KINGFISHER LEISURE CENTRE L8

• Document No.

• Conducted on

  Date

• Prepared by

-----JANUARY-----

CHANGING AREA

Wash Down BIB Tap

• COLD WATER TEMP ºC

• Temperature is High. Choose from below.

  Temperature Risk

  N/A

6 Showers (BLENDED)

• WATER TEMP AT OUTLET(S) ºC **BLENDED**

• PRE-MIXED HOT WATER TEMP ºC

• Temperature is low. Choose from below.

  Temperature Risk

  N/A

• COLD TAP WATER TEMP ºC

• Temperature is High. Choose from below.

  Temperature Risk

  N/A

GYM TOILETS

MALE Toilet

COLD TAP 01

• COLD WATER TEMP ºC

• Temperature is High. Choose from below.

  Temperature Risk

  N/A

COLD TAP 02

• COLD WATER TEMP ºC

• Temperature is High. Choose from below.

  Temperature Risk

  N/A

TAPS 01 (BLENDED)

• HOT TAP WATER TEMP ºC **BLENDED**

• COLD TAP WATER TEMP ºC **BLENDED**

• Temperature is High. Choose from below.

  Temperature Risk

  N/A

• PRE-MIXED HOT WATER TEMP ºC

• Temperature is low. Choose from below.

  Temperature Risk

  N/A

• PRE-MIXED COLD WATER TEMP ºC

• Temperature is High. Choose from below.

  Temperature Risk

  N/A

TAPS 02 (BLENDED)

• HOT TAP WATER TEMP ºC **BLENDED**

• COLD TAP WATER TEMP ºC **BLENDED**

• Temperature is High. Choose from below.

  Temperature Risk

  N/A

• PRE-MIXED HOT WATER TEMP ºC

• Temperature is low. Choose from below.

  Temperature Risk

  N/A

• PRE-MIXED COLD WATER TEMP ºC

• Temperature is High. Choose from below.

  Temperature Risk

  N/A

FEMALE Toilet

COLD TAP 01

• COLD WATER TEMP ºC

• Temperature is High. Choose from below.

  Temperature Risk

  N/A

COLD TAP 02

• COLD WATER TEMP ºC

• Temperature is High. Choose from below.

  Temperature Risk

  N/A

TAPS 01 (BLENDED)

• HOT TAP WATER TEMP ºC **BLENDED**

• COLD TAP WATER TEMP ºC **BLENDED**

• Temperature is High. Choose from below.

  Temperature Risk

  N/A

• PRE-MIXED HOT WATER TEMP ºC

• Temperature is low. Choose from below.

  Temperature Risk

  N/A

• PRE-MIXED COLD WATER TEMP ºC

• Temperature is High. Choose from below.

  Temperature Risk

  N/A

TAPS 02 (BLENDED)

• HOT TAP WATER TEMP ºC **BLENDED**

• COLD TAP WATER TEMP ºC **BLENDED**

• Temperature is High. Choose from below.

  Temperature Risk

  N/A

• PRE-MIXED HOT WATER TEMP ºC

• Temperature is low. Choose from below.

  Temperature Risk

  N/A

• PRE-MIXED COLD WATER TEMP ºC

• Temperature is High. Choose from below.

  Temperature Risk

  N/A

SIGN & DATE WHEN COMPLETE

• DATE

  Date

• SIGN

  Sign

-----FEBRUARY-----

GYM MALE CHANGING

BASIN TAP (BLENDED)

• WATER TEMP AT OUTLET(S) ºC **BLENDED**

• PRE-MIXED HOT WATER TEMP ºC

• Temperature is low. Choose from below.

  Temperature Risk

  N/A

• COLD TAP WATER TEMP ºC

• Temperature is High. Choose from below.

  Temperature Risk

  N/A

3 Showers (BLENDED)

• WATER TEMP AT OUTLET(S) ºC **BLENDED**

• PRE-MIXED HOT WATER TEMP ºC

• Temperature is low. Choose from below.

  Temperature Risk

  N/A

• COLD TAP WATER TEMP ºC

• Temperature is High. Choose from below.

  Temperature Risk

  N/A

GYM FEMALE CHANGING

BASIN TAP (BLENDED)

• WATER TEMP AT OUTLET(S) ºC **BLENDED**

• PRE-MIXED HOT WATER TEMP ºC

• Temperature is low. Choose from below.

  Temperature Risk

  N/A

• COLD TAP WATER TEMP ºC

• Temperature is High. Choose from below.

  Temperature Risk

  N/A

3 Showers (BLENDED)

• WATER TEMP AT OUTLET(S) ºC **BLENDED**

• PRE-MIXED HOT WATER TEMP ºC

• Temperature is low. Choose from below.

  Temperature Risk

  N/A

• COLD TAP WATER TEMP ºC

• Temperature is High. Choose from below.

  Temperature Risk

  N/A

GYM FEMALE CHANGING ROOM STORES

Bypass Cold BIB Tap

• COLD TAP WATER TEMP ºC

• Temperature is High. Choose from below.

  Temperature Risk

  N/A

SIGN & DATE WHEN COMPLETE

• DATE

  Date

• SIGN

  Sign

-----MARCH-----

GYM

Mains Water Drinking Point.

• COLD TAP WATER TEMP ºC

• Temperature is High. Choose from below.

  Temperature Risk

  N/A

HEALTH SUITE

Cold wash BIB Tap.

• COLD TAP WATER TEMP ºC

• Temperature is High. Choose from below.

  Temperature Risk

  N/A

Drinks Fountain Cold.

• COLD TAP WATER TEMP ºC

• Temperature is High. Choose from below.

  Temperature Risk

  N/A

2 Showers (BLENDED)

• WATER TEMP AT OUTLET(S) ºC **BLENDED**

• PRE-MIXED HOT WATER TEMP ºC

• Temperature is low. Choose from below.

  Temperature Risk

  N/A

• COLD TAP WATER TEMP ºC

• Temperature is High. Choose from below.

  Temperature Risk

  N/A

2 Cold Showers

• COLD WATER TEMP AT OUTLET(S) ºC

• Temperature is High. Choose from below.

  Temperature Risk

  N/A

POOLSIDE

Beach Terrace Basin Cold Tap.

• COLD TAP WATER TEMP ºC

• Temperature is High. Choose from below.

  Temperature Risk

  N/A

Wash down BIB Tap. (Staff Corridor Side)

• COLD TAP WATER TEMP ºC

• Temperature is High. Choose from below.

  Temperature Risk

  N/A

Wash down BIB Tap. (Station Rd Side)

• COLD TAP WATER TEMP ºC

• Temperature is High. Choose from below.

  Temperature Risk

  N/A

HYPO STORE

Emergency Wash Down BIB Tap

• COLD TAP WATER TEMP ºC

• Temperature is High. Choose from below.

  Temperature Risk

  N/A

Emergency Shower

• COLD TAP WATER TEMP ºC

• Temperature is High. Choose from below.

  Temperature Risk

  N/A

ACID STORE

Emergency Wash Down BIB Tap

• COLD TAP WATER TEMP ºC

• Temperature is High. Choose from below.

  Temperature Risk

  N/A

Emergency Shower

• COLD TAP WATER TEMP ºC

• Temperature is High. Choose from below.

  Temperature Risk

  N/A

SIGN & DATE WHEN COMPLETE

• DATE

  Date

• SIGN

  Sign

-----APRIL-----

PLANT ROOM

Emergency Eye Wash

• COLD TAP WATER TEMP ºC

• Temperature is High. Choose from below.

  Temperature Risk

  N/A

Emergency Shower

• COLD TAP WATER TEMP ºC

• Temperature is High. Choose from below.

  Temperature Risk

  N/A

Pool Pump Cold Wash Down hose

• COLD TAP WATER TEMP ºC

• Temperature is High. Choose from below.

  Temperature Risk

  N/A

Pool Pump Cold BIB Tap

• COLD TAP WATER TEMP ºC

• Temperature is High. Choose from below.

  Temperature Risk

  N/A

BIB Tap Nr Emergency Lighting Control Panel

• COLD TAP WATER TEMP ºC

• Temperature is High. Choose from below.

  Temperature Risk

  N/A

Floc Fill BIB Tap

• COLD TAP WATER TEMP ºC

• Temperature is High. Choose from below.

  Temperature Risk

  N/A

Plant Room Office Sink

• HOT TAP WATER TEMP ºC

• Temperature is low. Choose from below.

  Temperature Risk

  N/A

• COLD TAP WATER TEMP ºC

• Temperature is High. Choose from below.

  Temperature Risk

  N/A

SIGN & DATE WHEN COMPLETE

• DATE

  Date

• SIGN

  Sign

-----MAY-----

STAFF MEETING ROOM AREA

KITCHEN SINK

• HOT TAP WATER TEMP ºC

• Temperature is low. Choose from below.

  Temperature Risk

  N/A

• COLD TAP WATER TEMP ºC

• Temperature is High. Choose from below.

  Temperature Risk

  N/A

HAND BASIN

• HOT TAP WATER TEMP ºC

• Temperature is low. Choose from below.

  Temperature Risk

  N/A

• COLD TAP WATER TEMP ºC

• Temperature is High. Choose from below.

  Temperature Risk

  N/A

VENDING AREA

Cold BIB Tap

• COLD TAP WATER TEMP ºC

• Temperature is High. Choose from below.

  Temperature Risk

  N/A

KITCHEN PREP ROOM

KITCHEN SINK

• HOT TAP WATER TEMP ºC

• Temperature is low. Choose from below.

  Temperature Risk

  N/A

• COLD TAP WATER TEMP ºC

• Temperature is High. Choose from below.

  Temperature Risk

  N/A

HAND BASIN

• HOT TAP WATER TEMP ºC

• Temperature is low. Choose from below.

  Temperature Risk

  N/A

• COLD TAP WATER TEMP ºC

• Temperature is High. Choose from below.

  Temperature Risk

  N/A

SIGN & DATE WHEN COMPLETE

• DATE

  Date

• SIGN

  Sign

-----JUNE-----

KITCHEN AREA

KITCHEN SINK

• HOT TAP WATER TEMP ºC

• Temperature is low. Choose from below.

  Temperature Risk

  N/A

• COLD TAP WATER TEMP ºC

• Temperature is High. Choose from below.

  Temperature Risk

  N/A

HAND BASIN

• HOT TAP WATER TEMP ºC

• Temperature is low. Choose from below.

  Temperature Risk

  N/A

• COLD TAP WATER TEMP ºC

• Temperature is High. Choose from below.

  Temperature Risk

  N/A

SIGN & DATE WHEN COMPLETE

• DATE

  Date

• SIGN

  Sign

-----JULY-----

LITTLE KINGFISHERS KITCHEN

HAND BASIN

• HOT TAP WATER TEMP ºC

• Temperature is low. Choose from below.

  Temperature Risk

  N/A

• COLD TAP WATER TEMP ºC

• Temperature is High. Choose from below.

  Temperature Risk

  N/A

LITTLE KINGFISHERS

Baby Toilet 01

HAND BASIN (BLENDED)

• HOT TAP WATER TEMP ºC **BLENDED**

• COLD TAP WATER TEMP ºC **BLENDED**

• Temperature is High. Choose from below.

  Temperature Risk

  N/A

• PRE-MIXED HOT WATER TEMP ºC

• Temperature is low. Choose from below.

  Temperature Risk

  N/A

• PRE-MIXED COLD WATER TEMP ºC

• Temperature is High. Choose from below.

  Temperature Risk

  N/A

Baby Toilet 02

HAND BASIN (BLENDED)

• HOT TAP WATER TEMP ºC **BLENDED**

• COLD TAP WATER TEMP ºC **BLENDED**

• Temperature is High. Choose from below.

  Temperature Risk

  N/A

• PRE-MIXED HOT WATER TEMP ºC

• Temperature is low. Choose from below.

  Temperature Risk

  N/A

• PRE-MIXED COLD WATER TEMP ºC

• Temperature is High. Choose from below.

  Temperature Risk

  N/A

OUTSIDE BIB TAP Near Planters

• COLD TAP WATER TEMP ºC

• Temperature is High. Choose from below.

  Temperature Risk

  N/A

SIGN & DATE WHEN COMPLETE

• DATE

  Date

• SIGN

  Sign

-----AUGUST-----

RECEPTION TOILETS

MALE TOILET

BASIN 01 **BLENDED**

• HOT TAP WATER TEMP ºC

• COLD TAP WATER TEMP ºC

• Temperature is High. Choose from below.

  Temperature Risk

  N/A

• PRE-MIXED HOT WATER TEMP ºC

• Temperature is low. Choose from below.

  Temperature Risk

  N/A

• PRE-MIXED COLD WATER TEMP ºC

• Temperature is High. Choose from below.

  Temperature Risk

  N/A

BASIN 02 **BLENDED**

• HOT TAP WATER TEMP ºC

• COLD TAP WATER TEMP ºC

• Temperature is High. Choose from below.

  Temperature Risk

  N/A

• PRE-MIXED HOT WATER TEMP ºC

• Temperature is low. Choose from below.

  Temperature Risk

  N/A

• PRE-MIXED COLD WATER TEMP ºC

• Temperature is High. Choose from below.

  Temperature Risk

  N/A

FEMALE TOILET

BASIN 01 **BLENDED**

• HOT TAP WATER TEMP ºC

• COLD TAP WATER TEMP ºC

• Temperature is High. Choose from below.

  Temperature Risk

  N/A

• PRE-MIXED HOT WATER TEMP ºC

• Temperature is low. Choose from below.

  Temperature Risk

  N/A

• PRE-MIXED COLD WATER TEMP ºC

• Temperature is High. Choose from below.

  Temperature Risk

  N/A

BASIN 02 **BLENDED**

• HOT TAP WATER TEMP ºC

• COLD TAP WATER TEMP ºC

• Temperature is High. Choose from below.

  Temperature Risk

  N/A

• PRE-MIXED HOT WATER TEMP ºC

• Temperature is low. Choose from below.

  Temperature Risk

  N/A

• PRE-MIXED COLD WATER TEMP ºC

• Temperature is High. Choose from below.

  Temperature Risk

  N/A

DISABLED TOILET RECEPTION

BASIN 01 **BLENDED**

• HOT TAP WATER TEMP ºC

• COLD TAP WATER TEMP ºC

• Temperature is High. Choose from below.

  Temperature Risk

  N/A

• PRE-MIXED HOT WATER TEMP ºC

• Temperature is low. Choose from below.

  Temperature Risk

  N/A

• PRE-MIXED COLD WATER TEMP ºC

• Temperature is High. Choose from below.

  Temperature Risk

  N/A

SIGN & DATE WHEN COMPLETE

• DATE

  Date

• SIGN

  Sign

-----SEPTEMBER-----

MALE WET CHANGE TOILET

Shower (BLENDED)

• WATER TEMP AT OUTLET(S) ºC **BLENDED**

• PRE-MIXED HOT WATER TEMP ºC

• Temperature is low. Choose from below.

  Temperature Risk

  N/A

• COLD TAP WATER TEMP ºC

• Temperature is High. Choose from below.

  Temperature Risk

  N/A

BASIN 01 **BLENDED**

• HOT TAP WATER TEMP ºC

• COLD TAP WATER TEMP ºC

• Temperature is High. Choose from below.

  Temperature Risk

  N/A

• PRE-MIXED HOT WATER TEMP ºC

• Temperature is low. Choose from below.

  Temperature Risk

  N/A

• PRE-MIXED COLD WATER TEMP ºC

• Temperature is High. Choose from below.

  Temperature Risk

  N/A

BASIN 02 **BLENDED**

• HOT TAP WATER TEMP ºC

• COLD TAP WATER TEMP ºC

• Temperature is High. Choose from below.

  Temperature Risk

  N/A

• PRE-MIXED HOT WATER TEMP ºC

• Temperature is low. Choose from below.

  Temperature Risk

  N/A

• PRE-MIXED COLD WATER TEMP ºC

• Temperature is High. Choose from below.

  Temperature Risk

  N/A

SIGN & DATE WHEN COMPLETE

• DATE

  Date

• SIGN

  Sign

-----OCTOBER-----

FEMALE WET CHANGE TOILET

2 Showers (BLENDED)

• WATER TEMP AT OUTLET(S) ºC **BLENDED**

• PRE-MIXED HOT WATER TEMP ºC

• Temperature is low. Choose from below.

  Temperature Risk

  N/A

• COLD TAP WATER TEMP ºC

• Temperature is High. Choose from below.

  Temperature Risk

  N/A

BASIN 01 **BLENDED**

• HOT TAP WATER TEMP ºC

• COLD TAP WATER TEMP ºC

• Temperature is High. Choose from below.

  Temperature Risk

  N/A

• PRE-MIXED HOT WATER TEMP ºC

• Temperature is low. Choose from below.

  Temperature Risk

  N/A

• PRE-MIXED COLD WATER TEMP ºC

• Temperature is High. Choose from below.

  Temperature Risk

  N/A

BASIN 02 **BLENDED**

• HOT TAP WATER TEMP ºC

• COLD TAP WATER TEMP ºC

• Temperature is High. Choose from below.

  Temperature Risk

  N/A

• PRE-MIXED HOT WATER TEMP ºC

• Temperature is low. Choose from below.

  Temperature Risk

  N/A

• PRE-MIXED COLD WATER TEMP ºC

• Temperature is High. Choose from below.

  Temperature Risk

  N/A

BASIN 03 **BLENDED**

• HOT TAP WATER TEMP ºC

• COLD TAP WATER TEMP ºC

• Temperature is High. Choose from below.

  Temperature Risk

  N/A

• PRE-MIXED HOT WATER TEMP ºC

• Temperature is low. Choose from below.

  Temperature Risk

  N/A

• PRE-MIXED COLD WATER TEMP ºC

• Temperature is High. Choose from below.

  Temperature Risk

  N/A

SIGN & DATE WHEN COMPLETE

• DATE

  Date

• SIGN

  Sign

-----NOVEMBER-----

DISABLED WET SIDE TOILET

Shower (BLENDED)

• WATER TEMP AT OUTLET(S) ºC **BLENDED**

• PRE-MIXED HOT WATER TEMP ºC

• Temperature is low. Choose from below.

  Temperature Risk

  N/A

• COLD TAP WATER TEMP ºC

• Temperature is High. Choose from below.

  Temperature Risk

  N/A

TAP **BLENDED**

• HOT TAP WATER TEMP ºC

• COLD TAP WATER TEMP ºC

• Temperature is High. Choose from below.

  Temperature Risk

  N/A

• PRE-MIXED HOT WATER TEMP ºC

• Temperature is low. Choose from below.

  Temperature Risk

  N/A

• PRE-MIXED COLD WATER TEMP ºC

• Temperature is High. Choose from below.

  Temperature Risk

  N/A

DISABLED WET SIDE RADAR ROOM

Shower (BLENDED)

• WATER TEMP AT OUTLET(S) ºC **BLENDED**

• PRE-MIXED HOT WATER TEMP ºC

• Temperature is low. Choose from below.

  Temperature Risk

  N/A

• COLD TAP WATER TEMP ºC

• Temperature is High. Choose from below.

  Temperature Risk

  N/A

TAP **BLENDED**

• HOT TAP WATER TEMP ºC

• COLD TAP WATER TEMP ºC

• Temperature is High. Choose from below.

  Temperature Risk

  N/A

• PRE-MIXED HOT WATER TEMP ºC

• Temperature is low. Choose from below.

  Temperature Risk

  N/A

• PRE-MIXED COLD WATER TEMP ºC

• Temperature is High. Choose from below.

  Temperature Risk

  N/A

SIGN & DATE WHEN COMPLETE

• DATE

  Date

• SIGN

  Sign

-----DECEMBER-----

OESTEOPATHS ROOM

HAND BASIN

• HOT WATER TEMP ºC

• Temperature is low. Choose from below.

  Temperature Risk

  N/A

• COLD WATER TEMP ºC

• Temperature is High. Choose from below.

  Temperature Risk

  N/A

SIGN & DATE 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.

• Osteopath’s room - P.O.U Water Heater

• 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

• Tower Plant Room - Megaflow

• 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

• Plant Room Main HWS Calorifier

• 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

• Prep Room Stores ( Water Heater)

• 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

• Kitchen Loft Space (Water Heater)

• 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

SIGN & DATE WHEN COMPLETE

• Date Completed

  Date

• Sign.

  Sign

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.

• Plant Room Main HWS Calorifier

• Nearest - M.B.S Office

• 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 - Disabled Radar Room Shower. **BLENDED**

• Access

  Access

  No Access

• HOT TAP WATER TEMP (°C) **BLENDED**

• 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

• Furthest - Kitchen Sink Staff Office.

• 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 - Staff Room Toilet Sink.

• 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 - Little Kingfishers Baby Change 01 **Blended**

• Access

  Access

  No Access

• HOT TAP WATER TEMP (°C) **Blended**

• 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

• Tower Plant Room - Megaflow

• Nearest - Female gym toilet. **Blended**

• Access

  Access

  No Access

• HOT TAP WATER TEMP (°C) **Blended**

• 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

• Furthest - Male gym changing room **Blended**

• Access

  Access

  No Access

• HOT TAP WATER TEMP (°C) **BLENDED**

• COLD TAP WATER TEMP (°C)

• Temperature is high, choose from below:

  Temperature Risk

  N/A

• PRED 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

• Prep Room Stores ( Water Heater)

• Nearest - Prep Room Kitchen Sink

• 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 - Prep Room Hand Basin

• 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

• Kitchen Loft Space (Water Heater)

• Nearest - Kitchen Sink

• 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 - Little Kingfishers Hand basin

• 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

SIGN & DATE WHEN COMPLETE

• Date completed

  Date

• Sign.

  Sign

• SHOWER CHECKS
  • Disinfect and de-scale every 3 months. (May / August / November / February)
  • Operate adjustable shower head when flushing
  *All showers are blended.

Main Pool 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

• Shower 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

• Shower 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

• Shower Cleaned and Disinfected? (Checkbox)

• Shower 04

  Access

  No Access

• Shower

• How frequently is the shower used?

  regular

  not regular

• What is the condition of the shower?

  Satisfactory

  Non Satisfactory

• Shower Cleaned and Disinfected? (Checkbox)

• Shower 05

  Access

  No Access

• Shower

• How frequently is the shower used?

  regular

  not regular

• What is the condition of the shower?

  Satisfactory

  Non Satisfactory

• Shower Cleaned and Disinfected? (Checkbox)

• Shower 06

  Access

  No Access

• Shower

• How frequently is the shower used?

  regular

  not regular

• What is the condition of the shower?

  Satisfactory

  Non Satisfactory

• Shower Cleaned and Disinfected? (Checkbox)

Male Wet Change Shower

• 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

• Shower Cleaned and Disinfected? (Checkbox)

Female Wet Change Shower

• 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

• Shower 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

• Shower Cleaned and Disinfected? (Checkbox)

Disabled Wet Change Shower Room

• 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

• Shower Cleaned and Disinfected? (Checkbox)

Disabled Radar Room Shower

• 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

• Shower / hoses Cleaned and Disinfected or Replaced? (Checkbox)

Female Gym Shower

• 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

• Shower 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

• Shower 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

• Shower Cleaned and Disinfected? (Checkbox)

Male Gym Shower

• 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

• Shower 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

• Shower 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

• Shower Cleaned and Disinfected? (Checkbox)

Health Suite 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

• Shower 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

• Shower 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

• Shower Cleaned and Disinfected? (Checkbox)

• Shower 04

  Access

  No Access

• Shower

• How frequently is the shower used?

  regular

  not regular

• What is the condition of the shower?

  Satisfactory

  Non Satisfactory

• Shower Cleaned and Disinfected? (Checkbox)

DATE & SIGN WHEN COMPLETE.

• Date completed.

  Date

• Sign.

  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 01 - TOWER PLANTROOM

• 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

• TANK 02 - TOWER PLANTROOM

• 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

• Kitchen Loft Space (Water Heater) Internal 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

• Prep Room Stores ( Water Heater) Internal 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

NOTES

• NOTES

DATE & SIGN WHEN COMPLETE.

• Date Completed.

  Date

• Sign.

  Sign

Female Gym Toilet sink

• TMV has been cleaned and inspected. (check box)

• Is it operating correctly?

  Yes

  No

  N/A

Male/Female gym changing room showers, TMV located in water softener store

• TMV has been cleaned and inspected. (check box)

• Is it operating correctly?

  Yes

  No

  N/A

Male gym changing room basin

• TMV has been cleaned and inspected. (check box)

• Is it operating correctly?

  Yes

  No

  N/A

Female gym changing room basin

• TMV has been cleaned and inspected. (check box)

• Is it operating correctly?

  Yes

  No

  N/A

Main pool showers, TMV located in male westside toilet.

• TMV has been cleaned and inspected. (check box)

• Is it operating correctly?

  Yes

  No

  N/A

Female/Male/Disabled westside showers, TMV located in female westside toilet

• TMV has been cleaned and inspected. (check box)

• Is it operating correctly?

  Yes

  No

  N/A

Male westside toilet sinks

• TMV has been cleaned and inspected. (check box)

• Is it operating correctly?

  Yes

  No

  N/A

Female westside toilet sinks

• TMV has been cleaned and inspected. (check box)

• Is it operating correctly?

  Yes

  No

  N/A

Female reception toilet sink

• TMV has been cleaned and inspected. (check box)

• Is it operating correctly?

  Yes

  No

  N/A

Male Gym Toilet sink

• TMV has been cleaned and inspected. (check box)

• Is it operating correctly?

  Yes

  No

  N/A

Male reception toilet sink

• TMV has been cleaned and inspected. (check box)

• Is it operating correctly?

  Yes

  No

  N/A

Baby 2 toilet little kingfishers

• TMV has been cleaned and inspected. (check box)

• Is it operating correctly?

  Yes

  No

  N/A

Baby 1 toilet little kingfishers

• TMV has been cleaned and inspected. (check box)

• Is it operating correctly?

  Yes

  No

  N/A

SIGN & DATE WHEN COMPLETE

• Date Completed

  Date

• Sign here

  Sign

Female Gym Toilet sink

• Is it operating correctly?

  Yes

  No

  N/A

Male/Female gym changing room showers, TMV located in water softener store

• Is it operating correctly?

  Yes

  No

  N/A

Male gym changing room basin

• Is it operating correctly?

  Yes

  No

  N/A

Female gym changing room basin

• Is it operating correctly?

  Yes

  No

  N/A

Main pool showers, TMV located in male westside toilet.

• Is it operating correctly?

  Yes

  No

  N/A

Female/Male/Disabled westside showers, TMV located in female westside toilet

• Is it operating correctly?

  Yes

  No

  N/A

Male westside toilet sinks

• Is it operating correctly?

  Yes

  No

  N/A

Female westside toilet sinks

• Is it operating correctly?

  Yes

  No

  N/A

Female reception toilet sink

• Is it operating correctly?

  Yes

  No

  N/A

Male Gym Toilet sink

• Is it operating correctly?

  Yes

  No

  N/A

Male reception toilet sink

• Is it operating correctly?

  Yes

  No

  N/A

Baby 2 toilet little kingfishers

• Is it operating correctly?

  Yes

  No

  N/A

Baby 1 toilet little kingfishers

• Is it operating correctly?

  Yes

  No

  N/A

SIGN & DATE WHEN COMPLETE

• Date Completed

  Date

• Sign here

  Sign

Kitchen Loft Space ( Water Heater)

• Has it been Inspected?

• What is the condition of the Calorifier?

  Satisfactory

  Non Satisfactory

Prep Room Stores ( Water Heater)

• Has it been Inspected?

• What is the condition of the Calorifier?

  Satisfactory

  Non Satisfactory

TOWER PLANT ROOM CALORIFIER

• Has it been Inspected?

• What is the condition of the Calorifier?

  Satisfactory

  Non Satisfactory

MAIN PLANT ROOM CALORIFIER

• Has it been Inspected?

• What is the condition of the Calorifier?

  Satisfactory

  Non Satisfactory

NOTES

• Notes

DATE & SIGN WHEN COMPLETE.

• Date Completed.

  Date

• Sign.

  Sign

Legionella Spa Sample (Quarterly)

• Has the sample been taken?

• NOTES

• Enter Date and Time Sample taken

  Date

Disinfect Spa Blower Pipework (Quarterly)

• Has the blower pipework been disinfected?

• NOTES

DATE & SIGN WHEN COMPLETE.

• Date completed.

  Date

• Sign.

  Sign

Locations & Results

• Select date

  Date

• Add signature

  Sign

POOL PLANT ROOM

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

• NOTES.

DATE & SIGN WHEN COMPLETE.

• Date Completed

  Date

• Sign.

  Sign

Tower Plant Room

• Has the booster pumped duty been changed? (tick box)

• Select date

  Date

• Add signature

  Sign

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

• Sign.

  Sign

• Date.

  Date

Disabled reception toilet tap.

• Replaced.

Disabled Wet-Change toilet tap.

• Replaced.

RADAR Shower Room tap.

• Replaced.

• Notes.

• 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