Bayside Council Cooling Tower Inspection Report

• Audit Title

• Premises name

• Location
  Address

• Application Number

• Conducted on

  Date

• Prepared by

  Select Angela Rose. P: 9911 6417 Email: angelarose.canadabay.nsw.gov.au Nerisha James. P: 9911 6416 Email: nerisha.james@canadabay.nsw.gov.au Megan Roberts P: 9911 6466 Email: megan.roberts@canadabay.nsw.gov.au Dhanuka Siriwardena P: 9911 6415 Email: dhanuka.siriwardena@canadabay.nsw.gov.au Renae Barnes. P: 9911 6588 Email: renae.barnes@canadabay.nsw.gov.au

  • Angela Rose. P: 9911 6417 Email: angelarose.canadabay.nsw.gov.au
  • Nerisha James. P: 9911 6416 Email: nerisha.james@canadabay.nsw.gov.au
  • Megan Roberts P: 9911 6466 Email: megan.roberts@canadabay.nsw.gov.au
  • Dhanuka Siriwardena P: 9911 6415 Email: dhanuka.siriwardena@canadabay.nsw.gov.au
  • Renae Barnes. P: 9911 6588 Email: renae.barnes@canadabay.nsw.gov.au

• Number of cooling towers

• Inspection Result

  Satisfactory

  Unsatisfactory

• Reinspection

  Yes

  No

• Invoice

  Yes

  No

Premises Details

• Premises name

• Owners name

• ABN Number

• Occupiers name

• Contact Person

• Contacts Phone Number

• Contacts Position

• Contacts Email

• Emergency contact

• Emergency number

• No. of Water Cooling Systems

• Microbial System Service Company

• Service Company Contact Phone Number

• Service Company Email Address

• Cleaning Company

• Cleaning Company Contact Phone Number

• Cleaning Company Email Address

Cooling Tower Inspections

Cooling Tower 1

• Documentation

• Photo of cooling tower

  Media

• Risk Management Plan completed and submitted to Council

  Yes

  No

• Date when new Risk Management Plan is required

• Overall Risk Level

  Low

  Medium

  High

• Date when annual audit is required

• Cooling Tower Unique Identification Number

• Cooling Tower Model

• Cooling Tower Serial Number

• Operation manual provided on site

  Yes

  No

  N/A

• Maintenance manual and records provided on site

  Yes

  No

  N/A

• Manuals comply with AS/NZS 3666.2:2011?

  Yes

  No

• Drawings, suppliers recommendations, cleaning and dismantling instructions, set up and shut down procedures, maintenance management program.

• System inspected monthly?

  Yes

  No

  N/A

• Date of last monthly inspection

  Date

• Photo of most recent months inspection report

  Media

• Cleaning interval not exceeding 6 months?

  Yes

  No

  N/A

• Date of last system cleaning

  Date

• Photo of most recent system cleaning

  Media

• Monthly microbiological test results satisfactory:<br>(a) the level of Legionella in the system is not more than 10 colony-forming units per millilitre, and<br>(b) the heterotrophic plate count in the system is not more than 100,000 colony-forming units per millilitre.

  Yes

  No

  N/A

• Date of last microbiological test

  Date

• Photo of most recent microbiological test results

  Media

• Tower Inspection

• Does access to the tower appear safe and easy?

  Yes

  No

  N/A

• Condition of exterior of tower

  Satisfactory

  Unsatisfactory

• Condition of water in the basin

  Satisfactory

  Unsatisfactory

• Condition of drift eliminators

  Satisfactory

  Unsatisfactory

• Tower free of rust, biofilm, sludge and algae

  Yes

  No

  N/A

• Disinfectant chemical drums located on bunded trays

  Yes

  No

  N/A

• Do biocide drums contain adequate product

  Yes

  No

  N/A

Cooling tower 2

• Documentation

• Photo of cooling tower

  Media

• Risk Management Plan completed and submitted to Council

  Yes

  No

• Date when new Risk Management Plan is required

• Overall Risk Level

  Low

  Medium

  High

• Date when annual audit is required

• Cooling Tower Unique Identification Number

• Cooling Tower Model

• Cooling Tower Serial Number

• Operation manual provided on site

  Yes

  No

  N/A

• Maintenance manual and records provided on site

  Yes

  No

  N/A

• Manuals comply with AS/NZS 3666.2:2011?

  Yes

  No

• Drawings, suppliers recommendations, cleaning and dismantling instructions, set up and shut down procedures, maintenance management program.

• System inspected monthly?

  Yes

  No

  N/A

• Date of last monthly inspection

  Date

• Photo of most recent months inspection report

  Media

• Cleaning interval not exceeding 6 months?

  Yes

  No

  N/A

• Date of last system cleaning

  Date

• Photo of most recent system cleaning

  Media

• Monthly microbiological test results satisfactory:<br>(a) the level of Legionella in the system is not more than 10 colony-forming units per millilitre, and<br>(b) the heterotrophic plate count in the system is not more than 100,000 colony-forming units per millilitre.

  Yes

  No

  N/A

• Date of last microbiological test

  Date

• Photo of most recent microbiological test results

  Media

• Tower Inspection

• Does access to the tower appear safe and easy?

  Yes

  No

  N/A

• Condition of exterior of tower

  Satisfactory

  Unsatisfactory

• Condition of water in the basin

  Satisfactory

  Unsatisfactory

• Condition of drift eliminators

  Satisfactory

  Unsatisfactory

• Tower free of rust, biofilm, sludge and algae

  Yes

  No

  N/A

• Disinfectant chemical drums located on bunded trays

  Yes

  No

  N/A

Cooling tower 3

• Documentation

• Photo of cooling tower

  Media

• Risk Management Plan completed and submitted to Council

  Yes

  No

• Date when new Risk Management Plan is required

• Overall Risk Level

  Low

  Medium

  High

• Date when annual audit is required

• Cooling Tower Unique Identification Number

• Cooling Tower Model

• Cooling Tower Serial Number

• Operation manual provided on site

  Yes

  No

  N/A

• Maintenance manual and records provided on site

  Yes

  No

  N/A

• Manuals comply with AS/NZS 3666.2:2011?

  Yes

  No

• Drawings, suppliers recommendations, cleaning and dismantling instructions, set up and shut down procedures, maintenance management program.

• System inspected monthly?

  Yes

  No

  N/A

• Date of last monthly inspection

  Date

• Photo of most recent months inspection report

  Media

• Cleaning interval not exceeding 6 months?

  Yes

  No

  N/A

• Date of last system cleaning

  Date

• Photo of most recent system cleaning

  Media

• Monthly microbiological test results satisfactory:<br>(a) the level of Legionella in the system is not more than 10 colony-forming units per millilitre, and<br>(b) the heterotrophic plate count in the system is not more than 100,000 colony-forming units per millilitre.

  Yes

  No

  N/A

• Date of last microbiological test

  Date

• Photo of most recent microbiological test results

  Media

• Tower Inspection

• Does access to the tower appear safe and easy?

  Yes

  No

  N/A

• Condition of exterior of tower

  Satisfactory

  Unsatisfactory

• Condition of water in the basin

  Satisfactory

  Unsatisfactory

• Condition of drift eliminators

  Satisfactory

  Unsatisfactory

• Tower free of rust, biofilm, sludge and algae

  Yes

  No

  N/A

• Disinfectant chemical drums located on bunded trays

  Yes

  No

  N/A

Cooling tower 4

• Documentation

• Photo of cooling tower

  Media

• Risk Management Plan completed and submitted to Council

  Yes

  No

• Date when new Risk Management Plan is required

• Overall Risk Level

  Low

  Medium

  High

• Date when annual audit is required

• Cooling Tower Unique Identification Number

• Cooling Tower Model

• Cooling Tower Serial Number

• Operation manual provided on site

  Yes

  No

  N/A

• Maintenance manual and records provided on site

  Yes

  No

  N/A

• Manuals comply with AS/NZS 3666.2:2011?

  Yes

  No

• Drawings, suppliers recommendations, cleaning and dismantling instructions, set up and shut down procedures, maintenance management program.

• System inspected monthly?

  Yes

  No

  N/A

• Date of last monthly inspection

  Date

• Photo of most recent months inspection report

  Media

• Cleaning interval not exceeding 6 months?

  Yes

  No

  N/A

• Date of last system cleaning

  Date

• Photo of most recent system cleaning

  Media

• Microbiological test results satisfactory (recommended 3 monthly):<br>(a) the level of Legionella in the system is not more than 10 colony-forming units per millilitre, and<br>(b) the heterotrophic plate count in the system is not more than 100,000 colony-forming units per millilitre.

  Yes

  No

  N/A

• Date of last microbiological test

  Date

• Photo of most recent microbiological test results

  Media

• Tower Inspection

• Does access to the tower appear safe and easy?

  Yes

  No

  N/A

• Condition of exterior of tower

  Satisfactory

  Unsatisfactory

• Condition of water in the basin

  Satisfactory

  Unsatisfactory

• Condition of drift eliminators

  Satisfactory

  Unsatisfactory

• Tower free of rust, biofilm, sludge and algae

  Yes

  No

  N/A

• Disinfectant chemical drums located on bunded trays

  Yes

  No

  N/A

Signature

• Site manager/owner name

• Environmental Health Officer

  Megan Roberts

Inspection Outcome

• Inspection Rating

  Satisfactory

  Unsatisfactory Minor

  Unsatisfactory Major

• Further Action Required

  NIL

  Warning Letter

  Order