Tesco SSC Bag Holder Install Sign Off

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

Pre Installation

• Has the “Store Visitor’s” book been completed

  Yes

  No

• Has the “Permit to Work” book been completed and signed by the Duty or Checkout Manager before work commences?

  Yes

  No

• Please state name of Duty or Checkout Manager contacted before work commences

• Number of SSC Lanes to complete on the Tesco Schedule

• Number of SSC Lanes in the store to complete

Post Installation

• Have all Bag Holder Extensions been installed as shown on the WGLL (What Good Looks Like) Guide and are secured with x1 clamp and x2 5mm Nylock Nuts per unit

  Yes

  No

• Take photo front and back of each Bag Extension

  Media

• Has all packaging or rubbish been removed from the store?

  Yes

  No

• Has the Store Visitor’s book been completed before leaving the store

  Yes

  No

• Take photo of above

  Media

• Has the Permit to Work been completed and signed by the Duty or Checkout Manager after the work has been completed?

  Yes

  No

• Take photo of above

  Media

• Tesco Duty Manager

  Sign