Water Cooling System - Operation and Maintenance Inspection Checklist

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

A. premises Details

• Premises name

• Owner name

• Occupier name

• WCS Identification: Model

• WCS Identification: Serial No.

• WCS location on site

• Registration number

• Registration details complete?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Commissioning date

  Date

• Number of other WCS on site

B. Audit Details

Compliance with Section 29 & 30 of the Public Health Act 2010

• Was O&M carried out by a duly qualified person? (S29)

  Yes

  No

  N/A

• O&M person details

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

  Yes

  No

  N/A

Compliance with Clauses 7 & 8 Public Health Act 2010

• Safe and easy access to the WCS? (CI 7(3))

  Yes

  No

  N/A

• Operation manual provided on site?

  Yes

  No

  N/A

• Maintenance manuals provided on site?

  Yes

  No

  N/A

• 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)

  Yes

  No

  N/A

• Maintenance records up to date?

  Yes

  No

  N/A

• Records on site?

  Yes

  No

  N/A

• Equipped with an automatic disinfection procedure to control microbial growth? (CI 7)

  Yes

  No

  N/A

• In operation at all times? (CI 7)

  Yes

  No

  N/A

• Certified by a competent person (CI 4(2)) in the past 12 months? (CI 10(1))

  Yes

  No

  N/A

• Certificate satisfactory? (CI 10)

  Yes

  No

  N/A

• Any sample exceed specified levels of 10 5 cfu HPC and 10 cfu TL in the past 12 months (CI 10)

  Yes

  No

  N/A

• Necessary action taken on sample result?

  Yes

  No

  N/A

Compliance with Clause 9 Public Health Regulations 2012 - Maintenance Precautions

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

  Yes

  No

  N/A

Compliance with Clause 8 Public Health Regulation - Maintenance

General compliance with AS/NZS 3666.2,2011 - Section 2

• Chemicals stored satisfactorily? (2.2.2)

  Yes

  No

  N/A

• Access for maintenance satisfactory? (2.2.3)

  Yes

  No

  N/A

• Provision made to facilitate maintenance? (2.2.4)

  Yes

  No

  N/A

Option 1 Compliance with AS/NZS 3666.2.2011 - Section 2

• System inspected monthly for the past 12 months? (2.5.1)

  Yes

  No

  N/A

• Cleaning interval not exceeding 6 months? (2.5.1)

  Yes

  No

  N/A

• Water treatment system inspected monthly? (2.5.2)

  Yes

  No

  N/A

• Cleaned after seasonal shut down? (2.5.4)

  Yes

  No

  N/A

Option 2 Compliance with AS/NZS 3666.2.2011

• Council notified of option 2? (CI 8(3))

  Yes

  No

  N/A

• Risk assessment completed? (2.3)

  Yes

  No

  N/A

• Risk assessment included in manual?

  Yes

  No

  N/A

• By a competent person in the past 12 months? (CI 4(2))

  Yes

  No

  N/A

• Automatic continuous water treatment system installed? (2.4)

  Yes

  No

  N/A

• Evidence of compliance contained in records on site?

  Yes

  No

  N/A

• Recommendations