Title Page

  • Conducted on

  • Prepared by

  • Nearest cold water tap reading - It should be a maximum of 20 degrees Celsius or below after two minutes

  • Temperature result

  • Nearest hot water tap reading - It should be a minimum of 50 degrees Celsius after one minute

  • Temperature result

  • Nearest cold water tap reading - It should be a maximum of 20 degrees Celsius or below after two minutes

  • Temperature result

  • Nearest hot water tap reading - It should be a minimum of 50 degrees Celsius after one minute

  • Temperature result

  • Check mains water temperature going into the tank - It should be a maximum of 20 degrees Celsius or below after two minutes

  • Temperature result

  • Check overall condition of the cold water tank ensuring it is good order and a safe condition

  • Check the water leaving the HWS storage is above 60 degrees Celsius

  • Temperature result

  • Check the water returning to the HWS storage tank

  • Temperature result

  • Check overall condition of HWS plant ensuring it is in good order and a safe condition

  • Check general condition of thermostatic mixer valves ensuring all are in good order

  • System in a safe condition?

  • Sign as completed

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