PS Security Inspection

• Site conducted

  Select
• Location
  Address

• Date

  Date

• Inspector

• Shift Controller

• Time of radio/phone IN

  Date

• I am wearing steel toe caps, long pants & sleeves, ear & eye protection and a hi-viz top.

• I am an inducted CCC key holder.

• What is your CCL Type 1 permit to enter number?

• I have read the site hazard board.

• I am aware of the specific risks of rotating shafts, water/oil on the floor, sodium hypochlorite and potential electrocution.

• If I observe sodium hypochlorite leaks in/around the pump station I will call the CCL call-out phone (027 647 0931) immediately.

• Do you consider the site safe to enter?

  Yes

  No

• I will complete all inspection questions and photograph all variances (and record date and time of photo in the comments column).

• Is there a gate?

  Yes

  No

• Is the gate secure and daisy chained?

  Yes

  No

• Are the padlocks as per most recent photo?

  Yes

  No

• Is the CCC master padlock present?

  Yes

  No

• Is the CCC parks padlock present?

  Yes

  No

• Comments

• Is there a boundary?

  Yes

  No

• Is the fence line secured?

  Yes

  No

• Is the boundary free of signs of vandalism or forced entry

  Yes

  No

• Are all sections above 1.8 m?

  Yes

  No

• Comments

• Is the building free of signs of vandalism or forced entry?

  Yes

  No

• Comments

Ensure to only add the amount of doors present to avoid creating blank sections.

External Door

• Which door is this?

  Select North South East West

  • North
  • South
  • East
  • West

• Is the door locked on arrival?

  Yes

  No

• Does the primary alarm activate when the door is opened?

  Yes

  No

• Is the alarm ID tag correct?

  Yes

  No

• Comments

Internal Door

• Which door is this?

  Select North South East West

  • North
  • South
  • East
  • West

• Is the door locked on arrival?

  Yes

  No

• Does the primary alarm activate when the door is opened?

  Yes

  No

• Is the alarm ID tag correct?

  Yes

  No

• Comments

Above Ground Well

• Is the well labelled with the correct number?

  Yes

  No

• What is the well number?

• Is the cage locked on arrival?

  Yes

  No

• Is the well free of signs of vandalism or forced entry?

  Yes

  No

• Is the sampling point locked on arrival?

  Yes

  No

• Comments

Please ignore this page in the case that there are no operation below ground wells.

Below Ground Well

• Are the wells labelled with the correct number?

  Yes

  No

• Are the hatches locked on arrival?

  Yes

  No

• Are the wells free of signs of vandalism or forced entry?

  Yes

  No

• Does the secondary alarm activate when the hatches are opened?

  Yes

  No

• Can the pit flooded alarms be triggered?

  Yes

  No

• Are the chambers free of flooding?

  Yes

  No

• Are the sample points secure and above ground?

  Yes

  No

• Comments

• Is there a flow meter chamber?

  Yes

  No

• Is the hatch locked on arrival?

  Yes

  No

• Is the chamber free of signs of vandalism or forced entry?

  Yes

  No

• Can the sump pump be triggered and is it working?

  Yes

  No

• Is the chamber free of flooding?

  Yes

  No

• Comments

• Is there a valve chamber?

  Yes

  No

• Is the hatch locked on arrival?

  Yes

  No

• Is the chamber free of signs of vandalism or forced entry?

  Yes

  No

• Can the sump pump be triggered and is it working?

  Yes

  No

• Is the chamber free of flooding?

  Yes

  No

• Comments

• Is there a temporary chlorination unit?

  Yes

  No

• Is the TCU and associated pipework free of signs of vandalism or damage?

  Yes

  No

• Is the lid secured?

  Yes

  No

• Does the hypochlorite in the tank appear colourless?

  Yes

  No

• Is the TCU protected by an alarm?

  Yes

  No

• Does the primary alarm activate when the door is opened?

  Yes

  No

• Is the alarm ID tag correct?

  Yes

  No

• Comments

• Is there a generator?

  Yes

  No

• Is the generator free of signs of vandalism or forced entry?

  Yes

  No

• Is the area free of fuel or cooling system leaks?

  Yes

  No

• Is there a fire extinguisher?

  Yes

  No

• Comments

• Is there a diesel tank?

  Yes

  No

• Is the tank free of signs of vandalism or forced entry?

  Yes

  No

• Is the area free of fuel leaks?

  Yes

  No

• Comments

• Is there a suction tank?

  Yes

  No

• Is the suction tank free of signs of vandalism or forced entry?

  Yes

  No

• Is the ladder access secure?

  Yes

  No

• Is the suction tank hatch locked on arrival?

  Yes

  No

• Comments

• Is there a sand filter?

  Yes

  No

• Is the sand filter perimeter secure?

  Yes

  No

• Is the sand filter perimeter free of signs of vandalism or forced entry?

  Yes

  No

• Comments

• The site is fully secured on leaving.

• All the doors are locked and primary alarms are acknowledged.

• All hatches are locked and secondary alarms are acknowledged.

• All well cages and sample points are locked.

• Time of radio/phone OUT

  Date