Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel


  • Settleometer Reading

  • Blower are"

  • Bar Screen Cleaned ? Every Visit

  • pH Controller Cleaned & Calibrated ? Every Visit

  • Caustic Soda Drum Replaced ? As Needed

  • Diffusers Cleaned ? As Needed

  • Clarifier Surface Cleaned ? Every Visit

  • Effluent Pump Station Cleaned ? Monthly

  • All 3 Effuent Pumps Operational ? Every Visit

  • PAC Drum Replaced ? As Needed

  • Sludge Tanks Decanted ? As Needed

  • Sludge Wasted ? As Needed

  • Dosing Tank Drained ? Every Visit

  • UV Bulbs Cleaned ? Every Visit

Quality Control Test

  • Ammonia Level:

  • Ammonia level tested with:

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

  • Samples Collected:

  • Effluent pH:

  • Effluent D.O.

  • Effluent CI2:

  • Flow: (MGD)

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