~ Information

  • Store No:

  • Store Name:

  • Date

~ Tesco Note Acceptor Sign Off

  • |ID1: Store Number :

  • |ID2: Store Name :

  • |ID3: Engineer Name :

  • |ID4: Install Date & Time :

  • ~ Important: Quantities Installed Per Till are: 1x NA Cabinet, 1x TEBS Unit, 1x Cable Kit Incl. IF17 Interface, 1x NA PSU, 1x SCD, 1x Cash Bag (Fitted after Testing), 1x Padlock (+2 Keys). Quantities Handed to Manager Per Store are: 1x SCD Calibration Weight Set, 3x SCD Keys, 2x SCD Emergency Release Tools, 2x NA Housing Lock Keys. Leave the above quantities with the store unless you are advised otherwise by ALS. Note: Store may have been supplied with their stock of Cash Bags already - If so, fit one of the stores bags into each NA unit after testing.

  • |ID5: Number of NA Cabinets Installed :

  • |ID6: Number of TEBS Units Installed :

  • |ID7: Number of NA Cabling Kits inc. IF17 interface Installed :

  • |ID8: Number of NA PSU Installed :

  • |ID9: Number of SCD Installed :

  • |ID10: Number of NA Cash Bags Left :

  • |ID11: Number of Padlocks (with 2 x keys) fitted:

  • |ID12: No. of SCD Weight Sets (500g/50g) left with store :

  • |ID13: No. of SCD Keys left with store :

  • |ID14: No. of SCD emergency release tools left with store :

  • |ID15: No. of NA Housing keys left with store :

  • |ID16: Work Completed as Job Description? :

  • |ID17: Faulty Equipment Prior to Install :

  • |ID18: Comments / Snags / Additional Work Carried out :

  • ~ Engineer Signature

~ Store R.A.G. Status

  • ~ THIS SECTION TO BE COMPLETED BY STORE PERSONNEL - NOT SUPPLIER / FITTER

  • ~ Permit To Work and Visitors Sign in books completed ?

  • |RAG1: Response :

  • ~ Has work been delivered to an acceptable Standard ?

  • |RAG2: Response :

  • ~ Store handed back fit for trade with no snags ?

  • |RAG3: Response :

  • ~ Fitters were suitably dressed, polite and worked professionally at all times without unplanned disruption

  • |RAG4: Response :

  • ~ The supplier contacted store to arrange a time and the fitter arrived at the agreed time

  • |RAG5: Response :

  • ~ Is a revisit required to resolve any outstanding issues ?

  • |RAG6: Response :

  • ~ Communication regarding the visit was received by Work Plan or store visit and information accurate

  • |RAG7: Response :

  • ~ Were you able to complete everything before fitter arrived. If no tasks required mark as TRUE

  • |RAG8: Response :

  • ~ Store Comments :

  • ~ Store Signature :

  • ~ Please rate the satisfaction with the overall installation

  • |RAG9: RAG Status :

~ Install Check List 1

  • |CL1: Till 1/81 - NA Software Installed? :

  • |CL2: Till 1/81 - NA Tested Working Ok? :

  • |CL3: Till 1/81 - SCD Software Installed? :

  • |CL4: Till 1/81 - SCD Calibrated and Tested OK? :

  • ~ Till 1/81 - Photos - 1)SCD Calibration cash totals 2)NA PosSim showing cash inserted 3)SCD Open With NA Bezel lit green 4) Beetle Area

  • |CL5: Till 2/82 - NA Software Installed? :

  • |CL6: Till 2/82 - NA Tested Working Ok? :

  • |CL7: Till 2/82 - SCD Software Installed? :

  • |CL8: Till 2/82 - SCD Calibrated and Tested OK? :

  • ~ Till 2/82 - Photos - 1)SCD Calibration cash totals 2)NA PosSim showing cash inserted 3)SCD Open With NA Bezel lit green 4) Beetle Area

  • |CL9: Till 3/83 - NA Software Installed? :

  • |CL10: Till 3/83 - NA Tested Working Ok? :

  • |CL11: Till 3/83 - SCD Software Installed? :

  • |CL12: Till 3/83 - SCD Calibrated and Tested OK? :

  • ~ Till 3/83 - Photos - 1)SCD Calibration cash totals 2)NA PosSim showing cash inserted 3)SCD Open With NA Bezel lit green 4) Beetle Area

~ Install Check List 2

  • |CL13: Till 4/84 - NA Software Installed? :

  • |CL14: Till 4/84 - NA Tested Working Ok? :

  • |CL15: Till 4/84 - SCD Software Installed? :

  • |CL16: Till 4/84 - SCD Calibrated and Tested OK? :

  • ~ Till 4/84 - Photos - 1)SCD Calibration cash totals 2)NA PosSim showing cash inserted 3)SCD Open With NA Bezel lit green 4) Beetle Area

  • |CL17: Till 5/85 - NA Software Installed? :

  • |CL18: Till 5/85 - NA Tested Working Ok? :

  • |CL19: Till 5/85 - SCD Software Installed? :

  • |CL20: Till 5/85 - SCD Calibrated and Tested OK? :

  • ~ Till 5/85 - Photos - 1)SCD Calibration cash totals 2)NA PosSim showing cash inserted 3)SCD Open With NA Bezel lit green 4) Beetle Area

  • |CL21: Till 6/86 - NA Software Installed? :

  • |CL22: Till 6/86 - NA Tested Working Ok? :

  • |CL23: Till 6/86 - SCD Software Installed? :

  • |CL24: Till 6/86 - SCD Calibrated and Tested OK? :

  • ~ Till 6/86 - Photos - 1)SCD Calibration cash totals 2)NA PosSim showing cash inserted 3)SCD Open With NA Bezel lit green 4) Beetle Area

~ Install Check List 3

  • |CL25: Till 6/86 - NA Software Installed? :

  • |CL26: Till 6/86 - NA Tested Working Ok? :

  • |CL27: Till 6/86 - SCD Software Installed? :

  • |CL28: Till 6/86 - SCD Calibrated and Tested OK? :

  • |CL29: Till 6/86 - Photos - 1)SCD Calibration cash totals 2)NA PosSim showing cash inserted 3)SCD Open With NA Bezel lit green 4) Beetle Area

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.