Title Page

  • Site conducted

  • Conducted on

  • Conducted by

Water Storage Tank

  • Check water level indicator (s) is operational.

  • Check ball valve operation and verify tank water level.

  • Check for damage to the tank or its roof and if there are any leaks

  • Observations

Pump House

  • Check pump house is not being used for storage

  • Check minimum temperature has not dipped below 10°c Check also that temperature does not rise by more than 10°c during the test.
  • Observations

Jockey Pump

  • After isolating any other pumps, simulate pressure reduction on the small-bore hydraulic pump start connection (closing stop valve and very slowly opening drain valve).

  • Record cut-in pressure of the jockey pump.

  • Return these valves to normal position.

Electric Pump

  • Check mains power indicator on pump controller panel is lit.

  • Start pump manually from the controller (if fitted).

  • Run pump for 10 minutes.

  • Whilst the pump is running, check audible alarms

  • Stop the pump and return the system to normal.

Completed by

  • Signature

  • Date

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