Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Appearance

  • Uniform

  • Comments

  • Personal Appearance

  • Comments

Vehicle

General appearance

  • Vehicle cleanliness

  • Comments

  • Tyres

  • Comments

Safety Equipment

  • Spill kit

  • Comments

  • Mask/Filters (P3)

  • Comments

  • Gloves

  • Comments

  • Safety glasses

  • Comments

  • Eskies/ice bricks

  • Comments

  • Gumboots/other wet weather gear

  • Comments

  • Barrier cream

  • Comments

  • RCD

  • Comments

Vehicle Contents

  • Job cards

  • Comments

  • Test kit

  • Comments

  • Gerni/Pressure washer

  • Comments

  • Wet vac

  • Comments

  • Leads

  • Comments

  • Electrical tags

  • Comments

  • Chemical setup/stock

  • Comments

Log Book

  • SWMS/MDSDS

  • Comments

  • Clean registers

  • Comments

  • Service dockets and certificates

  • Comments

  • Annual certification

  • Comments

Testing Procedures

  • Zinc (381)

  • Comments

  • Phosphonate (7660, 7665)

  • Comments

  • Molybdate (CCT31)

  • Comments

  • Nitrate (CCT41/51)

  • Comments

  • FAH/FAC (BT050 - ORP)

  • Comments

  • TDS (Calibration)

  • Comments

  • pH (BT574)

  • Comments

  • Tannin (CCT21)

  • Comments

  • Total Chlorine (BT574)

  • Comments

  • FAC - DPD1+DPD2 (BT574)

  • Comments

Service Reports

  • Site info (name/site #)

  • Comments

  • Targets

  • Comments

  • Drum level recording

  • Comments

  • General comments

  • Comments

General Tower, Chemicals and Equipment

Chemicals

  • Chemical dose rates

  • Comments

  • Dispersant usage

  • Comments

Equipment check

  • Dose rates

  • Comments

  • Times

  • Comments

  • Bleed set

  • Comments

  • Operation

  • Comments

Miscellaneous

  • Bunding

  • Comments

  • Stickers

  • Comments

  • Overall cooling tower cleanliness

Conclusion

  • Overall comments

  • Sites visited

  • Site
  • Follow-up inspection date

  • Manager signature

  • Tech signature

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