Spalford Pump Station P.M. Checklist - duplicate

• Document No.

• Audit Title Spalford P.M. Checklist.

• Conducted on

  Date

• Prepared by

ACCESS

• Access gate secure & locked?

  Yes

  No

  N/A

• Access road condition ok, no erosion?

  Yes

  No

  N/A

• Access road verges clear?

  Yes

  No

  N/A

PUMP STATION BUILDING EXTERNAL

• Access doors secure & locked?

  Yes

  No

  N/A

• Parking area fence secure?

  Yes

  No

  N/A

• Discharge 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

• Weeds controlled & low fire risk?

  Yes

  No

  N/A

Pumps

• Touch screen functioning correctly?

  Yes

  No

  N/A

• VSD filters are clean?

  Yes

  No

  N/A

• Electric motors greased as scheduled?

  Yes

  No

  N/A

• Pump glands adjusted correctly?

  Yes

  No

  N/A

• Excessive noise or vibration?

  Yes

  No

  N/A

• Guards are in place?

  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

Fire, Safety & Environment

• Pump room fire extinguishers charged & serviced?

  Yes

  No

  N/A

• Internal & external lighting operating correctly?

  Yes

  No

  N/A

• Fire extinguisher(s) checked within last 6 months and is current?

  Select Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

  • Jan
  • Feb
  • Mar
  • Apr
  • May
  • Jun
  • Jul
  • Aug
  • Sep
  • Oct
  • Nov
  • Dec

• E-stop(s) tested? Date?

  Select Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

  • Jan
  • Feb
  • Mar
  • Apr
  • May
  • Jun
  • Jul
  • Aug
  • Sep
  • Oct
  • Nov
  • Dec

• Access doors are unobstructed?

  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

• 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

Completed by

• Completed by:

  Sign