Information
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Document No.
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Pump Number:
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Client / Station:
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Conducted on:
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Prepared by:
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Location in Station:
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Engineers:
THE RISK ASSESSMENT IS AS PER THE GENERIC PPM METHOD STATEMENT. SITE SPECIFIC RISK ASSESSMENT TO BE COMPLETED IF REQUIRED.
REFER TO THE SITE SPECIFIC RISK ASSESSMENT BEFORE STARTING WORK AND ENSURE ALL REQUIRED SAFETY EQUIPMENT IS PRESENT.
THE UNIT MUST BE ISOLATED FROM THE ELECTRICAL SUPPLY BEFORE ANY INTRUSIVE WORK IS CARRIED OUT.
ON ENTERING THE SITE:
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Is the Risk Assessment and Method Statement relevant to the task being carried out below?
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Is the site clear from any visible signs of asbestos that could be disturbed by the task below?
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Is the site safely accessible with no sub standard conditions on the access route?
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IF 'NO' REPORT TO YOUR LINE MANAGER IMMEDIATELY FOR REVIEW AND CEASE ALL WORKS.
GENERAL:
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Note any abnormal water seepage into the pump room; where contaminated waste water has been deposited on the floor, disinfect the area.
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Check that danger and warning notices are present, intact, legible and appropriate to the site.
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Check that any previously reported defects have been rectified.
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Check operation of, and clean all luminaries and lamps. Check condition, as appropriate, of lamp holders, flexible cords, connectors, control gear and starting devices.
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At sewage stations, check availability of washing facilities and test operation of water heater.
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Check that the control panel is clean and the doors are secure.
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Test operation of auto-telephone and if the remote alarming is fitted. notify the relevant person(s).
Electrical:
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Visually examine all equipment for signs of corrosion, damage, overheating, movement and exposed live electrical parts. Including cables for damage, particularly cables on submersible pumps.
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Ensure that all access covers to electrical equipment / cable trunking are fitted and secure.
MECHANICAL:
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Visually examine all equipment, including all accessible pipework for signs of corrosion, damage and leaks.
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Check all machinery guards, anchor bolts and fixings are in place and secure.
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Inspect unit for any undue noise or vibration.
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Check pump glands and/or mechanical seals and adjust them as necessary.
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Inspect condition of flexible couplings on pipework.
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Inspect condition of drive coupling on pump.
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Assess the condition, suitability and security of sump covers, handrails, access ladders and safety barriers in pump room and sump.
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Assess the condition, accessibility and cleanliness of sumps and tanks and remove, clean and replace all strainers and footvalves.
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Test operation of pump sets to reduce water level.
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Inspect drain and tundish for free flow of water.
ON COMPLETION - YOU MUST FILL IN THE PLANT INSPECTION LABEL AND RECORD ANY COMMENTS, FAULTS AND RECOMMENDATIONS IN THE BOX PROVIDED.
TESTING RESULTS / REMARKS:
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Condition of the Pump (A= 10 years + / B= 6 -10 years / C= 1- 5 years / D= Life expired)
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Condition of the Panel / Controls (A= 10 years + / B= 6 -10 years / C= 1- 5 years / D= Life expired)
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Three Phase Running Current Reading of Motor (Amps)?
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Pump Model:
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Pump Serial Number:
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Lifting Gear Description (eg lifting eye)?
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Condition of the Lifting Gear (A=Excellent / B=Good / C=Satisfactory / D=Poor)
- A
- B
- C
- D
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Safe Work Load (SWL)?
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Inspection Label / Date of last inspection (DD/MM/YY)?<br><br>
ENGINEER'S COMMENTS - TO INCLUDE ANY CONCERNS OR RISK THAT MAY RESULT IN A FAULT PRIOR TO THE NEXT PLANNED PPM (SPECIFY AND JUSTIFY)?
FAULTS & RECOMMENDATIONS?
ACCESS RESTRICTIONS?
ROOM NUMBER / KEYS:
SUPERVISORS SIGNATURE
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Add signature
ENGINEERS SIGNATURE
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Add signature
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TIE WRAP COLOUR?
- BLUE
- GREEN
- ORANGE
- BLACK
- YELLOW
- RED