Title Page
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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
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Date
Spa area
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Is the spa area clean & tudy
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Spa water clean & running
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Spa basket clean & free from debris
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Spa temp
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Spa jets working
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Room heating working
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Fresh air fan working
Spa plant equipment
Pumps
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Pumps working
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Pumps free from leaks
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Pump basket free from debris
Boiler
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Boiler working
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Boiler temp set at
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Boiler temp
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Boiler surround clear/clean free from water/debris
Exit pathway
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Pathway clean/clear from debris
Completed by:
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Name:
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Position:
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Signature:
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Date: