EMC - Harbortown Maintenance Log Checklist

• Audit Title

• Time In

  Date

• Time Out

  Date

• Prepared by

• Location
  Address

• Document No. EMC Form F10051 Rev 4/2017 WJM

• Instructions:
  -------------------------------------
  1. Answer "Yes" or "No" for the questions below.
  2. Add photos and notes by clicking on the paperclip icon.
  3. To add a Corrective Measure click on the paperclip icon then "Add Action", provide a description, assign to a member, set priority and due date.
  4. Complete audit by providing digital signature.
  5. Share your report by exporting as PDF, Word, Excel or Web Link.

Maintenance Log Checklist

• Settleometer Reading (Every Visit):

• Blowers

  ON

  OFF

• Both Surge Pumps Operational? (Every Visit)

  YES

  NO

• Diffusers Cleaned ? (As Needed)

  YES

  NO

  NOT NEEDED

• Clarifier Surface Cleaned? (As Needed)

  YES

  NO

  NOT NEEDED

• Chlorine Contact Chamber Cleaned? (Every Visit)

  YES

  NO

• Both Blowers Operational? (Every Visit)

  YES

  NO

• Chlorine/Dchlor Tablets Replenished? (As Needed)

  YES

  NO

  NOT NEEDED

• Influent Pumps Operational? (Every Visit)

  YES

  NO

Quality Control Test

• Ammonia Level:

• Test Strips used or Kit (Choose one from the dropdown list)

  Test Strips

  Kit

• Aeration Basin pH: (General Rule pH 7.5-8.0)

• <br><br>Samples Collected?

  YES

  NO

• Effluent pH - S.U.

• Effluent D.O. - mg/l

• Effluent CI2 - mg/l

• Flow - MGD

ADDITIONAL NOTES

COMPLETION

• Signed By

  Sign