Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
A. premises Details
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Premises name
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Owner name
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Occupier name
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Is this a Water Cooling System?
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WCS Identification: Model
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WCS Identification: Serial No.
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Registration number
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Registration details complete?
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Registration details match with above? (Section 31 & clause 11)
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WCS location on sites
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Commissioning date
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Number of other WCS on site
B. Audit Details
Compliance with Section 29 & 30 of the Public Health Act 2010
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Was O&M carried out by a duly qualified person? (S29)
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O&M person details
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Is the duly qualified person reasonably expected to be competent? (S26)
Compliance with Clauses 7 & 8 Public Health Act 2010
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Safe and easy access to the WCS? (CI 7(3))
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Operation manual provided on site?
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Maintenance manuals provided on site?
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Manuals comply with AS/NZS 3666.2:2002? (2.6 & Reg CI 8(b)) (Drawings, suppliers recommendations, cleaning and dismantling instructions, start up and shut down procedures, maintenance management program)
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Maintenance records up to date?
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Records on site?
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Equipped with an automatic disinfection procedure to control microbial growth? (CI 7)
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In operation at all times? (CI 7)
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Certified by a competent person (CI 4(2)) in the past 12 months? (CI 10(1))
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Certificate satisfactory? (CI 10)
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Any sample exceed specified levels of 10 5 cfu HPC and 10 cfu TL in the past 12 months (CI 10)
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Necessary action taken on sample result?
Compliance with Clause 9 Public Health Regulations 2012 - Maintenance Precautions
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Are maintenance precautions being observed when maintenance is being carried out?
Compliance with Clause 8 Public Health Regulation - Maintenance
General compliance with AS/NZS 3666.2,2011 - Section 2
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Chemicals stored satisfactorily? (2.2.2)
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Access for maintenance satisfactory? (2.2.3)
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Provision made to facilitate maintenance? (2.2.4)
Option 1 Compliance with AS/NZS 3666.2.2011 - Section 2
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System inspected monthly for the past 12 months? (2.5.1)
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Cleaning interval not exceeding 6 months? (2.5.1)
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Water treatment system inspected monthly? (2.5.2)
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Cleaned after seasonal shut down? (2.5.4)
Option 2 Compliance with AS/NZS 3666.2.2011
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Council notified of option 2? (CI 8(3))
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Risk assessment completed? (2.3)
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Risk assessment included in manual?
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By a competent person in the past 12 months? (CI 4(2))
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Automatic continuous water treatment system installed? (2.4)
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Evidence of compliance contained in records on site?
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Is this a Warm Water System?
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WWS Identification Model
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Recommendations