Information

  • Document No.

  • Audit Title

  • Conducted on

  • Prepared by

  • Technician Name

  • Location

Vehicle

  • Does the tech have the following equipment:

  • Spill kit

  • Gloves

  • Safety glasses

  • Barrier cream

  • Job cards

  • Test kit

  • Chemical setup/Stock

Site Inspection

Log Book

  • MSDS / SWMS

  • Service dockets & Certificates

Testing Procedures

  • TDS

  • HARDNESS

  • PH

  • SULPHITE

  • PHOSPHATE

  • TANNIN

  • OH ALK

Service Reports

  • Site info (name/site #)

  • Targets

  • Drum level recording

  • Comments

Chemicals

  • Chemical dose rates & general understanding

Equipment Check

  • Dose rates

  • Times

  • Operation

  • Chemical dosing controllers/pumps

  • Softener operation

  • Auto blow down operation

  • Area cleanliness

  • Customer Communication

General

  • Bunding

  • Stickers

Comments

  • General Comments

  • Sites visited

  • Follow-up Inspection Date

  • Manager signature

  • Tech Signature

  • Date & Time completed

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.