Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Management
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Is there an adequate and accurate written scheme?
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Are the schematic drawings up to date?
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Do the schematic drawings show the dosing equipment, bleed valve, make up supply, associated tanks and duty stand by plant?
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Is there an accurate description for the safe operation of the system?
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Are there accurate details of precautions to be taken?
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Are there details of checks to ensure efficacy?
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Is there an adequate record of remedial actions following out of specification results?
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Are the details of the physical treatment programme?
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Are there details of the chemical treatment programme and control parameters?
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Is the health and safety and COSHH data information adequate?
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Are the system control parameters correct and adequate?
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Are the chemical and microbiological control parameters adequately detailed?
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Are the measurement and testing methods adequate?
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Are the sampling locations detailed?
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Are the test frequencies detailed?
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Are there adequate procedures to maintain consistent operation?
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Are the adequate and detailed corrective action procedures?
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Are the lines of communication detailed?
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Are the cleaning and disinfection procedures adequate and site specific?
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Are there detailed start up and shutdown procedures?
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Are there control system diagnostic checks?
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Are there adequate maintenance procedures?
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Are the maintenance procedures carried out at the correct frequency?
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Are the contact details and management structure information accurate?
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Is there a detailed description of operation?
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Are the correct permit to work documentation in place?
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Are the correct LCA certificates in place?
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Are there adequate training and competency records?
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Are the review meeting minutes documented?
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Are the review meeting action points completed within the designated timescales?
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Are the water features included in the programme?
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Are the leased buildings within the scope of works?
Cooling Towers - operation
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Is the chemical supply adequate?
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Does the monthly specialist service visit cover all the required tests?
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Are the results within the required specification?
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Has the dosing equipment been inspected, calibrated and checked?
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Has the bromine control been within specification?
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Are the recorded dipslide results all within the documented specification?
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Have the cooling tower quarterly inspections been carried out?
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Do the quarterly visual inspections cover the following: water distribution, pond, spray nozzles, troughs, packing, eliminators, fans, belts, immersion heater, ball valve and attenuators where applicable?
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Have the towers been cleaned and disinfection in line with the schedule (6 monthly)?
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Has the packing been removed within the last 12 months?
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Is the risk assessment up to date and adequate?
Domestic water services
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Are all assets, plant and equipment documented?
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Are the sentinel cold water temperatures recorded?
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Are the sentinel hot water temperatures recorded?
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Are all the outlets monitored over a period of 12 months?
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Are the CWST temperatures recorded?
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Are the calorifier temperatures recorded?
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Are the hot water flow and return temperatures recorded?
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Are the calorifier drains flushed and monitored annually?
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Are the calorifiers inspected annually?
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Is there annual dipslide monitoring from the calorifiers?
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Are low use outlets flushed on a weekly basis?
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Are the shower heads cleaned and disinfected quarterly?
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Are the CWST inspected annually?
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Have the CWSTs been cleaned and disinfected where required?
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Have microbiological samples been taken from the systems?
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Have legionella samples been taken from the system?
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Are corrective and remedial actions adequately documented?
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Is the written control scheme adequate?
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Is the risk assessment up to date and accurate?
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Are training and competency records adequate?
Recommendations comments and actions
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Recommendations
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Actions required
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Should the systems be considered at risk or safe?
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Audited and signed by
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Select date