Information

  • Document No.

  • Conducted on

  • Prepared by

Flushing Checks

Monday

First Aid Room

  • Type of Outlet: Kitchen Sink (hot and cold)
    Frequency of Use: Low.

  • Flushed for 5 mins. (check box)

Pool Side

  • Type of Outlet: Wash down BIB tap Deep End
    Frequency of Use: Low.

  • Flushed for 5 mins. (check box)

  • Type of Outlet: Non - Concussive Tap
    Frequency of Use: Low.

  • Flushed for 5 mins. (check box)

Disabled Wet Side Toilet

  • Type of Outlet: Basin (hot and cold)
    Frequency of Use: Low.

  • Flushed for 5 mins. (check box)

  • Type of Outlet: Shower (hot and cold)
    Frequency of Use: Low.

  • Flushed for 5 mins. (check box)

  • Date and Time completed

  • Completed by

  • Comments

Tuesday

Kitchen

  • Type of Outlet: Washing Up Sink (hot and cold)
    Frequency of Use: Low.

  • Flushed for 5 mins. (check box)

  • Type of Outlet: Wash Down Sink (hot and cold)
    Frequency of Use: Low.

  • Flushed for 5 mins. (check box)

  • Type of Outlet: Hand Wash Sink (hot and cold)
    Frequency of Use: Low.

  • Flushed for 5 mins. (check box)

Social Room

  • Type of Outlet: SINK (hot and cold)
    Frequency of Use: Low.

  • Flushed for 5 mins. (check box)

  • Type of Outlet: Boiler
    Frequency of Use: Low.

  • Flushed for 5 mins. (check box)

Reception Cleaners Cupboard

  • Type of Outlet: Sink (hot and cold)
    Frequency of Use: Low.

  • Flushed for 5 mins. (check box)

Disabled Reception Toilet

  • Type of Outlet: Basin (hot and cold)
    Frequency of Use: Low.

  • Flushed for 5 mins. (check box)

  • Date and Time completed

  • Completed by

  • Comments

Wednesday

Pool Plant Room

  • Type of Outlet: Mains water pool fill hose
    Frequency of Use: Low.

  • Flushed for 5 mins. (check box)

  • Type of Outlet: Pool Water Wash Down BIB Tap.
    Frequency of Use: Low.

  • Flushed for 5 mins. (check box)

  • Type of Outlet: Emergency Drench Shower with eye bath.
    Frequency of Use: Emergency

  • Flushed for 5 mins. (check box)

Acid Store

  • Type of Outlet: Emergency Drench Shower
    Frequency of Use: Emergency

  • Flushed for 5 mins. (check box)

Hypo Store

  • Type of Outlet: Emergency Drench Shower
    Frequency of Use: Emergency.

  • Date and Time completed

  • Flushed for 5 mins. (check box)

  • Completed by

  • Comments

Friday

First Floor Cleaner Store

  • Type of Outlet: Sink (hot and cold)
    Frequency of Use: Low.

  • Flushed for 5 mins. (check box)

Disabled Gym Toilet

  • Type of Outlet: Basin. (hot and cold
    Frequency of Use: Low.

  • Flushed for 5 mins. (check box)

  • Type of Outlet: Shower (hot and cold)
    Frequency of Use: Low.

  • Flushed for 5 mins. (check box)

Osteopaths Room

  • Type of Outlet: HAND BASIN (hot and cold)
    Frequency of Use: Low.

  • Flushed for 5 mins. (check box)

  • Date and Time completed

  • Completed by

  • Comments

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.