Public Health Unit:


Premises Name:

Owner Name:

Occupier Name:

WWS Identification


Serial No.:

WWS Location on Site:

Registration Number:

Registration Details complete?

Registration details match with above? (Section 31 & Clause 11)

Commissioning Date:

Number of other WWS on site?


Type of WWS

Measured temperature of operation < 60°C?

Compliance with Section 28 of the Public Health Act 2010

Is O&M carried out by a duly qualified person? (S28)

Duly qualified person details :

Is the duly qualified person reasonably expected to be competent (S26)?

Compliance with Clause 7 & 8 Public Health Regulation – Operation & Maintenance
and (AS/NZS3666.2:2002)

Safe and easy access? (Cl 7(3))

Operation manual provided on site? (2.6.3)

Maintenance manual provided on site? (2.6.3)

Manuals comply with AS/NZS 3666.2:2002? (2.6.1)
(Drawings, suppliers recommendations, cleaning and
dismantling instructions, start up and shut down procedures,
maintenance management program)

Maintenance records up to date? (2.6.2)

And on site? (2.6.3)

Equipped with a water treatment unit? (2.4.1) (optional)

Has the water storage tank (tepid system) been cleaned? (2.4.2)

Compliance with Clause 9 Public Health Regulation 2012

Are maintenance precautions being observed
when maintenance is being carried out?

Compliance with Clause 8(7) Public Health Regulation 2012  NSW Health Document “Requirements for the Provision of Cold and Heated Water”

Monthly temperature check?

Temperatures and colour codes comply?

If the WWS is a TMV has a service report in accordance
with the TMV Code of Practice been completed?

Has the TMV service interval exceeded 12 months?


Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.