Hadleigh Pool Temperature Checks (L8)

• Document No.

• Conducted on

  Date

• Prepared by

-----JANUARY-----

SOCIAL ROOM

SEMI-STORAGE ELECTRIC WATER HEATER

• HOT WATER TEMP (°C)

• Temperature is low choose from below:

  Temperature Risk

  N/A

SINK

• HOT WATER TEMP (°C)

• Temperature is low choose from below:

  Temperature Risk

  N/A

• COLD WATER TEMP (°C)

GYM

DRINKS FOUNTAIN

• COLD WATER TEMP (°C)

POOLSIDE

DEEP END WASH DOWN BIB TAP

• COLD WATER TEMP (°C)

MAINS NON-CONCUSSIVE TAP

• COLD WATER TEMP (°C)

SIGN & DATE WHEN COMPLETE

• DATE

  Date

• SIGN

  Sign

-----FEBRUARY-----

FIRST AID ROOM

KITCHEN SINK

• HOT WATER TEMP (°C)

• Temperature is low choose from below:

  Temperature Risk

  N/A

• COLD WATER TEMP (°C)

ACID STORE

EMERGENCY SHOWER

• COLD WATER TEMP (°C)

HYPO STORE

EMERGENCY SHOWER

• COLD WATER TEMP (°C)

SIGN & DATE WHEN COMPLETE

• DATE

  Date

• SIGN

  Sign

-----MARCH-----

POOL PLANT ROOM

MAINS WATER POOL FILL HOSE

• COLD WATER TEMP (°C)

POOL WATER WASH DOWN BIB TAP

• COLD WATER TEMP (°C)

EMERGENCY SHOWER

• COLD WATER TEMP (°C)

EMERGENCY EYE WASH

• COLD WATER TEMP (°C)

CAFE RECEPTION

HAND BASIN **BLENDED**

• HOT TAP WATER TEMP (°C) **BLENDED**

• COLD TAP WATER TEMP (°C)

• Temperature is high, choose from below:

  Temperature Risk

  N/A

• PRE-MIXED HOT WATER TEMP (°C)

• Temperature is low choose from below:

  Temperature Risk

  N/A

• PRE-MIXED COLD WATER TEMP (°C)

SIGN & DATE WHEN COMPLETE

• DATE

  Date

• SIGN

  Sign

-----APRIL-----

OSTEOPATHS ROOM

HAND BASIN **BLENDED**

• HOT TAP WATER TEMP (°C) **BLENDED**

• COLD TAP WATER TEMP (°C)

• Temperature is high, choose from below:

  Temperature Risk

  N/A

• PRE-MIXED HOT WATER TEMP (°C)

• Temperature is low choose from below:

  Temperature Risk

  N/A

• PRE-MIXED COLD WATER TEMP (°C)

KITCHEN

SEMI-STORAGE ELECTRIC WATER HEATER

• HOT WATER TEMP (°C)

• Temperature is low choose from below:

  Temperature Risk

  N/A

HAND BASIN **BLENDED**

• HOT TAP WATER TEMP (°C) **BLENDED**

• COLD TAP WATER TEMP (°C)

• Temperature is high, choose from below:

  Temperature Risk

  N/A

• PRE-MIXED HOT WATER TEMP (°C)

• Temperature is low choose from below:

  Temperature Risk

  N/A

• PRE-MIXED COLD WATER TEMP (°C)

KITCHEN SINK 01

• HOT WATER TEMP (°C)

• Temperature is low choose from below:

  Temperature Risk

  N/A

• COLD WATER TEMP (°C)

KITCHEN SINK 02

• HOT WATER TEMP (°C)

• Temperature is low choose from below:

  Temperature Risk

  N/A

• COLD WATER TEMP (°C)

SIGN & DATE WHEN COMPLETE

• DATE

  Date

• SIGN

  Sign

-----MAY-----

RECEPTION DISABLED TOILET

HAND BASIN **BLENDED**

• HOT TAP WATER TEMP (°C) **BLENDED**

• COLD TAP WATER TEMP (°C)

• Temperature is high, choose from below:

  Temperature Risk

  N/A

• PRE-MIXED HOT WATER TEMP (°C)

• Temperature is low choose from below:

  Temperature Risk

  N/A

• PRE-MIXED COLD WATER TEMP (°C)

RECEPTION FEMALE TOILET

HAND BASIN 01 **BLENDED**

• HOT TAP WATER TEMP (°C) **BLENDED**

• COLD TAP WATER TEMP (°C)

• Temperature is high, choose from below:

  Temperature Risk

  N/A

• PRE-MIXED HOT WATER TEMP (°C)

• Temperature is low choose from below:

  Temperature Risk

  N/A

• PRE-MIXED COLD WATER TEMP (°C)

HAND BASIN 02 **BLENDED**

• HOT TAP WATER TEMP (°C) **BLENDED**

• COLD TAP WATER TEMP (°C)

• Temperature is high, choose from below:

  Temperature Risk

  N/A

• PRE-MIXED HOT WATER TEMP (°C)

• Temperature is low choose from below:

  Temperature Risk

  N/A

• PRE-MIXED COLD WATER TEMP (°C)

RECEPTION MALE TOILET

HAND BASIN 01 **BLENDED**

• HOT TAP WATER TEMP (°C) **BLENDED**

• COLD TAP WATER TEMP (°C)

• Temperature is high, choose from below:

  Temperature Risk

  N/A

• PRE-MIXED HOT WATER TEMP (°C)

• Temperature is low choose from below:

  Temperature Risk

  N/A

• PRE-MIXED COLD WATER TEMP (°C)

HAND BASIN 02 **BLENDED**

• HOT TAP WATER TEMP (°C) **BLENDED**

• COLD TAP WATER TEMP (°C)

• Temperature is high, choose from below:

  Temperature Risk

  N/A

• PRE-MIXED HOT WATER TEMP (°C)

• Temperature is low choose from below:

  Temperature Risk

  N/A

• PRE-MIXED COLD WATER TEMP (°C)

SIGN & DATE WHEN COMPLETE

• DATE

  Date

• SIGN

  Sign

-----JUNE-----

RECEPTION CLEANERS STORE

CLEANERS SINK

• HOT WATER TEMP (°C)

• Temperature is low choose from below:

  Temperature Risk

  N/A

• COLD WATER TEMP (°C)

WET SIDE CLEANERS STORE

CLEANERS SINK

• HOT WATER TEMP (°C)

• Temperature is low choose from below:

  Temperature Risk

  N/A

• COLD WATER TEMP (°C)

FIRST FLOOR CLEANERS STORE

CLEANERS SINK

• HOT WATER TEMP (°C)

• Temperature is low choose from below:

  Temperature Risk

  N/A

• COLD WATER TEMP (°C)

SIGN & DATE WHEN COMPLETE

• DATE

  Date

• SIGN

  Sign

-----JULY-----

FIRST FLOOR GYM MALE CHANGE

HAND BASIN 01 **BLENDED**

• HOT TAP WATER TEMP (°C) **BLENDED**

• COLD TAP WATER TEMP (°C)

• Temperature is high, choose from below:

  Temperature Risk

  N/A

• PRE-MIXED HOT WATER TEMP (°C)

• Temperature is low choose from below:

  Temperature Risk

  N/A

• PRE-MIXED COLD WATER TEMP (°C)

HAND BASIN 02 **BLENDED**

• HOT TAP WATER TEMP (°C) **BLENDED**

• COLD TAP WATER TEMP (°C)

• Temperature is high, choose from below:

  Temperature Risk

  N/A

• PRE-MIXED HOT WATER TEMP (°C)

• Temperature is low choose from below:

  Temperature Risk

  N/A

• PRE-MIXED COLD WATER TEMP (°C)

3 SHOWERS **BLENDED**

• WATER TEMP AT OUTLET(S) **BLENDED** (°C)

• PRE-MIXED HOT WATER TEMP (°C)

• Temperature is low choose from below:

  Temperature Risk

  N/A

• PRE-MIXED COLD WATER TEMP (°C)

SIGN & DATE WHEN COMPLETE

• DATE

  Date

• SIGN

  Sign

-----AUGUST-----

FIRST FLOOR GYM FEMALE CHANGE

HAND BASIN 01 **BLENDED**

• HOT TAP WATER TEMP (°C) **BLENDED**

• COLD TAP WATER TEMP (°C)

• Temperature is high, choose from below:

  Temperature Risk

  N/A

• PRE-MIXED HOT WATER TEMP (°C)

• Temperature is low choose from below:

  Temperature Risk

  N/A

• PRE-MIXED COLD WATER TEMP (°C)

HAND BASIN 02 **BLENDED**

• HOT TAP WATER TEMP (°C) **BLENDED**

• COLD TAP WATER TEMP (°C)

• Temperature is high, choose from below:

  Temperature Risk

  N/A

• PRE-MIXED HOT WATER TEMP (°C)

• Temperature is low choose from below:

  Temperature Risk

  N/A

• PRE-MIXED COLD WATER TEMP (°C)

3 SHOWERS **BLENDED**

• WATER TEMP AT OUTLET(S) **BLENDED** (°C)

• PRE-MIXED HOT WATER TEMP (°C)

• Temperature is low choose from below:

  Temperature Risk

  N/A

• PRE-MIXED COLD WATER TEMP (°C)

SIGN & DATE WHEN COMPLETE

• DATE

  Date

• SIGN

  Sign

-----SEPTEMBER-----

FIRST FLOOR GYM DISABLED SHOWER ROOM

HAND BASIN **BLENDED**

• HOT TAP WATER TEMP (°C) **BLENDED**

• COLD TAP WATER TEMP (°C)

• Temperature is high, choose from below:

  Temperature Risk

  N/A

• PRE-MIXED HOT WATER TEMP (°C)

• Temperature is low choose from below:

  Temperature Risk

  N/A

• PRE-MIXED COLD WATER TEMP (°C)

SHOWER **BLENDED**

• WATER TEMP AT OUTLET(S) **BLENDED** (°C)

• PRE-MIXED HOT WATER TEMP (°C)

• Temperature is low choose from below:

  Temperature Risk

  N/A

• PRE-MIXED COLD WATER TEMP (°C)

SIGN & DATE WHEN COMPLETE

• DATE

  Date

• SIGN

  Sign

-----OCTOBER-----

MALE WET CHANGE

HAND BASIN 01 **BLENDED**

• HOT TAP WATER TEMP (°C) **BLENDED**

• COLD TAP WATER TEMP (°C)

• Temperature is high, choose from below:

  Temperature Risk

  N/A

• PRE-MIXED HOT WATER TEMP (°C)

• Temperature is low choose from below:

  Temperature Risk

  N/A

• PRE-MIXED COLD WATER TEMP (°C)

HAND BASIN 02 **BLENDED**

• HOT TAP WATER TEMP (°C) **BLENDED**

• COLD TAP WATER TEMP (°C)

• Temperature is high, choose from below:

  Temperature Risk

  N/A

• PRE-MIXED HOT WATER TEMP (°C)

• Temperature is low choose from below:

  Temperature Risk

  N/A

• PRE-MIXED COLD WATER TEMP (°C)

2 SHOWERS **BLENDED**

• WATER TEMP AT OUTLET(S) **BLENDED** (°C)

• PRE-MIXED HOT WATER TEMP (°C)

• Temperature is low choose from below:

  Temperature Risk

  N/A

• PRE-MIXED COLD WATER TEMP (°C)

2 PRE-CLEANSE SHOWERS

• HOT WATER TEMP (°C)

• Temperature is low choose from below:

  Temperature Risk

  N/A

• COLD WATER TEMP (°C)

WASH DOWN BIB TAP

• COLD WATER TEMP (°C)

SIGN & DATE WHEN COMPLETE

• DATE

  Date

• SIGN

  Sign

-----NOVEMBER-----

FEMALE WET CHANGE

HAND BASIN 01 **BLENDED**

• HOT TAP WATER TEMP (°C) **BLENDED**

• COLD TAP WATER TEMP (°C)

• Temperature is high, choose from below:

  Temperature Risk

  N/A

• PRE-MIXED HOT WATER TEMP (°C)

• Temperature is low choose from below:

  Temperature Risk

  N/A

• PRE-MIXED COLD WATER TEMP (°C)

HAND BASIN 02 **BLENDED**

• HOT TAP WATER TEMP (°C) **BLENDED**

• COLD TAP WATER TEMP (°C)

• Temperature is high, choose from below:

  Temperature Risk

  N/A

• PRE-MIXED HOT WATER TEMP (°C)

• Temperature is low choose from below:

  Temperature Risk

  N/A

• PRE-MIXED COLD WATER TEMP (°C)

2 SHOWERS **BLENDED**

• WATER TEMP AT OUTLET(S) **BLENDED** (°C)

• PRE-MIXED HOT WATER TEMP (°C)

• Temperature is low choose from below:

  Temperature Risk

  N/A

• PRE-MIXED COLD WATER TEMP (°C)

2 PRE-CLEANSE SHOWERS

• HOT WATER TEMP (°C)

• Temperature is low choose from below:

  Temperature Risk

  N/A

• COLD WATER TEMP (°C)

WASH DOWN BIB TAP

• COLD WATER TEMP (°C)

SIGN & DATE WHEN COMPLETE

• DATE

  Date

• SIGN

  Sign

-----DECEMBER-----

DISABLED WET CHANGE

HAND BASIN **BLENDED**

• HOT TAP WATER TEMP (°C) **BLENDED**

• COLD TAP WATER TEMP (°C)

• Temperature is high, choose from below:

  Temperature Risk

  N/A

• PRE-MIXED HOT WATER TEMP (°C)

• Temperature is low choose from below:

  Temperature Risk

  N/A

• PRE-MIXED COLD WATER TEMP (°C)

SHOWER **BLENDED**

• WATER TEMP AT OUTLET(S) **BLENDED** (°C)

• PRE-MIXED HOT WATER TEMP (°C)

• Temperature is low choose from below:

  Temperature Risk

  N/A

• PRE-MIXED COLD WATER TEMP (°C)

DATE & SIGN WHEN COMPLETE.

• DATE

  Date

• Sign

  Sign

CALORIFIER CHECKS • Record monthly temperature of storage, flow and return. Temperatures should be 60°C or above for storage and flow, return above 50°C.

• Pool Plant Room

• Access

  Access

  No Access

• STORAGE TEMP (°C)

• Temperature is low choose from below:

  Temperature Risk

  N/A

• FLOW TEMP (°C)

• Temperature is low choose from below:

  Temperature Risk

  N/A

• Return TEMP (°C)

• Temperature is low choose from below:

  Temperature Risk

  N/A

• Main Plant Room

• Access

  Access

  No Access

• STORAGE TEMP (°C)

• Temperature is low choose from below:

  Temperature Risk

  N/A

• FLOW TEMP (°C)

• Temperature is low choose from below:

  Temperature Risk

  N/A

• Return TEMP (°C)

• Temperature is low choose from below:

  Temperature Risk

  N/A

DATE & SIGN WHEN COMPLETE.

• Date Completed.

  Date

• Sign.

  Sign
• Add location
  Address

SENTINEL TAPS • Temperatures to be taken from the first and last outlet on the hot water circuit in relation to the stored water source. • Hot water should achieve >50ºC before 1 minute And Cold water should achieve <20ºC before 2 minutes. • Blended outlets to be between 38°C and 41°C.

• Pool Plant Room Cylinder

• Nearest - Poolside kitchen sink (first aid room)

• Access

  Access

  No Access

• HOT TAP WATER TEMP (°C)

• Temperature is low choose from below:

  Temperature Risk

  N/A

• COLD TAP WATER TEMP (°C)

• Temperature is high, choose from below:

  Temperature Risk

  N/A

• Furthest - Ladies wet change **BLENDED**

• Access

  Access

  No Access

• HOT TAP WATER TEMP (°C) **BLENDED**

• Temperature is low choose from below:

  Temperature Risk

  N/A

• COLD TAP WATER TEMP (°C)

• Temperature is high, choose from below:

  Temperature Risk

  N/A

• PRE MIXED COLD TAP WATER TEMP (°C)

• Temperature is high, choose from below:

  Temperature Risk

  N/A

• PRE MIXED HOT TAP WATER TEMP (°C)

• Temperature is low choose from below:

  Temperature Risk

  N/A

• Main Plant Room Cylinder

• Nearest HOT - Kitchen Hot Tap

• Access

  Access

  No Access

• HOT TAP WATER TEMP (°C)

• Temperature is low choose from below:

  Temperature Risk

  N/A

• Nearest COLD- Social Room

• Access

  Access

  No Access

• COLD TAP WATER TEMP (°C)

• Temperature is high, choose from below:

  Temperature Risk

  N/A

• Furthest HOT & COLD - Cleaners Sink First Floor

• Access

  Access

  No Access

• HOT TAP WATER TEMP (°C)

• Temperature is low choose from below:

  Temperature Risk

  N/A

• COLD TAP WATER TEMP (°C)

• Temperature is high, choose from below:

  Temperature Risk

  N/A

• CAFE HAND BASIN HOT & COLD

• Access

  Access

  No Access

• HOT TAP WATER TEMP (°C)

• Temperature is low choose from below:

  Temperature Risk

  N/A

• COLD TAP WATER TEMP (°C)

• Temperature is high, choose from below:

  Temperature Risk

  N/A

DATE & SIGN WHEN COMPLETE.

• Date Completed

  Date

• Sign

  Sign

• SHOWER CHECKS
  • Disinfect and de-scale every 3 months.

Male Wet Change

• Shower 01

  Access

  No Access

• Shower

• How frequently is the shower used?

  regular

  not regular

• What is the condition of the shower?

  Satisfactory

  Non Satisfactory

• Cleaned and Disinfected? (checkbox)

• Shower 02

  Access

  No Access

• Shower

• How frequently is the shower used?

  regular

  not regular

• What is the condition of the shower?

  Satisfactory

  Non Satisfactory

• Cleaned and Disinfected? (checkbox)

Male pre cleanse showers

• Shower 02

  Access

  No Access

• Shower

• How frequently is the shower used?

  regular

  not regular

• What is the condition of the shower?

  Satisfactory

  Non Satisfactory

• Cleaned and Disinfected? (checkbox)

• Shower 01

  Access

  No Access

• Shower

• How frequently is the shower used?

  regular

  not regular

• What is the condition of the shower?

  Satisfactory

  Non Satisfactory

• Cleaned and Disinfected? (checkbox)

Female Wet Change

• Shower 01

  Access

  No Access

• Shower

• How frequently is the shower used?

  regular

  not regular

• What is the condition of the shower?

  Satisfactory

  Non Satisfactory

• Cleaned and Disinfected? (checkbox)

• Shower 02

  Access

  No Access

• Shower

• How frequently is the shower used?

  regular

  not regular

• What is the condition of the shower?

  Satisfactory

  Non Satisfactory

• Cleaned and Disinfected? (checkbox)

Female Pre-Cleanse Showers

• Shower 01

  Access

  No Access

• Shower

• How frequently is the shower used?

  regular

  not regular

• What is the condition of the shower?

  Satisfactory

  Non Satisfactory

• Cleaned and Disinfected? (checkbox)

• Shower 02

  Access

  No Access

• Shower

• How frequently is the shower used?

  regular

  not regular

• What is the condition of the shower?

  Satisfactory

  Non Satisfactory

• Cleaned and Disinfected? (checkbox)

Disabled Wet Change

• Shower 01

  Access

  No Access

• Shower

• How frequently is the shower used?

  regular

  not regular

• What is the condition of the shower?

  Satisfactory

  Non Satisfactory

• Cleaned and Disinfected? (checkbox)

• Has the Hose been Disinfected or Replaced? (checkbox)

Upstairs Female Gym Changing

• Shower 01

  Access

  No Access

• Shower

• How frequently is the shower used?

  regular

  not regular

• What is the condition of the shower?

  Satisfactory

  Non Satisfactory

• Cleaned and Disinfected? (checkbox)

• Shower 02

  Access

  No Access

• Shower

• How frequently is the shower used?

  regular

  not regular

• What is the condition of the shower?

  Satisfactory

  Non Satisfactory

• Cleaned and Disinfected? (checkbox)

• Shower 03

  Access

  No Access

• Shower

• How frequently is the shower used?

  regular

  not regular

• What is the condition of the shower?

  Satisfactory

  Non Satisfactory

• Cleaned and Disinfected? (checkbox)

Upstairs Disabled Gym Changing

• Shower 01

  Access

  No Access

• Shower

• How frequently is the shower used?

  regular

  not regular

• What is the condition of the shower?

  Satisfactory

  Non Satisfactory

• Cleaned and Disinfected? (checkbox)

• Has the Hose been Disinfected or Replaced? (checkbox)

Upstairs Male Gym Changing

• Shower 01

  Access

  No Access

• Shower

• How frequently is the shower used?

  regular

  not regular

• What is the condition of the shower?

  Satisfactory

  Non Satisfactory

• Cleaned and Disinfected? (checkbox)

• Shower 02

  Access

  No Access

• Shower

• How frequently is the shower used?

  regular

  not regular

• What is the condition of the shower?

  Satisfactory

  Non Satisfactory

• Cleaned and Disinfected? (checkbox)

• Shower 03

  Access

  No Access

• Shower

• How frequently is the shower used?

  regular

  not regular

• What is the condition of the shower?

  Satisfactory

  Non Satisfactory

• Cleaned and Disinfected? (checkbox)

DATE & SIGN WHEN COMPLETE.

• Date Completed

  Date

• Sign.

  Sign

Kitchen - Small Hand Basin

• TMV has been Cleaned and Inspected. (tick box)

• Is it operating correctly?

  Yes

  No

  N/A

Cafe - Small Hand Basin

• TMV has been Cleaned and Inspected. (tick box)

• Is it operating correctly?

  Yes

  No

  N/A

Female Reception - TMV 01 - Toilet sink

• TMV has been Cleaned and Inspected. (tick box)

• Is it operating correctly?

  Yes

  No

  N/A

Female Reception - TMV 02 - Toilet sink

• TMV has been Cleaned and Inspected. (tick box)

• Is it operating correctly?

  Yes

  No

  N/A

Male Reception - TMV 01 - Toilet sink

• TMV has been Cleaned and Inspected. (tick box)

• Is it operating correctly?

  Yes

  No

  N/A

Male Reception - TMV 02 - Toilet sink

• TMV has been Cleaned and Inspected. (tick box)

• Is it operating correctly?

  Yes

  No

  N/A

Female Wet Change - Sink

• TMV has been Cleaned and Inspected. (tick box)

• Is it operating correctly?

  Yes

  No

  N/A

Male Wet Change - Sink

• TMV has been Cleaned and Inspected. (tick box)

• Is it operating correctly?

  Yes

  No

  N/A

Female Wet Change - Showers

• TMV has been Cleaned and Inspected. (tick box)

• Is it operating correctly?

  Yes

  No

  N/A

Female Pre Cleanse - Showers

• TMV has been Cleaned and Inspected. (tick box)

• Is it operating correctly?

  Yes

  No

  N/A

Male Pre Cleanse - Showers

• TMV has been Cleaned and Inspected. (tick box)

• Is it operating correctly?

  Yes

  No

  N/A

Male Wet Change - Showers

• TMV has been Cleaned and Inspected. (tick box)

• Is it operating correctly?

  Yes

  No

  N/A

Male Gym Changing Room - TMV 01 - Sink

• TMV has been Cleaned and Inspected. (tick box)

• Is it operating correctly?

  Yes

  No

  N/A

Male Gym Changing Room - TMV 02 - Sink

• TMV has been Cleaned and Inspected. (tick box)

• Is it operating correctly?

  Yes

  No

  N/A

Male Gym - Showers

• TMV has been Cleaned and Inspected. (tick box)

• Is it operating correctly?

  Yes

  No

  N/A

Female Gym Changing Room - TMV 01 - Sink

• TMV has been Cleaned and Inspected. (tick box)

• Is it operating correctly?

  Yes

  No

  N/A

Female Gym Changing Room - TMV 02 - Sink

• TMV has been Cleaned and Inspected. (tick box)

• Is it operating correctly?

  Yes

  No

  N/A

Female Gym - Showers

• TMV has been Cleaned and Inspected. (tick box)

• Is it operating correctly?

  Yes

  No

  N/A

DATE & SIGN WHEN COMPLETE.

• Date Completed

  Date

• Sign

  Sign

Kitchen - Small Hand Basin

• Is it operating correctly?

  Yes

  No

  N/A

Cafe - Small Hand Basin

• Is it operating correctly?

  Yes

  No

  N/A

Female Reception - TMV 01 - Toilet sink

• Is it operating correctly?

  Yes

  No

  N/A

Female Reception - TMV 02 - Toilet sink

• Is it operating correctly?

  Yes

  No

  N/A

Male Reception - TMV 01 - Toilet sink

• Is it operating correctly?

  Yes

  No

  N/A

Male Reception - TMV 02 - Toilet sink

• Is it operating correctly?

  Yes

  No

  N/A

Female Wet Change - Sink

• Is it operating correctly?

  Yes

  No

  N/A

Male Wet Change - Sink

• Is it operating correctly?

  Yes

  No

  N/A

Female Wet Change - Showers

• Is it operating correctly?

  Yes

  No

  N/A

Female Pre Cleanse - Showers

• Is it operating correctly?

  Yes

  No

  N/A

Male Pre Cleanse - Showers

• Is it operating correctly?

  Yes

  No

  N/A

Male Wet Change - Showers

• Is it operating correctly?

  Yes

  No

  N/A

Male Gym Changing Room - TMV 01 - Sink

• Is it operating correctly?

  Yes

  No

  N/A

Male Gym Changing Room - TMV 02 - Sink

• Is it operating correctly?

  Yes

  No

  N/A

Male Gym - Showers

• Is it operating correctly?

  Yes

  No

  N/A

Female Gym Changing Room - TMV 01 - Sink

• Is it operating correctly?

  Yes

  No

  N/A

Female Gym Changing Room - TMV 02 - Sink

• Is it operating correctly?

  Yes

  No

  N/A

Female Gym - Showers

• Is it operating correctly?

  Yes

  No

  N/A

DATE & SIGN WHEN COMPLETE.

• Date Completed

  Date

• Sign

  Sign

MAIN PLANT ROOM

• Has the Calorifier been inspected?

• What is the condition of the Calorifier?

  Satisfactory

  Non Satisfactory

POOL PLANT ROOM

• Has the Calorifier been inspected?

• What is the condition of the Calorifier?

  Satisfactory

  Non Satisfactory

NOTES

• Notes

DATE & SIGN WHEN COMPLETE.

• Date Completed

  Date

• Sign

  Sign

PLANT ROOM

• Has the expansion vessel been drained and flushed? (checkbox)

• Notes.

DATE & SIGN WHEN COMPLETE.

• Date Completed

  Date

• Sign

  Sign

Locations & Results

• Select date

  Date

• Add signature

  Sign

COLD WATER STORAGE TANKS • Every 6 months - Visually inspect cold water storage tanks for signs of contamination, sludge or scale. Carry out remedial work where necessary. • Take temperature from the Incoming main & stored water temp at the opposite end.

• TANK 1 - POOL PLANT ROOM - SWIMMING POOL MAKE UP TANK

• What is the condition of the tank?

  Satisfactory

  Non Satisfactory

• What is the temperature of the tank water?

• TEMPERATURE RISK - CHOOSE FROM BELOW...

  Temperature Risk

  N/A

• What is the temperature of the incoming supply?

• TEMPERATURE RISK - CHOOSE FROM BELOW...

  Temperature Risk

  N/A

• Inspect pipe work lagging throughout building, report any damage. Tick when completed.

• Sign.

  Sign

• Date.

  Date

Defects

• Are there any defects at the site?

  Yes

  No

Weekly Flushing Folder

• Has the weekly flushing folder been checked?

  Yes

  No

Notes

• Further Notes

Complete

• Sign

  Sign