Title Page
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Engineers name
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Client Ref:
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Building
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Date of Inspection
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Location
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PPM / Survey / RA
Pre inspection checklist
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Asbestos register checked
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Building pre dates year 2000?
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Evidence of Rodents / Pigeon droppings?
Confined space?
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Permit to work required?
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Confined space permit agreed with client?
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Confined space training up to date for persons involved in task?
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Rescue team required for confined space?
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RPE / ESCAPE SET / O2 DETECTION/TRIPOD REQUIRED?
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CoSHH Data available- If required?
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Up to date LRA Available for site / system(s)?
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Spill kit available if chemicals in use?
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Appropriate PPE in use for task?
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Eye wash available?
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RAMS available / accessible by Client & Operative?
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First aid available?
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Lighting adequate?
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220-240 VAC power available / distance from tank?
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Boarding around tank adequate / stable for safe access?
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Tank situated on load bearing wall / solid firm base throughout?
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Lone working risk?
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Loft boarding fitted and adequate - Loft space / WAH?
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Working at Height required? (WAH)
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WAH to be completed safely via approved access equipment?
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Two persons required for task?
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Valves locked out / tagged out before access by personell?
Tank externals
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Tank material of construction?
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Tank size - M3 / LXWXH (Metres)
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Picture of the tank external
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Tank linked?
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Drain off / drain cock at tank base / size (mm)?
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Dead leg pipework evident? Size,material, length, location, photo ?
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Tanks linked in parallel fashion?
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Tightly fitted lid at tank?
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Size/shape required
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Distance to drain / External ground (M)
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Ambient room temp °C ?
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Ventilation / air changes appear adequate?
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Ingress / Egress sufficient or >350mm @ hatch?
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Inlet size?
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Inlet material?
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Inlet opposite Outlet(s)?
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Tank isolation in place and working at inlet & outlet?
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Screened Breather fitted on lid in good order / clean?
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Size of breather / connection to tank?
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Warning pipe fitted (>1M3) ?
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Warning pipe material & size?
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Warning pipe in good condition / run to drain?
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Warning pipe insect screen in good condition?
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Overflow air gap at supply correct / connection above warning pipe (>1M3 CWST)
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Overflow material / size?
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Overflow/ warning pipe terminates to prominent position?
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Overflow / rodent screen in good condition?
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Insulation type?
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Insulation thickness (mm)?
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Outlet size?
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Outlet material?
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Outlet connection size / flange type?
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Number of outlets connected to CWST?
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Boosted outlet(s)? Type / serial No. Of equipment?
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Open vent termination above tank?
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Open vent with clearance per BS6700/BS8558?
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Open vent discharging?
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Open vent pipework size?
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Open vent insulated?
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Open vent grommet fitted at seal to tank lid?
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Open vent re - route to external via tundish / hopper preferable?
Internal checks
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Sediment within tank?
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Scale within tank?
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Mould evident within tank / tank walls or under lid ?
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Tank float operated valve in good working order?
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Float type? e.g: Keraflow, Portsmouth pattern etc..
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Float diameter / size (mm)?
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Tank inlet temperature °C
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Tank stored temperature @ outlet side °C (<2°C differential from inlet required)
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Evidence of stagnation / biofilm within tank?
Recommendations
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Recommendations
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Recommendations #2
Sign Off
Engineer sign off
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Engineers name
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Engineers signature
Supervisor sign off
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Supervisors name
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Supervisors signature