Water Hygiene Audit - Stores 1.1

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Are hygiene cards available and in date?

  Yes

  No

  N/A

• Are fittings, tools, equipment to be used on restricted ops stored in a separate area of vehicles ?

  Yes

  No

  N/A

• Are waste areas separated from storage areas and adequately marked ?

  Yes

  No

  N/A

• Are fuels, oils and equipment using these stored away from restricted ops equipment ?

  Yes

  No

  N/A

• Is there a separate 'quarantined' area for pipe and fittings that require cleaning and/ or disinfection ?

  Yes

  No

  N/A

• Is reinstatement material adequately separated from pipes and fittings ? (e.g. tarmac)

  Yes

  No

  N/A

• Is hot water working and available ?

  Yes

  No

  N/A

• Are welfare facilities available? (e.g. on site, local supermarket)

  Yes

  No

  N/A

• Do the welfare facilities contain provision for hand cleaning ?

  Yes

  No

  N/A

• Is there a designated area for cleaning used fittings within the compound ?

  Yes

  No

  N/A

• Note: Although largest diameter pipes (normally >600mmmm) are not routinely supplied with end caps, undertakers should take precautions to prevent contamination. Pipes and fittings that appear contaminated on inspection should be thoroughly cleaned and disinfected prior to use.

• Are chlorine solution AND tablets appropriately labelled ?

  Yes

  No

  N/A

• When should chlorine solution be made up?

• What strength is made? ( no. of tablets to volume of water)

• Are pipes and fittings for use in water supply stored above ground level and protected from contamination by use of end caps

  Yes

  No

  N/A

• Approx % fittings stored hygienically ?

• Approx % pipe stored hygienically ?

• Approx % pipe with cap ends ?

• Is bottled water off the ground ? (stored on pallets)

  Yes

  No

  N/A

• Is the stock stored within a secure building that excludes natural daylight ?

  Yes

  No

  N/A

• Is the stock directly exposed to sources of artificial light ?

  Yes

  No

  N/A

• Is the part of the building housing the bottled water artificially heated ?

  Yes

  No

  N/A

• Is the stock positioned away from sources of contact that may damage the pallet or packaging ?

  Yes

  No

  N/A

• Is there any evidence of stock deterioration ? (If yes please provide affected batch number)

  Yes

  No

  N/A

• Present during inspection:

• P1 - Serious failure (stop work immediately)
  P2 - Significant failure (action required today)
  P3 - Minor failure (action within a week)

Observations

• Tap to enter observation

  P1

  P2

  P3

  N/A

  Safe

• Action owner:

• Agreed completion date:

  Date

• Actions / recommendations:

Report completed by:

• Name:

• Signed:

  Sign

Report accepted by:

• Name:

• Signed:

  Sign