Information
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Document No.
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Building
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Plant Room No.
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Conducted on
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Inspected By
- Terry.Lapsley@sodexo.com
- Garry.Bowering@sodexo.com
- Steve.Everall@sodexo.com
- Matthew.Evers@sodexo.com
- Ian.McLackland@sodexo.com
- Jamie.Clark@sodexo.com
- Lynn.Keily@sodexo.com
- Christine.Ebanks@sodexo.com
- Mazafar.Hussain@sodexo.com
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Location in Building
Plant Room
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Add Plant room
Plant room
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Which plant room is being inspected?
- Block B
- Block D
- Block E
- Block F
- Block G
- Block H
- Block I
- Block K
Plant Room
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HAS THE LAST INSPECTION BEEN REVIEWED
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Is this the first recorded audit / inspection?
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Read last audit report to ensure any issues are reviewed for this audit
Access and Egress
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Door secure from unauthorised access
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Is there un-obstructed access to and from the plant room
Lighting condition?
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Plant room lighting adequate
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Emergency lighting in standby and healthy?
Plant room Housekeeping?
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Plant room general tidiness?
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Slips, trips or spills?
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Provisions in place for rubbish storage?
Equipment General Condition
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Any equipment leaking creating slip hazards?
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If 'At Risk' is it contained?
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Arrange for leak to be attended too and contained.
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Any noise not normal for this equipment?
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If 'Yes' can you identify the cause?
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Contact manufacturer or service provider for advice and possible site visit. If necessary and safe to do so, isolate equipment to make safe.
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Distribution boards locked and secure?
Signage and Health / Safety
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Signs in place, clean and visible?
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First Aid kits in place and stocked?
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Eye wash stations in place and in date?
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Safety showers if fitted operational?
Sub Contractors
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Are there any other personnel working in the area?
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Company Name
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Are they working in a safe manner?
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Contact permit issuer and inform them of hazardous working ethics.
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Do they have a valid PTW?
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Ask them to "stop working" and contact their customer for a PTW
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Who is the permit issuer?
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Is the permit valid and in date?
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Sub Contractors Housekeeping
Cold Water Storage Tank Inspection
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Internal temperature reading of cold water in tank at time of inspection
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Does the temperature reading record fall outside the legal tolerance, greater than 2 degrees, less than 60 degrees?
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External Photograph
Internal Tank Chamber Assessment
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Is there evidence of algae within the tank, caused by an unsecured or missing tank lid, that has resulted in sunlight exposure to the water?
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Is there evidence of scale, calcium carbonate deposits from the mains created by evaporation at the water line?
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Is there evidence of sediment within the tank chamber?
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Is there evidence of rust or corrosion in the tank?
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Is there evidence of organic matter or biofilm, within the tank chamber and water?
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Is there any evidence of water stagnation during the inspection?
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Is there any evidence of flora growth within tank chamber?
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Is there any presence of pest/insect ingress within tank chamber?
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Is there evidence of any other debris within tank chamber?
External Condition of Cold Water Storage Tank
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Is there evidence of structural deterioration to the tank base?
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Is there evidence of physical defect to the water tank structure that is a risk? Such as warped or split tank frame
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Is the tank cover fitted in a good structure condition?
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Is the cold water storage tank adequately lagged?
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Is the tank fitted with insect screened protection?
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Is the water tank suitably ventilated?
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Are all isolating valves functioning correctly?
Other checks
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Have all trap seals been replenished?
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Are all pressures in all systems within the design parameters?
Photo Evidence
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Faulty or damaged Equipment
Equipment Faults
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Manufacturer
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Model
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TAG No / Serial Number
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Nature of fault or damage
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Add media
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Any Issues Requiring Specialist Contractors to Attend
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Company Required?
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Add signature here.