Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Name of Responsible Person?

  • Is there a flushing log available for inspection?

  • If yes, where is it kept?

  • Has the location changed?

  • Are there floor plans identifying water outlets?

  • Do they cover all areas relevant to the named site?

  • Does the log identify the name of the person responsible for the flushing process?

  • If so who?

  • Is there evidence that "no" and "low use" outlets are continuously identified?

  • Is there evidence that "no" and "low use" outlet information is managed appropriately.

  • Who is responsible for Risk Assessing "no" and "low use" outlets to ensure inclusion/exclusion in the flushing programme?

  • Do the records identify which outlets are flushed?

  • Are there any gaps in the flushing record?

  • Is there evidence of the flushing protocol being audited in the logbook?

  • Date of last audit?

  • Internal or External?

  • Comments and recommendations.

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.