Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

  • Service Visit type

  • Plant Description

  • Asset Reference

Rams

  • Risk assessment completed

  • Method statement completed

  • PPE

  • Engineer Initials

Untitled Page

General

  • Check for water leaks

  • Check operational of motors and dosing pumps

  • Check water top up functional

  • Check tank level

Filtration

  • Backwash filter done

  • Clean filter baskets

Electrical Control Panel

  • Check operational of controller

  • Check for alarms

Chemical Treatment

  • TDS

  • Total Chlorine

  • Total PH

  • Dip-slide taken

  • Dip-slide result

Additional Comments

  • Report of any faults

Safety

  • Inspection Completed

  • <br>Area left safe

  • Area left clean

Polyteck Building Services, 143 Leman Street, London, E1 8EY

  • Engineer signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.