Plumbing Health Check

• Job Name / Unit # / Building

• Date

  Date

• Prepared by

  Select

Dwelling valves

• Dwelling Isolation valves shut off

  Pass

  Fail

• Which valve does not shut off properly

  Select Hot Cold Recycled

  • Hot
  • Cold
  • Recycled

• Does the dwelling have a tempering valve

  Yes

  No

• Temperature of outlet of tempering valve

  Pass

  Fail

• Is the tempering valve within date of 5 years

  Select Yes, within date No, outside date, requires replacement

  • Yes, within date
  • No, outside date, requires replacement

• Water leaks on Tempering valve

  Pass

  Fail

Main Bathroom

• Basin Sink

  Select Sink Mixer Traditional Seperate Handle Tapware Sensor Tap

  • Sink Mixer
  • Traditional Seperate Handle Tapware
  • Sensor Tap

• Basin Sink Mixer

  Select Pass, No leaks Fail, Cartridge Leaking Failing, will require attention

  • Pass, No leaks
  • Fail, Cartridge Leaking
  • Failing, will require attention

• Basin Tap Movement

  Select Pass, tight Loose, requires tightening Failed, tap requires replacement

  • Pass, tight
  • Loose, requires tightening
  • Failed, tap requires replacement

• Sink Mixer Flexi Hoses

  Select Pass, no rust / issues Failing, gradual rust / kinks Failed, heavy rust / issue found

  • Pass, no rust / issues
  • Failing, gradual rust / kinks
  • Failed, heavy rust / issue found

• Type of hot and cold water valves

  Jumper valves

  Ceramic disc

• Valve condition

  Pass, no issues

  Failed, water leak present

• Basin Tap Movement

  Select Pass, tight Loose, requires tightening Failed, tap requires replacement

  • Pass, tight
  • Loose, requires tightening
  • Failed, tap requires replacement

• Sink Mixer Flexi Hoses

  Select Pass, no rust / issues Failing, gradual rust / kinks Failed, heavy rust / issue found

  • Pass, no rust / issues
  • Failing, gradual rust / kinks
  • Failed, heavy rust / issue found

• Tapware condition

  Pass, no issues

  Failed, valve leaking

  Failed, sensor not operating

• Basin Tap Movement

  Select Pass, tight Loose, requires tightening Failed, tap requires replacement

  • Pass, tight
  • Loose, requires tightening
  • Failed, tap requires replacement

• Sink Mixer Flexi Hoses

  Select Pass, no rust / issues Failing, gradual rust / kinks Failed, heavy rust / issue found

  • Pass, no rust / issues
  • Failing, gradual rust / kinks
  • Failed, heavy rust / issue found

• Toilet Pan

  Pass, firm

  Loose, requires rectifications

• Toilet seat

  Pass, firm

  Loose, requires rectifications

• Toilet Cistern

  Select Pass, firm Pass, In wall Cistern Failed, loose, requires rectifying

  • Pass, firm
  • Pass, In wall Cistern
  • Failed, loose, requires rectifying

• Toilet outlet valve

  Select Pass, not leaking Failed, outlet valve leaking / bypassing Failed, inlet valve running constantly, overflowing

  • Pass, not leaking
  • Failed, outlet valve leaking / bypassing
  • Failed, inlet valve running constantly, overflowing

• Toilet Buttons

  Pass

  Fail

• Toilet flexi hose

  Select Pass, no rust / issues Failing, gradual rust / kinks Failed, heavy rust / issue found

  • Pass, no rust / issues
  • Failing, gradual rust / kinks
  • Failed, heavy rust / issue found

• Shower Condition

  Pass

  Failed, requires replacement

  Failed, shower rail loose

• Shower Breech Test

  Pass, holds pressure

  Failed, leak detected

• Shower Type

  Select Mixer / Cartridge Traditional seperate hot and cold taps

  • Mixer / Cartridge
  • Traditional seperate hot and cold taps

• Mixer Condition

  Select Pass, No leaks Fail, Cartridge Leaking Failing, will require attention

  • Pass, No leaks
  • Fail, Cartridge Leaking
  • Failing, will require attention

• Hot and Cold Tap valves

  Pass, no issues

  Failed, water leak present

• Shower Seal inspection / spray test

  Select Pass Fail, water leaking through seals / screen May require attention in near future

  • Pass
  • Fail, water leaking through seals / screen
  • May require attention in near future

• Bath Present in Bathroom

  Yes

  No

• Bath tap type

  Select Mixer / Cartridge Traditional seperate hot and cold taps

  • Mixer / Cartridge
  • Traditional seperate hot and cold taps

• Mixer Condition

  Select Pass, No leaks Fail, Cartridge Leaking Failing, will require attention

  • Pass, No leaks
  • Fail, Cartridge Leaking
  • Failing, will require attention

• Hot and Cold Tap valves

  Pass, no issues

  Failed, water leak present

Second Bathroom

• Is there a second bathroom in the dwelling

  Yes

  No

• Basin Sink

  Select Sink Mixer Traditional Seperate Handle Tapware Sensor Tap

  • Sink Mixer
  • Traditional Seperate Handle Tapware
  • Sensor Tap

• Basin Sink Mixer

  Select Pass, No leaks Fail, Cartridge Leaking Failing, will require attention

  • Pass, No leaks
  • Fail, Cartridge Leaking
  • Failing, will require attention

• Basin Tap Movement

  Select Pass, tight Loose, requires tightening Failed, tap requires replacement

  • Pass, tight
  • Loose, requires tightening
  • Failed, tap requires replacement

• Sink Mixer Flexi Hoses

  Select Pass, no rust / issues Failing, gradual rust / kinks Failed, heavy rust / issue found

  • Pass, no rust / issues
  • Failing, gradual rust / kinks
  • Failed, heavy rust / issue found

• Type of hot and cold water valves

  Jumper valves

  Ceramic disc

• Valve condition

  Pass, no issues

  Failed, water leak present

• Basin Tap Movement

  Select Pass, tight Loose, requires tightening Failed, tap requires replacement

  • Pass, tight
  • Loose, requires tightening
  • Failed, tap requires replacement

• Sink Mixer Flexi Hoses

  Select Pass, no rust / issues Failing, gradual rust / kinks Failed, heavy rust / issue found

  • Pass, no rust / issues
  • Failing, gradual rust / kinks
  • Failed, heavy rust / issue found

• Tapware condition

  Pass, no issues

  Failed, valve leaking

  Failed, sensor not operating

• Basin Tap Movement

  Select Pass, tight Loose, requires tightening Failed, tap requires replacement

  • Pass, tight
  • Loose, requires tightening
  • Failed, tap requires replacement

• Sink Mixer Flexi Hoses

  Select Pass, no rust / issues Failing, gradual rust / kinks Failed, heavy rust / issue found

  • Pass, no rust / issues
  • Failing, gradual rust / kinks
  • Failed, heavy rust / issue found

• Toilet Pan

  Pass, firm

  Loose, requires rectifications

• Toilet seat

  Pass, firm

  Loose, requires rectifications

• Toilet Cistern

  Select Pass, firm Pass, In wall Cistern Failed, loose, requires rectifying

  • Pass, firm
  • Pass, In wall Cistern
  • Failed, loose, requires rectifying

• Toilet outlet valve

  Select Pass, not leaking Failed, outlet valve leaking / bypassing Failed, inlet valve running constantly, overflowing

  • Pass, not leaking
  • Failed, outlet valve leaking / bypassing
  • Failed, inlet valve running constantly, overflowing

• Toilet Buttons

  Pass

  Fail

• Toilet flexi hose

  Select Pass, no rust / issues Failing, gradual rust / kinks Failed, heavy rust / issue found

  • Pass, no rust / issues
  • Failing, gradual rust / kinks
  • Failed, heavy rust / issue found

• Shower Condition

  Pass

  Failed, requires replacement

  Failed, shower rail loose

• Shower Breech Test

  Pass, holds pressure

  Failed, leak detected

• Shower Type

  Select Mixer / Cartridge Traditional seperate hot and cold taps

  • Mixer / Cartridge
  • Traditional seperate hot and cold taps

• Mixer Condition

  Select Pass, No leaks Fail, Cartridge Leaking Failing, will require attention

  • Pass, No leaks
  • Fail, Cartridge Leaking
  • Failing, will require attention

• Hot and Cold Tap valves

  Pass, no issues

  Failed, water leak present

• Shower Seal inspection / spray test

  Select Pass Fail, water leaking through seals / screen May require attention in near future

  • Pass
  • Fail, water leaking through seals / screen
  • May require attention in near future

• Bath Present in Bathroom

  Yes

  No

• Bath tap type

  Select Mixer / Cartridge Traditional seperate hot and cold taps

  • Mixer / Cartridge
  • Traditional seperate hot and cold taps

• Mixer Condition

  Select Pass, No leaks Fail, Cartridge Leaking Failing, will require attention

  • Pass, No leaks
  • Fail, Cartridge Leaking
  • Failing, will require attention

• Hot and Cold Tap valves

  Pass, no issues

  Failed, water leak present

Kitchen

• Kitchen Sink Tap Type

  Select Sink Mixer Traditional Seperate Handle Tapware Sensor Tap

  • Sink Mixer
  • Traditional Seperate Handle Tapware
  • Sensor Tap

• Kitchen Sink Mixer

  Select Pass, No leaks Fail, Cartridge Leaking Failing, will require attention

  • Pass, No leaks
  • Fail, Cartridge Leaking
  • Failing, will require attention

• Sink Mixer Flexi Hoses

  Select Pass, no rust / issues Failing, gradual rust / kinks Failed, heavy rust / issue found

  • Pass, no rust / issues
  • Failing, gradual rust / kinks
  • Failed, heavy rust / issue found

• Kitchen Tap movement

  Select Pass, tight Loose, requires tightening Failed, tap requires replacement

  • Pass, tight
  • Loose, requires tightening
  • Failed, tap requires replacement

• Type of hot and cold valves

  Jumper valves

  Ceramic disc

• Valve condition

  Select Pass, no leaks found Fail, valves leaking, require attention

  • Pass, no leaks found
  • Fail, valves leaking, require attention

• Kitchen Tap movement

  Select Pass, tight Loose, requires tightening Failed, tap requires replacement

  • Pass, tight
  • Loose, requires tightening
  • Failed, tap requires replacement

• Sink Mixer Flexi Hoses

  Select Pass, no rust / issues Failing, gradual rust / kinks Failed, heavy rust / issue found

  • Pass, no rust / issues
  • Failing, gradual rust / kinks
  • Failed, heavy rust / issue found

• Tapware condition

  Pass, no issues

  Failed, valve leaking

  Failed, sensor not operating

• Kitchen Tap movement

  Select Pass, tight Loose, requires tightening Failed, tap requires replacement

  • Pass, tight
  • Loose, requires tightening
  • Failed, tap requires replacement

• Sink Trap

  Select Pass, no issues Trap Leaking, requires attention Trap requires cleaning internally

  • Pass, no issues
  • Trap Leaking, requires attention
  • Trap requires cleaning internally

Hot Water Meter

• Hot water meter condition

  Pass, no issues

  Failed, water leak present

• Hot water meter on flexi hoses

  Yes

  No

• Flexi condition

  Select Pass, no rust / issues Failing, gradual rust / kinks Failed, heavy rust / issue found

  • Pass, no rust / issues
  • Failing, gradual rust / kinks
  • Failed, heavy rust / issue found

Laundry

• Laundry Sink Type

  Select Mixer / Cartridge Traditional seperate hot and cold taps

  • Mixer / Cartridge
  • Traditional seperate hot and cold taps

• Mixer Condition

  Select Pass, No leaks Fail, Cartridge Leaking Failing, will require attention

  • Pass, No leaks
  • Fail, Cartridge Leaking
  • Failing, will require attention

• Sink Mixer Flexi Hoses

  Select Pass, no rust / issues Failing, gradual rust / kinks Failed, heavy rust / issue found

  • Pass, no rust / issues
  • Failing, gradual rust / kinks
  • Failed, heavy rust / issue found

• Hot and Cold Tap valves

  Pass, no issues

  Failed, water leak present

• Sink Trap

  Select Pass, no issues Trap Leaking, requires attention Trap requires cleaning internally

  • Pass, no issues
  • Trap Leaking, requires attention
  • Trap requires cleaning internally