Information
-
Document No.
-
Audit Title
-
Client / Site
-
Conducted on
-
Prepared by
-
Location
-
Personnel
-
The temperature of blended water outlets must be distributed in the range of 41 and 43 Degrees Celsius
The temperature of cold water outlets must be distributed at or below 20 Degrees Celsius
The temperature of hot water outlets must be distributed at or above 50 Degrees Celsius
1. Run the outlet for 1 minute on hot and blended water outlets, cold water outlets run water for 2 minutes
2. Test the temperature with a thermometer
3. Record the temperature in the following audit by stating Safe/At Risk and add the reading into the text box
Blended Water Outlets - Showers
-
Female 1
-
Female 2
-
Female 3
-
Female 4
-
Female 5
-
Female 6
-
Female 7
-
Female 8
-
Male 1
-
Male 2
-
Male 3
-
Male 4
-
Male 5
-
Male 6
-
Male 7
-
Male 8
Pool Hall
-
Poolside - Cold
-
First Aid Room - Hot
-
First Aid Room - Cold
Wetside Cold Water Outlets - Taps
-
Female 1
-
Female 2
-
Female 3
-
Male 1
-
Male 2
-
Male 3
-
Cleaners Cupboard
-
Staff Room
-
Staff Change
Wetside Hot Water Outlets - Taps
-
Disabled
-
Staff Room
-
Staff Change
Wetside Blended Water Outlets - Taps
-
Female Disable
-
Female 1
-
Female 2
-
Female 3
-
Male Disabled
-
Male 1
-
Male 2
-
Male 3
Dryside Cold Water Outlets - Taps
-
Female 4
-
Male 4
-
Male 5
-
Laundry
-
Cleaners Cupboard
Dryside Hot Water Outlets - Taps
-
Laundry
-
Cleaners Cupboard
Dryside Blended Water Outlets - Taps
-
Female 4
-
Male 4
-
Male 5
Utility Rooms Cold Water Outlets - Taps
-
Plant Room
-
Boiler Room
-
Chemical Room
Signature
-
Competent Person
-
Leisure Supervisor/Facility Manager
