Adam Mabb

DTB Water Fountain Audit

Use this Template

Print as PDF

Use this Template

Go digital today!

Convert your paper checklists into digital forms

Scan this QR code to use this paper checklist on your smartphone or tablet or visit https://safetyculture.com/

Title Page

Site conducted
Conducted on
Prepared by
Location

Fountains located Gates 1-24 Airside (Level 1 & 2)

Location of Fountain
undefined
General Condition
Bottle Filler
Condition of mouth piece
Filters
Water leaks

Fountains located Gates 25-36 Airside (Level 1 & 2)

Location of Fountain
undefined
General Condition
Bottle Filler
Condition of mouth piece
Filters
Water leaks

Fountains located Gates 38-50 Airside (Level 1 & 2)

Location of Fountain
undefined
General Condition
Bottle Filler
Condition of mouth piece
Filters
Water leaks

Fountains located Landside

Location of Fountain
undefined
General Condition
Bottle Filler
Condition of mouth piece
Filters
Water leaks

Adam Mabb

DTB Water Fountain Audit

Use this Template

Print as PDF

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.