Chlorination Booster Station Inspection

• Document No.

• Audit Reference

• Conducted on

  Date

• Inspected by

• Location
  Address

Booster Station Inspection

Chlorine Cylinder Status

Online Cylinders

• No. 1

• No. 2

• No. 3

• Current Total Weight - Kg

Standby Cylinders

• No. 4

• No. 5

• No. 6

• Total Standby Weight - Kg

• Previous Weight Date

  Date

• Number of Cylinders Empty

  Select 1 2 3 4 5 6

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6

• Number of Cylinders Spare

  Select 1 2 3 4 5 6

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6

• Chlorine Gas Used Since Last Visit - Kg

• Chlorine Wastage After Cylinder Change - Kg

Chlorine Dosing

• EL103 Flow (+/-) - L/s

• EL103 residual set point (from HMI) - mg/l

• EL103 No. 1 current Gas dose rate - g/hr

• EL103 No. 1 vacuum - kPa

• EL103 No. 2 current Gas dose rate - g/hr

• EL103 No. 2 vacuum - kPa

Analyser readings If +\- >0.1 mg/L difference between meter and lab adjust span or organise instrument calibration

• Central pipe Cl2 South Analyser (AIT-003) current METER reading before adjustment - mg/L

• Central pipe Cl2 South Analyser (AIT-003) LAB reading before adjustment - mg/L

• Central pipe Cl2 South Analyser (AIT-003) METER reading AFTER adjustment - mg/L

• Central pipe Cl2 South Analyser (AIT-003) LAB reading AFTER adjustment - mg/L

• Central pipe Cl2 North Analyser (AIT-002) METER reading BEFORE adjustment - mg/L

• Central pipe Cl2 North Analyser (AIT-002) LAB reading BEFORE adjustment - mg/L

• Central pipe Cl2 North Analyser (AIT-002) METER reading AFTER adjustment - mg/L

• Central pipe Cl2 North Analyser (AIT-002) LAB reading AFTER adjustment - mg/L

• EL103 System Cl2 Analyser (AIT-001) METER reading BEFORE adjustment - mg/L

• EL103 System Cl2 Analyser (AIT-001) LAB reading BEFORE adjustment - mg/L

• EL103 System Cl2 Analyser (AIT-001) METER reading AFTER adjustment - mg/L

• EL103 System Cl2 Analyser (AIT-001) LAB reading AFTER adjustment - mg/L

• Sample Tap Residual SP 1656 Hope Valley WTP Product After Storage - mg/L

• SampleTap Residual SP 1580 Hope Valley 750mm MSCL Gilberton TM before chlorine

• Sample Tap Residual SP 15180 Hope Valley EL103 Tanks 2100mm MSCL Outlet at Junction with 750 MSCL Gilberton TM

General comments

• Comments: (Additional work required)

• Site Cleaned and tidied if required

  Y

  N

  N/A

• Eyewash and Safety Shower Operated

• Chlorine Gas Detection Checks Completed (weekly)