Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location

Water Risk Log Book Review.

    Water Risk Log Book
  • Have you undertaken an inspection of the building Water Risk Log Book

  • Can you evidence a program of monthly temperature reading detailed in Log book

  • Can you evidence program of shower head cleaning recorded in Risk Log book

  • Can you evidence that a regular regime of flushing of little use outlets are being undertaken

  • Photocopy a sample of the latest water temperature readings record in Log Book and record of shower head cleaning and either email to compliance@mungos.org or deliver to Head of for assessment and collation.

  • Please provide addition comment / observations

Tank inspection

    Tank inspection
  • Water Tank Title

  • External Photograph

  • Internal temperature Reading of cold Water in tank at time of inspection

  • Does the temperature reading record fall outside Legal Tolerance, cold water less than 20 degrees

  • Internal tank chamber assessment
  • Is there evidence of Algae within the tank, caused by an unsecured or missing tank lid, that has resulted in sunlight exposure to internal parts.

  • Is there evidence of Scale, calcium carbonate deposits from the mains created by evaporation at the water line

  • Is there evidence of sediment within the tank chamber.

  • Is there evidence of rust or corrosion within the tank?

  • Is there evidence of organic matter and or biofilm, within the tank chamber and water?

  • Is there any evidence of water stagnation evidence during inspection?

  • Is there evidence of Flora Growth within tank chamber?

  • Is there any presence of pest/insects ingress within tank chamber

  • Is there evidence of any other debris within tank chamber?

  • External Condition of Cold Water Storage Tank
  • Is the evidence of structural deterioration to the tank base?

  • Is the evidence of physical defect to the water tank structure, that is a risk? Like warped or split tank frame

  • Is the tank cover fitted in a good structural condition?

  • Is the cold water tank adequately lagged?

  • Is the tank fitted with insect screened protection?

  • Is the water tank suitably ventilated?

  • Are all isolation valves are functioning correctly?

Hot water Cylinder / Calorifier Inspection.

    Hot water Calorifier / cylinder inspection
  • Name & Location of Calorifier / Cylinder

  • General Images of Calorifier / cylinder

  • Hot water temperature reading at Calorifier / cylinder

  • Overall condition of cylinder / Calorifier

  • Overall condition of cylinder insulation any type

  • Overall condition of isolation valves

  • Overall condition of safety valves and pressure release valves

  • Overall condition of drain sample from cylinder / calorifier

Mains water temperature reading

    Mains water Annual temperature test
  • Name & Location of Cold water mains temperature tap

  • Image of cold water tap test point.

  • Cold water temperature reading recorded during inspection

  • Does the temperature reading record fall outside Legal Tolerance, greater than 20 degrees

Expansion vessel drain

    Expansion Vessel Drain
  • Name & Location of Expansion vessel

  • Image cold vessel drain.

  • Have you completed a full drain of all water contained with expansion vessel and associated pipe work

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