South Riana Pump Station P.M. Checklist

• Document No.

• Audit Title South Riana P.M. Checklist.

• Conducted on

  Date

• Prepared by

ACCESS

• Access gate secure & locked?

  Yes

  No

  N/A

• Access road condition ok?

  Yes

  No

  N/A

• Access road verges clear?

  Yes

  No

  N/A

PUMP STATION BUILDING EXTERNAL

• Access doors secure & locked?

  Yes

  No

  N/A

• Eflow pipe condition ok?

  Yes

  No

  N/A

• Building structural condition ok?

  Yes

  No

  N/A

• Earth stake connected & in good condition?

  Yes

  No

  N/A

• There is no debris or equipment lying around that could be a slip/trip hazard?

  Yes

  No

  N/A

• Stand pipe / take off connection secure?

  Yes

  No

  N/A

• Weeds controlled & low fire risk?

  Yes

  No

  N/A

• V-notch access stairs secure?

  Yes

  No

  N/A

Pumps

• Electric motors greased as scheduled?

  Yes

  No

  N/A

• Pump glands adjusted correctly?

  Yes

  No

  N/A

• Pumps greased as scheduled?

  Yes

  No

  N/A

• Pumps are free of vibration and noise?

  Yes

  No

  N/A

Valves and Fittings

• Non - return valves operating correctly?

  Yes

  No

  N/A

• Valves and fittings free of leaks?

  Yes

  No

  N/A

• Test operate Isolating Valves annually (October)

  Yes

  No

  N/A

• Eflow PSV filter is clean, no leaks, solenoid working?

  Yes

  No

  N/A

Electrical and General

• Fans are functioning on VSD and PQF?

  Yes

  No

  N/A

• VSD Filters are clean?

  Yes

  No

  N/A

• Roof fans are operating?

  Yes

  No

  N/A

Fire, Safety & Environment

• Pump room fire extinguishers charged & serviced (6 month)?

  Yes

  No

  N/A

• Internal & external lighting operating correctly?

  Yes

  No

  N/A

• Fire alarm system in operation and checked within last month?

  Yes

  No

  N/A

• Access doors are unobstructed?

  Yes

  No

  N/A

• Hearing signage is present and OK?

  Yes

  No

  N/A

• Hearing protection (ear plugs) are available?

  Yes

  No

  N/A

• Any chemicals, fuels or oils are stored in a bunded area and MSDS is available on site?

  Yes

  No

  N/A

• Estop Check completed?

  Yes

  No

  N/A

• Date of last Check

  Date

• Electrical equipment, plugs and extension leads are tagged and tested?

  Yes

  No

  N/A

• Work areas are tidy and free of rubbish?

  Yes

  No

  N/A

• E-STOP Check performed

Completed by

• Completed by:

  Sign