Plant Room Checks

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Week Number

  Yes

  No

  N/A

• PPM Sequence Number

  Yes

  No

  N/A

• External Weather Conditions

  Yes

  No

  N/A

• External Temperature

  Yes

  No

  N/A

• All temperatures are recorded as degrees Celsius

Plant Room 1

• Boiler 1 Temperature

• Boiler 2 Temperature

• Boiler 3 Temperature

• Hot water flow temperature

• Hot water return temperature

• Are all pipes and unions free from leaks

  Yes

  No

  N/A

• Are all pumps operational

  Yes

  No

  N/A

• Are expansion vessels operational

  Yes

  No

  N/A

• Any other defects

  Yes

  No

  N/A

• Any health and safety issues

  Yes

  No

  N/A

• Remedial action

  Yes

  No

  N/A

• Comments

  Yes

  No

  N/A

Plant Room 2

• Boiler 1 Temperature

• Boiler 2 Temperature

• Plate Heater Set Point

• Hot water flow temperature

• Hot water return temperature

• Are all pipes and unions free from leaks

  Yes

  No

  N/A

• Are all pumps operational

  Yes

  No

  N/A

• Are expansion vessels operational

  Yes

  No

  N/A

• Tank 1 Meter Reading

  Yes

  No

  N/A

• Tank 2 Meter Reading

  Yes

  No

  N/A

• Any other defects

  Yes

  No

  N/A

• Any health and safety issues

  Yes

  No

  N/A

• Remedial action

  Yes

  No

  N/A

• Comments

  Yes

  No

  N/A

Plant Room 3

• Boiler 1 Temperature

• Boiler 2 Temperature

• Hot water flow temperature

• Hot water return temperature

• Are all pipes and unions free from leaks

  Yes

  No

  N/A

• Are all pumps operational

  Yes

  No

  N/A

• Are expansion vessels operational

  Yes

  No

  N/A

• Any other defects

  Yes

  No

  N/A

• Any health and safety issues

  Yes

  No

  N/A

• Remedial action

  Yes

  No

  N/A

• Comments

  Yes

  No

  N/A

Plant Room 4

• Boiler 1 Temperature

• Boiler 2 Temperature

• Hot water flow temperature

• Hot water return temperature

• Are all pipes and unions free from leaks

  Yes

  No

  N/A

• Are all pumps operational

  Yes

  No

  N/A

• Are expansion vessels operational

  Yes

  No

  N/A

• Any other defects

  Yes

  No

  N/A

• Any health and safety issues

  Yes

  No

  N/A

• Remedial action

  Yes

  No

  N/A

• Comments

  Yes

  No

  N/A

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