City of Canada Bay Water Cooling System Operation and Maintenance Audit Tool

• Audit Title

• Premises name

• Location
  Address

• Conducted on

  Date

• Prepared by

  Joshua Bradshaw

  Megan Davenport

  Nerisha James

  Charlee Law

• Personnel

Risk assessment

• Required Personal Protective Equipment (PPE) for this activity is available and will be used

  Yes

  No

• NOTE: Do not undertake activity if the required PPE is not available for use - Discuss with your supervisor.

• Risk assessment for this activity has been read and understood

  Yes

  No

• We there any specific risks identified with the property?

  Yes

  No

• If yes, list the risk/s and what action will be taken to eliminate or control the risk.

• NOTE: If the risk cannot be eliminated/controlled and/or is unsafe, DO NOT undertake the activity - Discuss with your supervisor.
  If during the activity risks are identified and it is unsafe to continue, abandon the activity - Discuss with your supervisor.

Premises Details

• Premises name

• Add location
  Address

• Phone

• Owners name

• Occupiers name

• Emergency contact

• Emergency number

• No. of Water Cooling Systems

Location

• Notes

• Photo

  Media

• Sample taken

• Does access to the tower appear safe and easy?

  Yes

  No

• Microbial System Service Company

• Cleaning Company

Audit details

• Operation manual provided on site

  Yes

  No

• Maintenance manual and records provided on site

  Yes

  No

• 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

• Cleaning interval not exceeding 6 months?

  Yes

  No

General condition of the towers

• Cooling tower 1

• Appearance of internal wetted surfaces of the cooling tower

  Clean

  Mildly dirty

  Very dirty

  Unable to determine

• Appearance of water in the basin

  Clean

  Mildly dirty

  Very dirty

  Unable to determine

• Cooling tower 2

• Appearance of internal wetted surfaces of the cooling tower

  Clean

  Mildly dirty

  Very dirty

  Unable to determine

• Appearance of water in the basin

  Clean

  Mildly dirty

  Very dirty

  Unable to determine

• Cooling tower 3

• Appearance of internal wetted surfaces of the cooling tower

  Clean

  Mildly dirty

  Very dirty

  Unable to determine

• Appearance of water in the basin

  Clean

  Mildly dirty

  Very dirty

  Unable to determine

• Cooling tower 4

• Appearance of internal wetted surfaces of the cooling tower

  Clean

  Mildly dirty

  Very dirty

  Unable to determine

• Appearance of water in the basin

  Clean

  Mildly dirty

  Very dirty

  Unable to determine

• Cooling tower 5

• Appearance of internal wetted surfaces of the cooling tower

  Clean

  Mildly dirty

  Very dirty

  Unable to determine

• Appearance of water in the basin

  Clean

  Mildly dirty

  Very dirty

  Unable to determine

Signature

• Site manager/owner name

• Environmental Health Officer

  Joshua Bradshaw

  Megan Davenport

  Nerisha James

  Charlee Law

• Select date

  Date

• Phone: 02 9911 6555

Office use only

• Invoice

  1-2 Systems

  3+ Systems

• Follow up

  Warning Letter

  Order