Carrier Bag Charge Branding

  • Is a hearing aid loop fitted to the Mainbank checkouts?

  • Relocate From/To

  • Install New/Resite Existing Detagger for Coupon Bin

Detaggers

  • Coupon Bin (photographs)

  • Coupon Bin Photographs

  • Main Bank being removed

  • Main Bank being removed photographs

  • Mainbank Remaining

  • Mainbank Remaining Photographs

Equipment

  • No. of SS90 to Install

  • No. Express Tills to Install

  • No. SS90 Benches to install

1.05 : Ceilings/Bulkheads

  • Is there a ceiling above the proposed installed?

  • • What type of ceiling/size (clip in, metal pan, drop in)?

  • • Size

  • Height

  • Are there any different additional tiles required?

  • No of new ceiling tiles required

  • Any new ceiling grid required?

  • Will the ceiling above take a magnetic holder?

  • Is the store flagged for ceiling issues on schedule?

  • Is there a bulkhead above the proposed install?

  • • What type of bulkhead/size (clip in, metal pan, drop in)?

  • • Size

  • Height

  • Are there varying levels affecting service poles install?

  • No of new 63mm Service poles to be installed

  • No of 75mm Service poles to be removed

  • No. Main Bank Poles to be resited

  • No. Main Bank Poles to be removed

  • No. SCO poles to be resited

  • Any other ceiling or bulkhead issues?

  • Please specify

1.06 : Flooring Works

  • Is there a floor trench? <br>

  • If removing Mainbank checkouts are there any Floor Tiles missing underneath the Mainbank checkouts

Describe Floor Tile and take photo beside white paper

  • Tile type 1

  • • Colour

  • • Chip

  • • Size

  • Tile type 2

  • • Colour

  • • Chip

  • • Size

  • Max No of new Floor Tiles required under Mainbank checkouts

  • • Type 1

  • • Type 2

  • Is store No between 170 and 400?

  • Does store have under floor heating?

  • Any other flooring issues?

  • Please specify

1.07 : Signage

  • Signage positions and type

  • Will the Signage need to be relocated to suite the new layout

  • List signs and quantities that need to be resited

  • Any dual language signage required?

  • Any other signage issues?

  • Please specify

1.08 : Barrier Rails and Posts

  • Does the store have an exisiting barrier system?

  • Exisiting Barrier Rail and Posts requirements

  • • End post

  • • Mid post

  • • Corner post

  • Is a tensator drum and clip present. <br>

  • Does it work

  • New Barrier Rail and Posts requirements

  • • End post required

  • • Mid post required

  • • Corner post required

  • • Tensator Drum and Clip

  • In Q Merch Posts

  • • End post required

  • • Mid post required

  • How many new Mods are required

  • Reuse any existing Barrier Rail and Posts

  • No. M8 Bolts required (4 x Bolts per Post)

  • Any other issues?

  • • Please specify.

1.09 : Builders Works

  • Safety barriers and Site Board responsibility

  • Any other works?

  • Please specify.

1.10 : AOIF

  • Any AOIF Cameras to be Switched off?

  • Any AOIF Cameras to be Resited?

  • Please specify.

  • Any other AOIF Issues?

  • Please specify.

1.11 : Scales

  • Mainbank to be verified/calibrated and till numbers

  • Any Scales to be resited?

  • Any Scales to be removed from site?

  • Any other scales issues?

  • Please specify.

1.12 : IT Till Works

  • Any new Till IT Equipment to be installed?

  • Please specify.

  • Any existing Till IT Equipment to be resited?

  • Please specify.

  • Any Tills need renumbering?

  • Any Till IT Equipment to be removed from site?

  • No of Catalina Printers to be relocated

  • No of Catalina Printers that require renumbering

  • No of Additional Catalina Printers required

  • Any other issues?

  • Please specify.

1.13 : Electrical and Data

  • Requirements for under, over and floor channel feeds

  • Number and location of data terminals required

  • Any new switches required to be placed on order

  • Will there be any builders works involved

  • Any power/data surface Floor channels to resite

  • Any power/data surface Floor channels to install

  • Any other data or power issues

  • undefined

1.14 : Access Equipment

  • Is Access Equipment required

  • Please specify.

  • Who to provide access equipment

  • Dropping off and storage of access equipment

  • Any other equipment issues?

  • Please specify.

2.0 : Delivery Arrangements

  • Store Artic assessible<br>

  • Is a Moffett or a Tail Lift required

  • Specify any delivery restrictions in force

  • Agree delivery vehicle parking and offloading location

  • Delivery into store access point

  • Agree any coning off of car park for loading and unloading

  • Is there main entrance floor grilles/matting <br>

  • Is protection required

  • Acceptance and Storage arrangements of any contractors equipment delivered prior to start date

3.0 : Store Issues

  • Store to cash up as soon as store closes or at agreed install start time

  • Store to account for all cash and confirm to Site Manager before any Volumatic works commence

  • Store to remove merchandise and POS from any modules or checkouts being resited or removed

  • Nominated store representative for communications during installation

  • Store to make available their Mechanical cleaning machine for use by trained ATL contractors

  • Allow contractors access to welfare facilities i.e. staff canteen and toilets. Meal/Snacks arrangements

  • Agree location for contractor signing in and out register

4.0 : Further Observations / Comments / Requirements etc

  • 4.01

  • 4.02

  • 4.03

  • 4.04

  • 4.05

  • Additional Photographs to support survey

Completion

  • Completed By : (Name & Signature)

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.