Information
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Customer
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Store Number & Name
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Conducted on
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Location
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Senior Install Engineer
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Amount of devices in scope
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
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Document No.
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Proceed to next section >
Site Start
Site Start
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All NCR engineers signed into Store Visitor log
Kit Delivery
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Delivery Checked
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Delivery checked at
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All kit delivered as expected
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Click "Add Part" to record each instance of missing kit/parts
Part
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Part Description
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Issue escalated to
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Date/Time of escalation
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Reason for delivery Not Applicable / Not Checked
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Proceed to next section >
Work Details
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Click "ADD DEVICE/ITEM" to record details of each device/item of work being carried out as required.
*Please check job requirements for serial number capture - if in doubt, capture it* -
ADD DEVICE
DEVICE/ITEM
Device/Item Details
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Device Serial Number
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Device IP Address
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Device Software Upgraded?
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Reason why device software not upgraded? (Note: Ensure mission control are aware)
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Device Battery Replaced?
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Reason why battery has not been replaced? (Note: Ensure mission control are aware)
Completion
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Work Successfully Completed - Device Operational?
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Image of work completed
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Reason for Work Not Successfully Completed
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Comments
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All work details checked and recorded correctly?
Site Sign Off
Senior Engineer Sign Off
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Date/Time of Completion
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By ticking the box, the Senior Install Engineer is confirming that all work and tests were completed as per NCR and Customer Requirements
Customer Sign Off
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Please enter any additional comments or notes here
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The works were successfully completed and all items either work properly or have an acceptable plan to rectify any issues satisfactorily
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Store Representative Position
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Store Representative Name & Signature
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Miscellaneous
