Planogram Sign Off Report Sheet

Please take a photo or scan this sign-off sheet once completed and attach it like a photo to the Survey during your reporting of the task
Please contact Field Support on 1800 444 437 if you have any questions or queries.

Date Store (Chain) Suburb Store Number State

Client Representing Planogram Name

Number of Bays 1 2 3 4 5 6 7 8 9 10 11 12 13 Other_______ (please circle) Did you receive store assistance Y N

Planogrammer (1) Planogrammer (3)

Total Time Taken by Planogrammer (1) HRS MINS Total Time Taken by Planogrammer (3) HRS MINS

Planogrammer (2) Planogrammer (4)

Total Time Taken by Planogrammer (2) HRS MINS Total Time Taken by Planogrammer (4) HRS MINS

TOTAL time taken to Complete Planogram HRS MINS

Compliance Details
Mirror Reverse Relay Deleted lines required to be cut back into sections Planogram layout changes directed by store

Major Shelf Movement Tickets not printed on arrival Other - Please explain below

Planogrammer Comments Store Comments

Store Representatives Name * Store Representatives Signature

* I am completely satisfied that the planogram has been completed neatly and accurately