• Document No.

  • Site Name:

  • Conducted on

  • Prepared by (Engineers Name)

  • Location
  • Pictures of the site

Back of House Information:

Communications (BT / Link from PFS)

  • Is there a BT Line Installed

  • Has a Link from PFS or any other building been supplied and working

  • is there a DP installed (Normally in the electrical area)

  • Has Networking been done from Back of House to the POS area

  • Provide Image of Back of House Network Cabinet

PC / Printer / Modem

  • Have you installed the PC

  • Show Evidence

  • Have you installed the Printer and done a test Page

  • Show evidence

  • Have you installed the Modem

  • Show Evidence of the Modem install

  • If there are any issues please state in this section

POS Area

Shop Area

  • What type of Store is this ?

Drive Through Window Counter

  • WS03 has been installed

  • WS04 has been installed

  • Has this station been tested

  • Please State reasons why this has not been tested

  • Images of completed install for the Drive Through Counter

WS01 and WS02

  • Has WS01 been installed?

  • Why has this not been done or finished

  • Has WS02 been installed?

  • Why has this not been done or finished

  • Images of WS01 and WS02

  • Do you have any issues that needs to be reported

  • What Issues do you have ?

  • Images of issues

Final Sign Off

Final Sign Off

  • Are you happy with the install

  • Why are you not happy with the install

  • Does the site need additional works to be carried out

  • Describe what is required


  • Please sign this document

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.