Clinical Sciences Building Basement Plantroom - Daily Check

• CSB BASEMENT PLANTROOM

• Location
  Address

• Conducted on

  Date

• Campus

• RMH - City

  RMH - Royal Park

• Completed by:

• Tom O'Brien

  Scott Ingram

  Shane Paterson

  Nic Ashton

  Tim Walker

• Document No.

CSB Basement Plantroom [009213]

• Have the actions of the previous audit been actioned?

  Yes

  No

  N/A

• Clean & Safe

  Yes

  No

  N/A

• Lighting Operational

  Yes

  No

  N/A

• Emergency Exit Lights Operational

  Yes

  No

  N/A

• Free of Abnormal Noise

  Yes

  No

  N/A

• Plant Room Secure

  Yes

  No

  N/A

• Send to WOMS

  Yes

  No

  N/A

CSB Multistack Chiller [2074]

• Chiller running?

  Yes

  No

  N/A

• Condenser water pump running?

  Yes

  No

  N/A

• Suction pressure within acceptable range

  Yes

  No

  N/A

• Discharge pressure within acceptable range

  Yes

  No

  N/A

• Cond water flow temp within acceptable range

  Yes

  No

  N/A

• Cond water return temp within acceptable range

  Yes

  No

  N/A

• Chilled water pump running?

  Yes

  No

  N/A

• Suction pressure within acceptable range

  Yes

  No

  N/A

• Discharge pressure within acceptable range

  Yes

  No

  N/A

• CHW flow temp within acceptable range

  Yes

  No

  N/A

• CHW return temp within acceptable range

  Yes

  No

  N/A

• Evaporator refrigerant temp within acceptable range

  Yes

  No

  N/A

• Send to WOMS

  Yes

  No

  N/A

Mechanical Distribution Board [2148]

• Lamp Test

  Yes

  No

  N/A

• Faults

  Yes

  No

  N/A

• Send to WOMS

  Yes

  No

  N/A

DHW Calorifier C-B-1 [9195]

• DHW flow temp within acceptable range

  Yes

  No

  N/A

• Entering steam pressure within acceptable range

  Yes

  No

  N/A

• DHWP-B-1 online

  Yes

  No

  N/A

• DHWP-B-1 running

  Yes

  No

  N/A

• Send to WOMS

  Yes

  No

  N/A

Compressed Air Receiver 1 [9200]

• Air receiver 1 pressure within acceptable range

  Yes

  No

  N/A

• Air dryer compressor functioning appropriately

  Yes

  No

  N/A

• Auto drains functioning when tested

  Yes

  No

  N/A

• Free of air leaks at piping/connections/plant

  Yes

  No

  N/A

• Send to WOMS

  Yes

  No

  N/A

Compressed Air Receiver 2 [9201]

• Air receiver 2 pressure within acceptable range

  Yes

  No

  N/A

• Air dryer compressor functioning appropriately

  Yes

  No

  N/A

• Auto drains functioning when tested

  Yes

  No

  N/A

• Free of air leaks at piping/connections/plant

  Yes

  No

  N/A

• Send to WOMS

  Yes

  No

  N/A

Heat Exchanger [3088]

• Online

  Yes

  No

  N/A

• Running

  Yes

  No

  N/A

• Steam pressure within acceptable range

  Yes

  No

  N/A

• HHW flow temp within acceptable range

  Yes

  No

  N/A

• HHW pump running

  Yes

  No

  N/A

• Send to WOMS

  Yes

  No

  N/A

Condensate Tank [3087]

• Pump operating appropriately

  Yes

  No

  N/A

• Tank pressure within acceptable range

  Yes

  No

  N/A

• Flow pressure within acceptable range

  Yes

  No

  N/A

• Piping free from leaks

  Yes

  No

  N/A

• Send to WOMS

  Yes

  No

  N/A

Steam Headers and Connecting Pipes [2149]

• Free from leaks

  Yes

  No

  N/A

• Send to WOMS

  Yes

  No

  N/A

• Add signature

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