Sainsbury's Bank ATM Scheme Compliance - duplicate

Site Information

• Store/Site Name:

• Location Address and Postcode
  Address

• Conducted on

  Date

• Engineer Name:

• Wincor commissioning Co-ordinator Name

• ATM Model Type

  6625

  6634

  6622

  5886

  5887

• ATM Serial Number

ATM INFORMATION

• EPP Serial Number

• HDD Serial Number

• CPK Model

• Is the CPK Working?

  YES

  NO

• Where is the ATM positioned within the store? Please note and take photo.

  Media

• Distance of ATM in meters from entrance

• I have checked the front of the ATM for signs of tampering or fraudulent devices<br>Take photo if safe to do so if anything suspicious

  YES

  NO

I have authenticated EPP serial number with Wincor commissioning co-ordinator prior to requesting any download of encryption keys

• In your opinion do you perceive the area surrounding the ATM to be secure I.e. No cameras overlooking ATM KEY PAD (excluding Sainsburys cctv) Bus stop / taxi rank etc...

  YES

  NO

• Comments: Only if you are unable to confirm the above

• Yes

  No

  N/A

Additional Information Site Sign Off:

• I confirm that the ATM is fully commissioned in accordance the latest version of commissioning instructions. State version used:

• Additional Comments / Issues?

• Time completed and off site?

  Date

• I Confirm I have completed all of the required activities in line with process. Write name and Sign:

  Sign

• Once complete please export document as a PDF and email across to:
  
  The PMO