Information
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Site Name
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Site Number
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System ID Name or reference. (Main, Tenant, CT#1 etc)
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Prepared by (Tech Number)
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Location
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Building level (what level is the cooling tower in the building)?
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Location, north, south east etc, plant room or roof top
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Tower Manufacturer, if multiple towers select all.
- BAC
- Evapco
- Temcel
- Marley
- Aquacool
COOLING TOWER CONTROLLER
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Aquagard
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Digichem
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Advantage SS
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Other
OPR AND PH CONTROL
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ORP controller installed?
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pH Controller installed?
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Acid dosing?
WATER TREATMENT PRODUCTS
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Corrosion Inhibitor?
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Product in use?
- 381
- 325
- 7660
- 7665
- 710
- 500
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Biocide A? (Non oxidising)
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Biocide(A) in use?
- BT 150
- BT 154
- BT 752
- BT1032
- BT 450
- Other
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Biocide B? (Oxidising)
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Biocide B in use?
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Dispersant pump?
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Dispersant in use?
DOSING EQUIPMENT SET-UP
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Recirc pump?
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Corrosion rack - 2 Station?
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Corrosion Rack - 4 Station?
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Communications bundle/card?
FILTRATION
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Any filtration installed?
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Select type of filter installed.
PHOTOGRAPHS
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Photographs of each tower.
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Photograph of all dosing equipment.
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Photograph of filtration system
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Photograph safety issues?
SITE SAFETY
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Is there safe access to the cooling tower for cleaning?
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Is a safety Audit required.
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Explain why the access is not safe.
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Provide opinion on what needs to be done to make it safe.
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Add photographs of unsafe conditions.
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Technician Signature.