Title Page
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Audit Title
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Time In
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Time Out
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Prepared by
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Location
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Document No. EMC F10042 Rev 1/2017 DED
Maintenance Log Checklist
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Instructions:
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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
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Settleometer Reading (Every Visit):
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Blowers
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Bar Screen Cleaned? (Every Visit)
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Diffusers Cleaned ? (As Needed)
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Clarifier Surface Cleaned? (As Needed)
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Chlorine Contact Chamber Cleaned? (Every Visit)
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Both Blowers Operational? (Every Visit)
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Chlorine/Dchlor Tablets Replenished? (As Needed)
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Influent Pumps Operational?
Quality Control Test
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Ammonia Level:
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Test Strips used or Kit (Choose one from the dropdown list)
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Aeration Basin pH: (General Rule pH 7.5-8.0)
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<br><br>Samples Collected?
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Effluent pH - S.U.
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Effluent D.O. - mg/l
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Effluent CI2 - mg/l
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Flow - MGD
ADDITIONAL NOTES
COMPLETION
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Signed By