Small Works Sign Off Sheet

• Elecomm Project Code:

• Store Name:

• Store Number:

• Date:

  Date

• Start Time:

  Date

• End Time:

  Date

• COMMENTS:

• All Work Completed:

  Yes

  No

• EPS & AFD Completed:

  Yes

  No

• Revisit Required:

  Yes

  No

SITE SIGN-OFF: The above work has taken place and the site has been left in an acceptable condition.

• Signed (Elecomm Engineer)

  Sign

• Signed (Store Representative)

  Sign

NB: Completion of this sign-off is mandatory and must be completed ON SITE and submitted to Elecomm