ATM Inspection Form
Complete this form to document the inspection of an ATM, ensuring all required checks are performed and recorded.
Inspector Full Name
*
First Name
Last Name
Inspector Email Address
*
example@example.com
Inspector Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
ATM Location/Branch
*
ATM Identification Number
*
Date and Time of Inspection
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
ATM Inspection Checklist
*
Rows
Satisfactory
Needs Attention
Not Applicable
Physical Condition (no visible damage/vandalism)
1
2
3
Screen Functionality
4
5
6
Keypad Functionality
7
8
9
Card Reader Functionality
10
11
12
Cash Dispenser Working
13
14
15
Receipt Printer Working
16
17
18
ATM Cleanliness
19
20
21
Security Camera Present and Functioning
22
23
24
ATM Accessibility (for all users)
25
26
27
Is the ATM adequately stocked with cash?
*
Yes
No
Is the ATM receipt paper available?
*
Yes
No
Are there any security concerns (e.g., skimming devices, suspicious attachments)?
*
No issues found
Yes – issues found (describe below)
Describe any issues found or actions taken (if applicable)
Upload photos of the ATM (if necessary)
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Submit Inspection
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