Water Management Worksheets - Monthly Checks

• Site conducted

  Select

• Completed on

  Date

• Completed by

• Location
  Address

• NOTE: Where multiple calorifiers are in use, individual calorifier stored flow & return temperatures should be recorded where possible

Plant room - Next to boilers - Stored Hot Water Temperature (Minimum 60 degrees) Plant room - Next to boilers - Flow Hot Water Temperature (Minimum 60 degrees) Plant room - Next to boilers - Return Hot Water Temperature (Minimum 50 degrees)

• Definition of sentinel taps: Hot water services. The first and last taps on a recirculating system. Cold water systems (or non-recirculating hot water systems). The nearest and furthest taps from the storage tank. the choice of sentinel taps may also include other taps which are considered to represent a particular risk.

• Where a TMV is installed on a sentinel location, the pipework supplying the TMV should be monitored to ensure the hot pipe is >50 degrees celcius & the cold pipework is < 20 degrees celcius.

• Hot water > 50 degrees celsius at the outlet within 1 minute

Closest Hot Water Outlet Temperature - North Corridor Cleaning cupboard Furthest Hot Water Outlet Temperature - Café Cupboard

• Cold water < 20 degrees celsius at outlet within 2 minutes

Closest Cold water Outlet Temperature - North Corridor Cleaning cupboard Furthest Cold water Outlet Temperature - Café Cupboard

CWS Incoming Water Mains Temperature - Plant room CWS Stored Water Temperature - Plant room next to booster pumps

• In each area listed, complete checks from left to right where there is more than one shower present (i.e. start with shower furthest to the left)

Male Change

• Cubicle 1 Shower Head Dismantled, Cleaned and Descaled

  Yes

  No

  N/A

• Cubicle 1 Remedial Works Actioned

  Yes

  No

  N/A

• Cubicle 2 Shower Head Dismantled, Cleaned and Descaled

  Yes

  No

  N/A

• Cubicle 2 Remedial Works Actioned

  Yes

  No

  N/A

• Open Shower 1 Shower Head Dismantled, Cleaned and Descaled

  Yes

  No

  N/A

• Open Shower 1 Remedial Works Actioned

  Yes

  No

  N/A

• Open Shower 2 Shower Head Dismantled, Cleaned and Descaled

  Yes

  No

  N/A

• Open Shower 2 Remedial Works Actioned

  Yes

  No

  N/A

• Open Shower 3 Shower Head Dismantled, Cleaned and Descaled

  Yes

  No

  N/A

• Open Shower 3 Remedial Works Actioned

  Yes

  No

  N/A

• Open Shower 4 Shower Head Dismantled, Cleaned and Descaled

  Yes

  No

  N/A

• Open Shower 4 Remedial Works Actioned

  Yes

  No

  N/A

• Accessible Shower Head Dismantled, Cleaned and Descaled

  Yes

  No

  N/A

• Accessible Remedial Works Actioned

  Yes

  No

  N/A

Female Change

• Cubicle 1 Shower Head Dismantled, Cleaned and Descaled

  Yes

  No

  N/A

• Cubicle 1 Remedial Works Actioned

  Yes

  No

  N/A

• Cubicle 2 Shower Head Dismantled, Cleaned and Descaled

  Yes

  No

  N/A

• Cubicle 2 Remedial Works Actioned

  Yes

  No

  N/A

• Open Shower 1 Shower Head Dismantled, Cleaned and Descaled

  Yes

  No

  N/A

• Open Shower 1 Remedial Works Actioned

  Yes

  No

  N/A

• Open Shower 2 Shower Head Dismantled, Cleaned and Descaled

  Yes

  No

  N/A

• Open Shower 2 Remedial Works Actioned

  Yes

  No

  N/A

• Open Shower 3 Shower Head Dismantled, Cleaned and Descaled

  Yes

  No

  N/A

• Open Shower 3 Remedial Works Actioned

  Yes

  No

  N/A

• Open Shower 4 Shower Head Dismantled, Cleaned and Descaled

  Yes

  No

  N/A

• Open Shower 4 Remedial Works Actioned

  Yes

  No

  N/A

• Accessible Shower Head Dismantled, Cleaned and Descaled

  Yes

  No

  N/A

• Accessible Remedial Works Actioned

  Yes

  No

  N/A

Reception accessible toilet

• Accessible Shower Head Dismantled, Cleaned and Descaled

  Yes

  No

  N/A

• Accessible Remedial Works Actioned

  Yes

  No

  N/A

West Corridor accessible toilet

• Accessible Shower Head Dismantled, Cleaned and Descaled

  Yes

  No

  N/A

• Accessible Remedial Works Actioned

  Yes

  No

  N/A

Official change

• Shower Head Dismantled, Cleaned and Descaled

  Yes

  No

  N/A

• Remedial Works Actioned

  Yes

  No

  N/A

First Aid Room

• Shower Head Dismantled, Cleaned and Descaled

  Yes

  No

  N/A

• Remedial Works Actioned

  Yes

  No

  N/A

Team Change 1

• Open Shower 1 Shower Head Dismantled, Cleaned and Descaled

  Yes

  No

  N/A

• Open Shower 1 Remedial Works Actioned

  Yes

  No

  N/A

• Open Shower 2 Shower Head Dismantled, Cleaned and Descaled

  Yes

  No

  N/A

• Open Shower 2 Remedial Works Actioned

  Yes

  No

  N/A

• Open Shower 3 Shower Head Dismantled, Cleaned and Descaled

  Yes

  No

  N/A

• Open Shower 3 Remedial Works Actioned

  Yes

  No

  N/A

• Accessible Shower Head Dismantled, Cleaned and Descaled

  Yes

  No

  N/A

• Accessible Remedial Works Actioned

  Yes

  No

  N/A

Team Change 1

• Open Shower 1 Shower Head Dismantled, Cleaned and Descaled

  Yes

  No

  N/A

• Open Shower 1 Remedial Works Actioned

  Yes

  No

  N/A

• Open Shower 2 Shower Head Dismantled, Cleaned and Descaled

  Yes

  No

  N/A

• Open Shower 2 Remedial Works Actioned

  Yes

  No

  N/A

• Open Shower 3 Shower Head Dismantled, Cleaned and Descaled

  Yes

  No

  N/A

• Open Shower 3 Remedial Works Actioned

  Yes

  No

  N/A

• Accessible Shower Head Dismantled, Cleaned and Descaled

  Yes

  No

  N/A

• Accessible Remedial Works Actioned

  Yes

  No

  N/A

Team Change 2

• Open Shower 1 Shower Head Dismantled, Cleaned and Descaled

  Yes

  No

  N/A

• Open Shower 1 Remedial Works Actioned

  Yes

  No

  N/A

• Open Shower 2 Shower Head Dismantled, Cleaned and Descaled

  Yes

  No

  N/A

• Open Shower 2 Remedial Works Actioned

  Yes

  No

  N/A

• Open Shower 3 Shower Head Dismantled, Cleaned and Descaled

  Yes

  No

  N/A

• Open Shower 3 Remedial Works Actioned

  Yes

  No

  N/A

• Accessible Shower Head Dismantled, Cleaned and Descaled

  Yes

  No

  N/A

• Accessible Remedial Works Actioned

  Yes

  No

  N/A

Team Change 3

• Open Shower 1 Shower Head Dismantled, Cleaned and Descaled

  Yes

  No

  N/A

• Open Shower 1 Remedial Works Actioned

  Yes

  No

  N/A

• Open Shower 2 Shower Head Dismantled, Cleaned and Descaled

  Yes

  No

  N/A

• Open Shower 2 Remedial Works Actioned

  Yes

  No

  N/A

• Open Shower 3 Shower Head Dismantled, Cleaned and Descaled

  Yes

  No

  N/A

• Open Shower 3 Remedial Works Actioned

  Yes

  No

  N/A

• Accessible Shower Head Dismantled, Cleaned and Descaled

  Yes

  No

  N/A

• Accessible Remedial Works Actioned

  Yes

  No

  N/A

Team Change 4

• Open Shower 1 Shower Head Dismantled, Cleaned and Descaled

  Yes

  No

  N/A

• Open Shower 1 Remedial Works Actioned

  Yes

  No

  N/A

• Open Shower 2 Shower Head Dismantled, Cleaned and Descaled

  Yes

  No

  N/A

• Open Shower 2 Remedial Works Actioned

  Yes

  No

  N/A

• Open Shower 3 Shower Head Dismantled, Cleaned and Descaled

  Yes

  No

  N/A

• Open Shower 3 Remedial Works Actioned

  Yes

  No

  N/A

• Accessible Shower Head Dismantled, Cleaned and Descaled

  Yes

  No

  N/A

• Accessible Remedial Works Actioned

  Yes

  No

  N/A

Team Change 5

• Open Shower 1 Shower Head Dismantled, Cleaned and Descaled

  Yes

  No

  N/A

• Open Shower 1 Remedial Works Actioned

  Yes

  No

  N/A

• Open Shower 2 Shower Head Dismantled, Cleaned and Descaled

  Yes

  No

  N/A

• Open Shower 2 Remedial Works Actioned

  Yes

  No

  N/A

• Open Shower 3 Shower Head Dismantled, Cleaned and Descaled

  Yes

  No

  N/A

• Open Shower 3 Remedial Works Actioned

  Yes

  No

  N/A

• Accessible Shower Head Dismantled, Cleaned and Descaled

  Yes

  No

  N/A

• Accessible Remedial Works Actioned

  Yes

  No

  N/A

Team Change 6

• Open Shower 1 Shower Head Dismantled, Cleaned and Descaled

  Yes

  No

  N/A

• Open Shower 1 Remedial Works Actioned

  Yes

  No

  N/A

• Open Shower 2 Shower Head Dismantled, Cleaned and Descaled

  Yes

  No

  N/A

• Open Shower 2 Remedial Works Actioned

  Yes

  No

  N/A

• Open Shower 3 Shower Head Dismantled, Cleaned and Descaled

  Yes

  No

  N/A

• Open Shower 3 Remedial Works Actioned

  Yes

  No

  N/A

• Accessible Shower Head Dismantled, Cleaned and Descaled

  Yes

  No

  N/A

• Accessible Remedial Works Actioned

  Yes

  No

  N/A

Team Change 7

• Open Shower 1 Shower Head Dismantled, Cleaned and Descaled

  Yes

  No

  N/A

• Open Shower 1 Remedial Works Actioned

  Yes

  No

  N/A

• Open Shower 2 Shower Head Dismantled, Cleaned and Descaled

  Yes

  No

  N/A

• Open Shower 2 Remedial Works Actioned

  Yes

  No

  N/A

• Open Shower 3 Shower Head Dismantled, Cleaned and Descaled

  Yes

  No

  N/A

• Open Shower 3 Remedial Works Actioned

  Yes

  No

  N/A

• Accessible Shower Head Dismantled, Cleaned and Descaled

  Yes

  No

  N/A

• Accessible Remedial Works Actioned

  Yes

  No

  N/A

Team Change 8

• Open Shower 1 Shower Head Dismantled, Cleaned and Descaled

  Yes

  No

  N/A

• Open Shower 1 Remedial Works Actioned

  Yes

  No

  N/A

• Open Shower 2 Shower Head Dismantled, Cleaned and Descaled

  Yes

  No

  N/A

• Open Shower 2 Remedial Works Actioned

  Yes

  No

  N/A

• Open Shower 3 Shower Head Dismantled, Cleaned and Descaled

  Yes

  No

  N/A

• Open Shower 3 Remedial Works Actioned

  Yes

  No

  N/A

• Accessible Shower Head Dismantled, Cleaned and Descaled

  Yes

  No

  N/A

• Accessible Remedial Works Actioned

  Yes

  No

  N/A

Brentford office accessible toilet

• Accessible Shower Head Dismantled, Cleaned and Descaled

  Yes

  No

  N/A

• Accessible Remedial Works Actioned

  Yes

  No

  N/A

• Select approximately 25% of showers in block for temperature checks. In each area listed, complete checks from left to right where there is more than one shower present (i.e. start with shower furthest to the left). Where a TMV is installed and the pipework is accessible, take the temperature on the pipework.

Male Change

• Cubicle 1 - TMV Installed?

  Yes

  No
Cubicle 1 - Outlet Flow Temperature

• Cubicle 1 - Remedial Works Actioned?

  Yes

  No

  N/A

• Cubicle 2 - TMV Installed?

  Yes

  No
Cubicle 2 - Outlet Flow Temperature

• Cubicle 2 - Remedial Works Actioned?

  Yes

  No

  N/A

• Shower 1 - TMV Installed?

  Yes

  No
Shower 1 - Outlet Flow Temperature

• Shower 1 - Remedial Works Actioned?

  Yes

  No

  N/A

• Shower 2 - TMV Installed?

  Yes

  No
Shower 2 - Outlet Flow Temperature

• Shower 2 - Remedial Works Actioned?

  Yes

  No

  N/A

• Shower 3 - TMV Installed?

  Yes

  No
Shower 3 - Outlet Flow Temperature

• Shower 3 - Remedial Works Actioned?

  Yes

  No

  N/A

• Shower 4 - TMV Installed?

  Yes

  No
Shower 4 - Outlet Flow Temperature

• Shower 4 - Remedial Works Actioned?

  Yes

  No

  N/A

• Accessible Shower 1 - TMV Installed?

  Yes

  No
Accessible 1 - Outlet Flow Temperature

• Accessible 1 - Remedial Works Actioned?

  Yes

  No

  N/A

Female Change

• Cubicle 1 - TMV Installed?

  Yes

  No
Cubicle 1 - Outlet Flow Temperature

• Cubicle 1 - Remedial Works Actioned?

  Yes

  No

  N/A

• Cubicle 2 - TMV Installed?

  Yes

  No
Cubicle 2 - Outlet Flow Temperature

• Cubicle 2 - Remedial Works Actioned?

  Yes

  No

  N/A

• Shower 1 - TMV Installed?

  Yes

  No
Shower 1 - Outlet Flow Temperature

• Shower 1 - Remedial Works Actioned?

  Yes

  No

  N/A

• Shower 2 - TMV Installed?

  Yes

  No
Shower 2 - Outlet Flow Temperature

• Shower 2 - Remedial Works Actioned?

  Yes

  No

  N/A

• Shower 3 - TMV Installed?

  Yes

  No
Shower 3 - Outlet Flow Temperature

• Shower 3 - Remedial Works Actioned?

  Yes

  No

  N/A

• Shower 4 - TMV Installed?

  Yes

  No
Shower 4 - Outlet Flow Temperature

• Shower 4 - Remedial Works Actioned?

  Yes

  No

  N/A

• Accessible Shower 1 - TMV Installed?

  Yes

  No
Accessible 1 - Outlet Flow Temperature

• Accessible 1 - Remedial Works Actioned?

  Yes

  No

  N/A

Reception Accessible toilet

• Accessible Shower - TMV Installed?

  Yes

  No
Accessible - Outlet Flow Temperature

• Accessible - Remedial Works Actioned?

  Yes

  No

  N/A

West Corridor Accessible toilet

• Accessible Shower - TMV Installed?

  Yes

  No
Accessible - Outlet Flow Temperature

• Accessible - Remedial Works Actioned?

  Yes

  No

  N/A

First Aid room

• Shower - TMV Installed?

  Yes

  No
Outlet Flow Temperature

• Remedial Works Actioned?

  Yes

  No

  N/A

Officials Change

• Shower - TMV Installed?

  Yes

  No
Outlet Flow Temperature

• Remedial Works Actioned?

  Yes

  No

  N/A

Team Change 1

• Shower 1 - TMV Installed?

  Yes

  No
Shower 1 - Outlet Flow Temperature

• Shower 1 - Remedial Works Actioned?

  Yes

  No

  N/A

• Shower 2 - TMV Installed?

  Yes

  No
Shower 2 - Outlet Flow Temperature

• Shower 2 - Remedial Works Actioned?

  Yes

  No

  N/A

• Shower 3 - TMV Installed?

  Yes

  No
Shower 3 - Outlet Flow Temperature

• Shower 3 - Remedial Works Actioned?

  Yes

  No

  N/A

• Accessible Shower - TMV Installed?

  Yes

  No
Accessible - Outlet Flow Temperature

• Accessible - Remedial Works Actioned?

  Yes

  No

  N/A

Team Change 2

• Shower 1 - TMV Installed?

  Yes

  No
Shower 1 - Outlet Flow Temperature

• Shower 1 - Remedial Works Actioned?

  Yes

  No

  N/A

• Shower 2 - TMV Installed?

  Yes

  No
Shower 2 - Outlet Flow Temperature

• Shower 2 - Remedial Works Actioned?

  Yes

  No

  N/A

• Shower 3 - TMV Installed?

  Yes

  No
Shower 3 - Outlet Flow Temperature

• Shower 3 - Remedial Works Actioned?

  Yes

  No

  N/A

• Accessible Shower - TMV Installed?

  Yes

  No
Accessible - Outlet Flow Temperature

• Accessible - Remedial Works Actioned?

  Yes

  No

  N/A

Team Change 3

• Shower 1 - TMV Installed?

  Yes

  No
Shower 1 - Outlet Flow Temperature

• Shower 1 - Remedial Works Actioned?

  Yes

  No

  N/A

• Shower 2 - TMV Installed?

  Yes

  No
Shower 2 - Outlet Flow Temperature

• Shower 2 - Remedial Works Actioned?

  Yes

  No

  N/A

• Shower 3 - TMV Installed?

  Yes

  No
Shower 3 - Outlet Flow Temperature

• Shower 3 - Remedial Works Actioned?

  Yes

  No

  N/A

• Accessible Shower - TMV Installed?

  Yes

  No
Accessible - Outlet Flow Temperature

• Accessible - Remedial Works Actioned?

  Yes

  No

  N/A

Team Change 4

• Shower 1 - TMV Installed?

  Yes

  No
Shower 1 - Outlet Flow Temperature

• Shower 1 - Remedial Works Actioned?

  Yes

  No

  N/A

• Shower 2 - TMV Installed?

  Yes

  No
Shower 2 - Outlet Flow Temperature

• Shower 2 - Remedial Works Actioned?

  Yes

  No

  N/A

• Shower 3 - TMV Installed?

  Yes

  No
Shower 3 - Outlet Flow Temperature

• Shower 3 - Remedial Works Actioned?

  Yes

  No

  N/A

• Accessible Shower - TMV Installed?

  Yes

  No
Accessible - Outlet Flow Temperature

• Accessible - Remedial Works Actioned?

  Yes

  No

  N/A

Team Change 5

• Shower 1 - TMV Installed?

  Yes

  No
Shower 1 - Outlet Flow Temperature

• Shower 1 - Remedial Works Actioned?

  Yes

  No

  N/A

• Shower 2 - TMV Installed?

  Yes

  No
Shower 2 - Outlet Flow Temperature

• Shower 2 - Remedial Works Actioned?

  Yes

  No

  N/A

• Shower 3 - TMV Installed?

  Yes

  No
Shower 3 - Outlet Flow Temperature

• Shower 3 - Remedial Works Actioned?

  Yes

  No

  N/A

• Accessible Shower - TMV Installed?

  Yes

  No
Accessible - Outlet Flow Temperature

• Accessible - Remedial Works Actioned?

  Yes

  No

  N/A

Team Change 6

• Shower 1 - TMV Installed?

  Yes

  No
Shower 1 - Outlet Flow Temperature

• Shower 1 - Remedial Works Actioned?

  Yes

  No

  N/A

• Shower 2 - TMV Installed?

  Yes

  No
Shower 2 - Outlet Flow Temperature

• Shower 2 - Remedial Works Actioned?

  Yes

  No

  N/A

• Shower 3 - TMV Installed?

  Yes

  No
Shower 3 - Outlet Flow Temperature

• Shower 3 - Remedial Works Actioned?

  Yes

  No

  N/A

• Accessible Shower - TMV Installed?

  Yes

  No
Accessible - Outlet Flow Temperature

• Accessible - Remedial Works Actioned?

  Yes

  No

  N/A

Team Change 7

• Shower 1 - TMV Installed?

  Yes

  No
Shower 1 - Outlet Flow Temperature

• Shower 1 - Remedial Works Actioned?

  Yes

  No

  N/A

• Shower 2 - TMV Installed?

  Yes

  No
Shower 2 - Outlet Flow Temperature

• Shower 2 - Remedial Works Actioned?

  Yes

  No

  N/A

• Shower 3 - TMV Installed?

  Yes

  No
Shower 3 - Outlet Flow Temperature

• Shower 3 - Remedial Works Actioned?

  Yes

  No

  N/A

• Accessible Shower - TMV Installed?

  Yes

  No
Accessible - Outlet Flow Temperature

• Accessible - Remedial Works Actioned?

  Yes

  No

  N/A

Team Change 8

• Shower 1 - TMV Installed?

  Yes

  No
Shower 1 - Outlet Flow Temperature

• Shower 1 - Remedial Works Actioned?

  Yes

  No

  N/A

• Shower 2 - TMV Installed?

  Yes

  No
Shower 2 - Outlet Flow Temperature

• Shower 2 - Remedial Works Actioned?

  Yes

  No

  N/A

• Shower 3 - TMV Installed?

  Yes

  No
Shower 3 - Outlet Flow Temperature

• Shower 3 - Remedial Works Actioned?

  Yes

  No

  N/A

• Accessible Shower - TMV Installed?

  Yes

  No
Accessible - Outlet Flow Temperature

• Accessible - Remedial Works Actioned?

  Yes

  No

  N/A

Brentford office accessible toilet

• TMV Installed?

  Yes

  No
Outlet Flow Temperature

• Remedial Works Actioned?

  Yes

  No

  N/A

• In each area listed, complete checks from left to right where there is more than one tap present (i.e. start with shower furthest to the left). Where a TMV is installed and the pipework is accessible, take the temperature on the pipework. Where a TMV is in place, hot outlet temperature should by 39-43 degrees celsius within 1 minute of tap running. Without a TMV, hot outlet temperature should be >50 degrees celsius within 1 minute of tap running. Cold outlet temperature should be below 20 degrees celsius within 2 minutes of tap running.

Level 1

• Female Change Tap 1 - TMV Installed?

  Yes

  No
Hot Outlet Temperature Hot Pipework Temperature

• Caution Hot Water Signage in place if over 45 degrees celsius

  Yes

  No

  N/A
Hot Outlet Temperature

• Caution Hot Water Signage in place if over 45 degrees celsius

  Yes

  No

  N/A
Female Change Tap 1 - Cold Outlet Temperature

• Female Change Tap 1 - Remedial Works Actioned

  Yes

  No

  N/A

• Female Change Tap 2 - TMV Installed?

  Yes

  No
Hot Outlet Temperature Hot Pipework Temperature

• Caution Hot Water Signage in place if over 45 degrees celsius

  Yes

  No

  N/A
Hot Outlet Temperature

• Caution Hot Water Signage in place if over 45 degrees celsius

  Yes

  No

  N/A
Female Change Tap 2 - Cold Outlet Temperature

• Female Change Tap 2 - Remedial Works Actioned

  Yes

  No

  N/A

• Male Change Tap 1 - TMV Installed?

  Yes

  No
Hot Outlet Temperature Hot Pipework Temperature

• Caution Hot Water Signage in place if over 45 degrees celsius

  Yes

  No

  N/A
Hot Outlet Temperature

• Caution Hot Water Signage in place if over 45 degrees celsius

  Yes

  No

  N/A
Male Change Tap 1 - Cold Outlet Temperature

• Male Change Tap 1 - Remedial Works Actioned

  Yes

  No

  N/A

• Male Change Tap 2 - TMV Installed?

  Yes

  No
Hot Outlet Temperature Hot Pipework Temperature

• Caution Hot Water Signage in place if over 45 degrees celsius

  Yes

  No

  N/A
Hot Outlet Temperature

• Caution Hot Water Signage in place if over 45 degrees celsius

  Yes

  No

  N/A
Male Change Tap 2 - Cold Outlet Temperature

• Male Change Tap 2 - Remedial Works Actioned

  Yes

  No

  N/A

• Accessible Change Tap - TMV Installed?

  Yes

  No
Hot Outlet Temperature Hot Pipework Temperature

• Caution Hot Water Signage in place if over 45 degrees celsius

  Yes

  No

  N/A
Hot Outlet Temperature

• Caution Hot Water Signage in place if over 45 degrees celsius

  Yes

  No

  N/A
Accessible Change Tap - Cold Outlet Temperature

• Accessible Change Tap - Remedial Works Actioned

  Yes

  No

  N/A
Corridor Water Fountain

• Corridor Water Fountain Remedial Works Actioned

  Yes

  No

  N/A

Ground Floor

• Kitchen Tap - TMV Installed?

  Yes

  No
Hot Outlet Temperature Hot Pipework Temperature

• Caution Hot Water Signage in place if over 45 degrees celsius

  Yes

  No

  N/A
Hot Outlet Temperature

• Caution Hot Water Signage in place if over 45 degrees celsius

  Yes

  No

  N/A
Kitchen Tap - Cold Outlet Temperature

• Kitchen Tap - Remedial Works Actioned

  Yes

  No

  N/A

• Toilet Tap - TMV Installed?

  Yes

  No
Hot Outlet Temperature Hot Pipework Temperature

• Caution Hot Water Signage in place if over 45 degrees celsius

  Yes

  No

  N/A
Hot Outlet Temperature

• Caution Hot Water Signage in place if over 45 degrees celsius

  Yes

  No

  N/A
Toilet Tap - Cold Outlet Temperature

• Toilet Tap - Remedial Works Actioned

  Yes

  No

  N/A

Lower Floor

• Female Change Tap 1 - TMV Installed?

  Yes

  No
Hot Outlet Temperature Hot Pipework Temperature

• Caution Hot Water Signage in place if over 45 degrees celsius

  Yes

  No

  N/A
Hot Outlet Temperature

• Caution Hot Water Signage in place if over 45 degrees celsius

  Yes

  No

  N/A
Female Change Tap 1 - Cold Outlet Temperature

• Female Change Tap 1 - Remedial Works Actioned

  Yes

  No

  N/A

• Female Change Tap 2 - TMV Installed?

  Yes

  No
Hot Outlet Temperature Hot Pipework Temperature

• Caution Hot Water Signage in place if over 45 degrees celsius

  Yes

  No

  N/A
Hot Outlet Temperature

• Caution Hot Water Signage in place if over 45 degrees celsius

  Yes

  No

  N/A
Female Change Tap 2 - Cold Outlet Temperature

• Female Change Tap 2 - Remedial Works Actioned

  Yes

  No

  N/A

• Female Change Tap 3 - TMV Installed?

  Yes

  No
Hot Outlet Temperature Hot Pipework Temperature

• Caution Hot Water Signage in place if over 45 degrees celsius

  Yes

  No

  N/A
Hot Outlet Temperature

• Caution Hot Water Signage in place if over 45 degrees celsius

  Yes

  No

  N/A
Female Change Tap 3 - Cold Outlet Temperature

• Female Change Tap 3 - Remedial Works Actioned

  Yes

  No

  N/A

• Female Change Tap 4 - TMV Installed?

  Yes

  No
Hot Outlet Temperature Hot Pipework Temperature

• Caution Hot Water Signage in place if over 45 degrees celsius

  Yes

  No

  N/A
Hot Outlet Temperature

• Caution Hot Water Signage in place if over 45 degrees celsius

  Yes

  No

  N/A
Female Change Tap 4 - Cold Outlet Temperature

• Female Change Tap 4 - Remedial Works Actioned

  Yes

  No

  N/A

• Male Change Tap 1 - TMV Installed?

  Yes

  No
Hot Outlet Temperature Hot Pipework Temperature

• Caution Hot Water Signage in place if over 45 degrees celsius

  Yes

  No

  N/A
Hot Outlet Temperature

• Caution Hot Water Signage in place if over 45 degrees celsius

  Yes

  No

  N/A
Male Change Tap 1 - Cold Outlet Temperature

• Male Change Tap 1 - Remedial Works Actioned

  Yes

  No

  N/A

• Male Change Tap 2 - TMV Installed?

  Yes

  No
Hot Outlet Temperature Hot Pipework Temperature

• Caution Hot Water Signage in place if over 45 degrees celsius

  Yes

  No

  N/A
Hot Outlet Temperature

• Caution Hot Water Signage in place if over 45 degrees celsius

  Yes

  No

  N/A
Male Change Tap 2 - Cold Outlet Temperature

• Male Change Tap 2 - Remedial Works Actioned

  Yes

  No

  N/A

• Male Change Tap 3 - TMV Installed?

  Yes

  No
Hot Outlet Temperature Hot Pipework Temperature

• Caution Hot Water Signage in place if over 45 degrees celsius

  Yes

  No

  N/A
Hot Outlet Temperature

• Caution Hot Water Signage in place if over 45 degrees celsius

  Yes

  No

  N/A
Male Change Tap 3 - Cold Outlet Temperature

• Male Change Tap 3 - Remedial Works Actioned

  Yes

  No

  N/A

• Male Change Tap 4 - TMV Installed?

  Yes

  No
Hot Outlet Temperature Hot Pipework Temperature

• Caution Hot Water Signage in place if over 45 degrees celsius

  Yes

  No

  N/A
Hot Outlet Temperature

• Caution Hot Water Signage in place if over 45 degrees celsius

  Yes

  No

  N/A
Male Change Tap 4 - Cold Outlet Temperature

• Male Change Tap 4 - Remedial Works Actioned

  Yes

  No

  N/A

• Accessible Change Tap - TMV Installed?

  Yes

  No
Hot Outlet Temperature Hot Pipework Temperature

• Caution Hot Water Signage in place if over 45 degrees celsius

  Yes

  No

  N/A
Hot Outlet Temperature

• Caution Hot Water Signage in place if over 45 degrees celsius

  Yes

  No

  N/A
Accessible Change Tap - Cold Outlet Temperature

• Accessible Change Tap - Remedial Works Actioned

  Yes

  No

  N/A

• Cleaning Store Tap - TMV Installed?

  Yes

  No
Hot Outlet Temperature Hot Pipework Temperature

• Caution Hot Water Signage in place if over 45 degrees celsius

  Yes

  No

  N/A
Hot Outlet Temperature

• Caution Hot Water Signage in place if over 45 degrees celsius

  Yes

  No

  N/A
Cleaning Store Tap - Cold Outlet Temperature

• Cleaning Store Tap - Remedial Works Actioned

  Yes

  No

  N/A

• In each area listed, complete checks from left to right where there is more than one tap present (i.e. start with tap furthest to the left)

Level 1

• Female Change Tap 1 - Hot and Cold Tap Cleaned and Descaled

  Yes

  No

• Female Change Tap 1 - Remedial Works Actioned

  Yes

  No

  N/A

• Female Change Tap 2 - Hot and Cold Tap Cleaned and Descaled

  Yes

  No

• Female Change Tap 2 - Remedial Works Actioned

  Yes

  No

  N/A

• Male Change Tap 1 - Hot and Cold Tap Cleaned and Descaled

  Yes

  No

• Male Change Tap 1 - Remedial Works Actioned

  Yes

  No

  N/A

• Male Change Tap 2 - Hot and Cold Tap Cleaned and Descaled

  Yes

  No

• Male Change Tap 2 - Remedial Works Actioned

  Yes

  No

  N/A

• Accessible Change Tap - Hot and Cold Tap Cleaned and Descaled

  Yes

  No

• Accessible Change Tap - Remedial Works Actioned

  Yes

  No

  N/A

• Corridor Water Fountain - Cleaned and Descaled

  Yes

  No

• Corridor Water Fountain - Remedial Works Actioned

  Yes

  No

  N/A

Ground Floor

• Kitchen Tap - Hot and Cold Tap Cleaned and Descaled

  Yes

  No

• Kitchen Tap - Remedial Works Actioned

  Yes

  No

  N/A

• Toilet Tap - Hot and Cold Tap Cleaned and Descaled

  Yes

  No

• Toilet Tap - Remedial Works Actioned

  Yes

  No

  N/A

Lower Floor

• Female Change Tap 1 - Hot and Cold Tap Cleaned and Descaled

  Yes

  No

• Female Change Tap 1 - Remedial Works Actioned

  Yes

  No

  N/A

• Female Change Tap 2 - Hot and Cold Tap Cleaned and Descaled

  Yes

  No

• Female Change Tap 2 - Remedial Works Actioned

  Yes

  No

  N/A

• Female Change Tap 3 - Hot and Cold Tap Cleaned and Descaled

  Yes

  No

• Female Change Tap 3 - Remedial Works Actioned

  Yes

  No

  N/A

• Female Change Tap 4 - Hot and Cold Tap Cleaned and Descaled

  Yes

  No

• Female Change Tap 4 - Remedial Works Actioned

  Yes

  No

  N/A

• Male Change Tap 1 - Hot and Cold Tap Cleaned and Descaled

  Yes

  No

• Male Change Tap 1 - Remedial Works Actioned

  Yes

  No

  N/A

• Male Change Tap 2 - Hot and Cold Tap Cleaned and Descaled

  Yes

  No

• Male Change Tap 2 - Remedial Works Actioned

  Yes

  No

  N/A

• Male Change Tap 3 - Hot and Cold Tap Cleaned and Descaled

  Yes

  No

• Male Change Tap 3 - Remedial Works Actioned

  Yes

  No

  N/A

• Male Change Tap 4 - Hot and Cold Tap Cleaned and Descaled

  Yes

  No

• Male Change Tap 4 - Remedial Works Actioned

  Yes

  No

  N/A

• Cleaning Store Tap - Cleaned and Descaled

  Yes

  No

• Cleaning Store Tap - Remedial Works Actioned

  Yes

  No

  N/A

• Accessible Change Tap - Hot and Cold Tap Cleaned and Descaled

  Yes

  No

• Accessible Change Tap - Remedial Works Actioned

  Yes

  No

  N/A