PPM VISIT RECORD

• Conducted on

  Date

• Prepared by

• Location
  Address

• PPM Visit Type

  weekly

  fornightly

  monthly

  annually

Safety

• Was the Plant Room secured on arrival

  Yes

  No

• Are you aware of your escape routes and fire exit locations

  Yes

  No

• Have you got the correct tools to carry out the works safely and correctly

  Yes

  No

• Are any Fire Extinguishers, First Aid Kits or Eyes Washes on site in good order (where applicable)

  Yes

  No

Visual Inspection (Water Leakage/Gas Leakage)

• Pumps

  Pass

  Fail

• Boilers & Heat Generating Equipment

  Pass

  Fail

• Pressurisation Units/Degassers

  Pass

  Fail

• Strainers

  Pass

  Fail

• Filters (Xpots/Dirt Air Separator etc)

  Pass

  Fail

• Risers/Laterals/Auto Air Vents/Balancing Valves Etc in any Block(s) served by plant room

  Pass

  Fail

• Expansion Vessel Charge checked

  Yes

  No

Visual Inspection (Damage and Abnormalities)

• Pipework, Valves, Lagging, Fixings Etc

  Pass

  Fail

• Pumps

  Pass

  Fail

• Boilers and Heat Generating Equipment

  Pass

  Fail

• Pressurisation Units/Degassers & Filling Loops/Quick Fills

  Pass

  Fail

• Filters

  Yes

  No

• Electrical System including BMS/Programmers, trunking, switches, Estops Etc

  Pass

  Fail

• Plant Room including, Doors, Ventilators, Duct work Etc

  Pass

  Fail

• Risers/Laterals/Auto Air Vents/Balancing Valves Etc in any Block(s) served by plant room

  Pass

  Fail

Testing of Apparatus & Plant (Including Test Running off any Plant in Standby Mode)

• Tested Pumps

  Pass

  Fail

• Tested Boilers & Heat Generating Equipment (For Operation only not Gas Safety Checking)

  Pass

  Fail

• Tested Presurisation Units/Degassers, filling loops, Quick fills

  Pass

  Fail

• Tested BMS/Electrical Switches/Programmers for correct operation

  Pass

  Fail

• Tested All Other Equipment in the Plant Room

  Pass

  Fail

Maintenance Tasks

• Cleaned Dirt Air Separators by flushing (weekly)

  Yes

  No

  N/A

• Flushed Dead Legs to minimise Legionella Risk (weekly)

  Yes

  No

  N/A

• Run all plant in standby mode for ensure working (weekly)

  Yes

  No

  N/A

• Cleaning of Plant room sweep out and clear rubbish etc (Monthly)

  Yes

  No

  N/A

• Exercised Valves on Site to Ensure Free and Working (3 Monthly)

  Yes

  No

  N/A

• Cleaned Strainers (3 Monthly)

  Yes

  No

  N/A

• Water Samples Taken (3 Monthly)

  Yes

  No

  N/A

• Block Risers Strainer Cleaning & Valve Testing (3 Monthly)

  Yes

  No

  N/A

• Inhibitor Top Up/System Cleaned (if requested)

  Yes

  No

  N/A

• Primary Circuit System Pressure (BAR)

• Secondary Circuit if Applicable (BAR)

• Flow Temperature Exiting Plant Room Degrees C

• Return Temperature Entering Plant Room Degrees C

• Are the pumps controlled via External BMS or Local Inverters

  External BMS

  Local Inverter

• Do pumps require any maintance works

  Select YES NO Primary Shunt Pumps Secondary LTHW Pumps CT Secondary LTHW Pumps VT Secondary HWS Pumps

  • YES
  • NO
  • Primary Shunt Pumps
  • Secondary LTHW Pumps CT
  • Secondary LTHW Pumps VT
  • Secondary HWS Pumps

• What maintenance works is required

  Select Bearing Replacement Shaft Seal Replacement None

  • Bearing Replacement
  • Shaft Seal Replacement
  • None

• Is the Plant room clean from dust?

  Yes

  No

  N/A

• Is the adequate cooling ventilation?

  Yes

  No

  N/A

• Is there any mechanical venatilation

  Yes

  No

  N/A

• Has a 3 monthly PPM been carried out?

  Yes

  No

  N/A

• Is plant equipment operating correctly?

  Yes

  No

  N/A

• Is the plant floor sealed?

  Yes

  No

  N/A

• Does the room require painting?

  Yes

  No

  N/A

• Are the boilers 0-10v volts?

  Yes

  No

  N/A

• Are there strainers in the plant room?

  Yes

  No

  N/A

• Is there an Elysator on site?

  Yes

  No

  N/A

• Is a X Pot Present

  X Pot Present

  X Pot Required

  No X Pot Required

• Is there a commercial kitchen on site?

  Yes

  No

  N/A

• Is there Gas laundry appliances?

  Yes

  No

  N/A

• Is there Emergency Lighting working/present?

  Yes

  No

  N/A

• Is there a cold water tap on site?

  Yes

  No

  N/A

• Is there a CHP on site?

  Yes

  No

  N/A

• Is the CHP operational?

  Yes

  No

  N/A

• What key is currently being used for the Plantroom ?

  Select PR2 PR13 R14 FB1 FB4

  • PR2
  • PR13
  • R14
  • FB1
  • FB4

• What key is currently being used for the Gas Meter?

  Select PR2 PR13 R14 FB1 FB4

  • PR2
  • PR13
  • R14
  • FB1
  • FB4

• PPM Visit Completed

  Sign