Outlet and Equipment Details

Date

Tech Name

Tech No.

Outlet Number

Outlet Name

Address

Equipment Number

EQUIPMENT MODEL TYPE

Equipment Type

Mats Dividers Required

COLOUR

DECAL TYPE

DOOR HINGE

IS PSTMX/FCB/COFFEE DISCONNECTED?

EQUIPMENT FAULT

4,6,8 MAN JOB REQUIRED?

NO OF STAIRS?

OVER THE COUNTER LIFT REQUIRED

WILL UNIT FIT THROUGH DOORWAY?

ANY OBSTACLES IN THE WAY FOR CHANGEOVER?

LOADING ZONES

DOCK HEIGHT RESTRICTIONS

DELIVERY TIME RESTRICTIONS

CUSTOMER NAME

CUSTOMER CONTACT NO.

NOTES

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.