Title Page

  • Audit Title

  • Time In

  • Time Out

  • Prepared by

  • Location
  • Document No. EMC F10045 Rev 1/2017 DED


  • Instructions:
    1. Answer "Yes" or "No" for the questions below.
    2. Add photos and notes by clicking on the paperclip icon.
    3. To add a Corrective Measure click on the paperclip icon then "Add Action", provide a description, assign to a member, set priority and due date.
    4. Complete audit by providing digital signature.
    5. Share your report by exporting as PDF, Word, Excel or Web Link.


  • Settleometer Reading (Every Visit):

  • Blowers

  • Influent Pumps Operational? (Every Visit)

  • Bar Screen Cleaned? (Every Visit)

  • pH Controller Cleaned & Calibrated? (Every Visit)

  • Caustic Soda Drum Replaced? (As Needed)

  • Diffusers Cleaned? (As Needed)

  • Tank Transfer Lines Cleaned? (Every Visit)

  • Clarifier Surface Cleaned? (Every Visit)

  • Chlorine Contact Chamber Cleaned? (As Needed)

  • Sand Filter Backwashed? (As Needed)

  • Effluent Weir Basin Cleaned? (As Needed)

  • All 3 Blowers Operational? (Every Visit)

  • Chlorine/Dchlor Tablets Replenished? (As Needed)


  • Ammonia Level:

  • Test Strips used or Kit (Choose one from the dropdown list)

  • Aeration Basin pH: (General Rule pH 7.5-8.0)

  • Samples Collected?

  • Effluent pH - S.U.

  • Effluent D.O. - mg/l

  • Effluent CI2 - mg/l

  • Flow - MGD


  • Items Needing Maintenance:


  • Signed by

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