SP / SM Intitials

Store #: City: State:

Install Start Date Install Complete Date:

Crew Members Names:

Install Type: Original 1St Return 2nd Return 3rd Return 4th Return

Place a check mark in the applicable box below indicating completion of each element. If there are any deviations from the plan, note individually in the space provided on last page of report.

All GM Perimeter ID's installed per Manual, No Grippers,per Plan and clean.

All Service ID's installed per Manual, Plan and clean.

The Entertainment Halo installed per Manual, straight, Plan and clean.

All Entertainment graphics per Manual, Plan and clean.

All Way Finders installed per Manual, Plan and clean.

All Grocery ID's installed per Manual, Plan and clean.

All Aisle Markers installed per Manual, Plan and clean.

All Aisle Marker Inserts per SP and / or SM and clean.

All Cornice installed per Manual, Plan and clean.

All Cornice Inserts installed per SP and / or SM and clean.

All Omni Channel installed per Manual, Plan and clean.

All Flags pressed and 4th Wall elements installed per Manual, Plan and clean.

All Garden Center Welcome / Exit replaced/ Installed level & clean.

All ACC interior elements installed per Manual, Plan and clean.

All Break room graphics installed per manual and clean.

All Seasonal Grids installed / replaced per Manual, Plan and clean.

All Customer Service elements installed per Manual, Plan and clean.

All Pickup elements installed per Manual, Plan and clean.

All Money Services elements installed per Manual, Plan and clean.

All Entry Beams and /or dims installed per Manual, Plan and clean.

All Grocery Vestibule elements are installed per Manual, Plan and clean.

All GM Vestibule elements are installed per Manual, Plan and clean.

All Price Verifier Signs are installed above all price verifiers and clean.

All Cables, Rail and Conduit removed from deck including GC Center.

All Installed Signage has been photographed per manual, crisp & clear.

All Equipment & trailer and left behind materials have been photographed before

leaving site.

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

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N/A

5th Return

Swipe Up ProgramCompletion / Shortage Report

REV: 02/09/2021 1

Store #: City: State:

Items Left With SP, list all materials and location of Items left - Include Photos

Location of items left: Who was it left with:

Use the following space to report all damages, shortages, or overages, you must reference your signage guide and use proper box numbers and component numbers. It is very important that you use the proper reason code.

Qty Box # Component # Description Reason Code

Shortage Reason Codes-

PAGE 2

Swipe Up ProgramCompletion / Shortage Report

REV: 02/09/2021 2

Store #:__________________________City: _____________________________State: _________

Will a return trip be necessary? Yes No

RA # if there are overages to be picked up ________________________

Scope of work for return trip:

Describe all deviations from the floor plan. If sign(s) are not installed explain why:

_____________________ ___________________________ _____________ Store Planner Name Store Planner Signature Date (Or SP approved Representative from box above)

_____________________ __________________________ _____________ Crew Lead Name Crew Lead Signature Date

Use this box ONLY IF you are going to finish the original install and there won’t be a SP present when you complete the install.

Store planner approves_________________________________ _____________________as the (Name) (Title)

Walmart representative who will walk the store, review the plans, and sign the completion report with the installer.

____________________________ ___________________________ ___________________________ Store Planner Name Store Planner Signature Date

Swipe Up ProgramCompletion / Shortage Report

REV: 02/09/2021 3