Title Page

  • Client / Site

  • Conducted on

  • Prepared by

Chlorine Dosing System / Emergency Shut Off System

  • Dosing Unit (not in alarm, automatic mode)

  • Chlorine injector line (breaks, leaks air trapped in line)

  • Chlorine Cylinders (chained and secured)

  • Fan operational

  • Door latch secured and open

  • Chlorine Dosing Pump Inspection (noise, visual and smell)

  • Air Cylinder Gauge (in range on gauge)

  • Check tubing for leaks (mist or hiss)

  • Hydra Sentinel Unit System Check (powered, alarms, battery)

  • Test Emergency Shut Off System

Chemical Storage Area

  • Dump Shower / Eye Wash Station operational

  • PPE available, good condition and appropriately stored (Glasses, boots, apron, glasses, mask, gloves)

  • Chemical Spill Kit

  • Chemical Storage (Bunding, sufficient distance)

  • Floor tidy (remove trip hazards)

Chemical Stores

  • Cylinder 1 (kg remaining) *If both cylinders below 20kg order should be placed.

  • Cylinder 2 (kg remaining)

  • Sodium Bicarbonate (20kg)

  • Sodium Bisulphate (20kg)

  • Rock Alum (20kg)

  • Calcium Chloride (20kg)

  • Sodium Hypochlorite (10L)

  • Hydrochloric Acid (10L)

  • Calcium Hypochlorite (10kg)

Filtration System

  • Filter 1 (kPa pressure gauge)

  • Filter 2 (kPa pressure gauge)

  • Filter 3 (kPa pressure gauge)

  • Pump Inspection (noise, visual and smell)

  • Balance Tank inspection (levels, outlets)

  • Strainer Basket (empty if required)

Mechanical Systems

  • Heating, ventilation and air conditioning (HVAC) systems operating (check heat upstairs)

Electrical Systems

  • Switch board inspection (not tripped fuse, exposed wiring etc).

  • Lighting

SI Index

  • Ph + TF + CF + AF - TDS = S.I. INDEX

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