Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
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Service Visit type
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Plant Description
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Asset Reference
Rams
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Risk assessment completed
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Method statement completed
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PPE
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Engineer Initials
Untitled Page
General
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Check for water leaks
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Check operational of motors and dosing pumps
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Check water top up functional
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Check tank level
Filtration
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Backwash filter done
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Clean filter baskets
Electrical Control Panel
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Check operational of controller
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Check for alarms
Chemical Treatment
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TDS
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Total Chlorine
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Total PH
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Dip-slide taken
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Dip-slide result
Additional Comments
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Report of any faults
Safety
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Inspection Completed
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<br>Area left safe
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Area left clean
Polyteck Building Services, 143 Leman Street, London, E1 8EY
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Engineer signature