Title Page
-
Date of Audit
-
Name of Auditor
Monthly temperature testing of hot and cold water outlets
Room 1A/B
-
Hot water outlet temperature (enter a number only, using degrees celsius).
-
Cold water outlet temperature (enter a number only, using degrees celsius).
Room 2
-
Hot water outlet temperature (enter a number only, using degrees celsius).
-
Cold water outlet temperature (enter a number only, using degrees celsius).
Room 3
-
Hot water outlet temperature (enter a number only, using degrees celsius).
-
Cold water outlet temperature (enter a number only, using degrees celsius).
Room 4
-
Hot water outlet temperature (enter a number only, using degrees celsius).
-
Cold water outlet temperature (enter a number only, using degrees celsius).
Room 5
-
Hot water outlet temperature (enter a number only, using degrees celsius).
-
Cold water outlet temperature (enter a number only, using degrees celsius).
Room 6
-
Hot water outlet temperature (enter a number only, using degrees celsius).
-
Cold water outlet temperature (enter a number only, using degrees celsius).
Room 7
-
Hot water outlet temperature (enter a number only, using degrees celsius).
-
Cold water outlet temperature (enter a number only, using degrees celsius).
Room 8
-
Hot water outlet temperature (enter a number only, using degrees celsius).
-
Cold water outlet temperature (enter a number only, using degrees celsius).
Room 9A/B
-
Hot water outlet temperature (enter a number only, using degrees celsius).
-
Cold water outlet temperature (enter a number only, using degrees celsius).
Room 10
-
Hot water outlet temperature (enter a number only, using degrees celsius).
-
Cold water outlet temperature (enter a number only, using degrees celsius).
Room 11
-
Hot water outlet temperature (enter a number only, using degrees celsius).
-
Cold water outlet temperature (enter a number only, using degrees celsius).
Room 12A/B
-
Hot water outlet temperature (enter a number only, using degrees celsius).
-
Cold water outlet temperature (enter a number only, using degrees celsius).
Room 13
-
Hot water outlet temperature (enter a number only, using degrees celsius).
-
Cold water outlet temperature (enter a number only, using degrees celsius).
Room 14
-
Hot water outlet temperature (enter a number only, using degrees celsius).
-
Cold water outlet temperature (enter a number only, using degrees celsius).
Room 15
-
Hot water outlet temperature (enter a number only, using degrees celsius).
-
Cold water outlet temperature (enter a number only, using degrees celsius).
Room 16
-
Hot water outlet temperature (enter a number only, using degrees celsius).
-
Cold water outlet temperature (enter a number only, using degrees celsius).
Room 17
-
Hot water outlet temperature (enter a number only, using degrees celsius).
-
Cold water outlet temperature (enter a number only, using degrees celsius).
Room 18
-
Hot water outlet temperature (enter a number only, using degrees celsius).
-
Cold water outlet temperature (enter a number only, using degrees celsius).
Room 19
-
Hot water outlet temperature (enter a number only, using degrees celsius).
-
Cold water outlet temperature (enter a number only, using degrees celsius).
Room 20
-
Hot water outlet temperature (enter a number only, using degrees celsius).
-
Cold water outlet temperature (enter a number only, using degrees celsius).
Room 21
-
Hot water outlet temperature (enter a number only, using degrees celsius).
-
Cold water outlet temperature (enter a number only, using degrees celsius).
Room 22A/B
-
Hot water outlet temperature (enter a number only, using degrees celsius).
-
Cold water outlet temperature (enter a number only, using degrees celsius).
Room 23
-
Hot water outlet temperature (enter a number only, using degrees celsius).
-
Cold water outlet temperature (enter a number only, using degrees celsius).
Room 24
-
Hot water outlet temperature (enter a number only, using degrees celsius).
-
Cold water outlet temperature (enter a number only, using degrees celsius).
Room 25
-
Hot water outlet temperature (enter a number only, using degrees celsius).
-
Cold water outlet temperature (enter a number only, using degrees celsius).
Room 26
-
Hot water outlet temperature (enter a number only, using degrees celsius).
-
Cold water outlet temperature (enter a number only, using degrees celsius).
Room 27
-
Hot water outlet temperature (enter a number only, using degrees celsius).
-
Cold water outlet temperature (enter a number only, using degrees celsius).
-
Were there any failings that require corrective action?
-
Signature
