Water Management Worksheets - Weekly Checks

• Site conducted

  Select

• Completed on

  Date

• Completed by

• Location
  Address

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

Ground Floor

• Female Change Tap 1 - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• Female Change Tap 1 - Remedial Work Actioned

  Yes

  No

  N/A

• Female Change Tap 2 - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• Female Change Tap 2 - Remedial Work Actioned

  Yes

  No

  N/A

• Female Change Tap 3 - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• Female Change Tap 3 - Remedial Work Actioned

  Yes

  No

  N/A

• Female Change Shower 1 - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• Female Change Shower 1 - Remedial Work Actioned

  Yes

  No

  N/A

• Female Change Shower 2 - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• Female Change Shower 2 - Remedial Work Actioned

  Yes

  No

  N/A

• Female Change Shower 3 - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• Female Change Shower 3 - Remedial Work Actioned

  Yes

  No

  N/A

• Female Change Shower 4 - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• Female Change Shower 4 - Remedial Work Actioned

  Yes

  No

  N/A

• Female Change Shower 5 - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• Female Change Shower 5 - Remedial Work Actioned

  Yes

  No

  N/A

• Female Change Shower 6 - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• Female Change Shower 6 - Remedial Work Actioned

  Yes

  No

  N/A

• Female Change Shower 7 - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• Female Change Shower 7 - Remedial Work Actioned

  Yes

  No

  N/A

• Male Change Tap 1 - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• Male Change Tap 1 - Remedial Work Actioned

  Yes

  No

  N/A

• Male Change Tap 2 - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• Male Change Tap 2 - Remedial Work Actioned

  Yes

  No

  N/A

• Male Change Tap 3 - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• Male Change Tap 3 - Remedial Work Actioned

  Yes

  No

  N/A

• Male Change Shower 1 - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• Male Change Shower 1 - Remedial Work Actioned

  Yes

  No

  N/A

• Male Change Shower 2 - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• Male Change Shower 2 - Remedial Work Actioned

  Yes

  No

  N/A

• Male Change Shower 3 - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• Male Change Shower 3 - Remedial Work Actioned

  Yes

  No

  N/A

• Male Change Shower 4 - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• Male Change Shower 4 - Remedial Work Actioned

  Yes

  No

  N/A

• Male Change Shower 5 - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• Male Change Shower 5 - Remedial Work Actioned

  Yes

  No

  N/A

• Male Change Shower 6 - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• Male Change Shower 6 - Remedial Work Actioned

  Yes

  No

  N/A

• Male Change Shower 7 - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• Male Change Shower 7 - Remedial Work Actioned

  Yes

  No

  N/A

• Reception Accessible Change Tap - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• Reception Accessible Change Tap - Remedial Work Actioned

  Yes

  No

  N/A

• Reception Accessible Change Shower - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• Reception Accessible Change Shower - Remedial Work Actioned

  Yes

  No

  N/A

• Sports Hall Water Fountain - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• Sports Hall Water Fountain - Remedial Work Actioned

  Yes

  No

  N/A

• Café Cleaning Cupboard Tap 1 - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• Café Cleaning Cupboard Tap 1 - Remedial Work Actioned

  Yes

  No

  N/A

• Café Cleaning Cupboard Tap 2 - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• Café Cleaning Cupboard Tap 2 - Remedial Work Actioned

  Yes

  No

  N/A

• Café Toilets Tap 1 - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• Café Toilets Tap 1 - Remedial Work Actioned

  Yes

  No

  N/A

• Café Toilet Tap 2 - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• Café Toilets Tap 2 - Remedial Work Actioned

  Yes

  No

  N/A

• Café Toilet Tap 3 - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• Café Toilets Tap 3 - Remedial Work Actioned

  Yes

  No

  N/A

• Brentford Office Toilet Tap 1 - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• Brentford Office Toilet Tap 1 - Remedial Work Actioned

  Yes

  No

  N/A

• Brentford Office Toilet Tap 2 - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• Brentford Office Toilet Tap 2 - Remedial Work Actioned

  Yes

  No

  N/A

• Brentford Office Kitchen Tap - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• Brentford Office Kitchen Tap - Remedial Work Actioned

  Yes

  No

  N/A

• Brentford Office Shower - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• Brentford Office Shower - Remedial Work Actioned

  Yes

  No

  N/A

Team Changes

• Team Change 1 Tap 1 - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• Team Change 1 Tap 1 - Remedial Work Actioned

  Yes

  No

  N/A

• Team Change 1 Tap 2 - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• Team Change 1 Tap 2 - Remedial Work Actioned

  Yes

  No

  N/A

• Team Change 1 Shower 1 - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• Team Change 1 Shower 1 - Remedial Work Actioned

  Yes

  No

  N/A

• Team Change 1 Shower 2 - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• Team Change 1 Shower 2 - Remedial Work Actioned

  Yes

  No

  N/A

• Team Change 1 Shower 3 - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• Team Change 1 Shower 3 - Remedial Work Actioned

  Yes

  No

  N/A

• Team Change 1 Shower 4 - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• Team Change 1 Shower 4 - Remedial Work Actioned

  Yes

  No

  N/A

• Team Change 2 Tap 1 - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• Team Change 2 Tap 1 - Remedial Work Actioned

  Yes

  No

  N/A

• Team Change 2 Tap 2 - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• Team Change 2 Tap 2 - Remedial Work Actioned

  Yes

  No

  N/A

• Team Change 2 Shower 1 - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• Team Change 2 Shower 1 - Remedial Work Actioned

  Yes

  No

  N/A

• Team Change 2 Shower 2 - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• Team Change 2 Shower 2 - Remedial Work Actioned

  Yes

  No

  N/A

• Team Change 2 Shower 3 - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• Team Change 2 Shower 3 - Remedial Work Actioned

  Yes

  No

  N/A

• Team Change 2 Shower 4 - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• Team Change 2 Shower 4 - Remedial Work Actioned

  Yes

  No

  N/A

• Team Change 3 Tap 1 - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• Team Change 3 Tap 1 - Remedial Work Actioned

  Yes

  No

  N/A

• Team Change 3 Tap 2 - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• Team Change 3 Tap 2 - Remedial Work Actioned

  Yes

  No

  N/A

• Team Change 3 Shower 1 - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• Team Change 3 Shower 1 - Remedial Work Actioned

  Yes

  No

  N/A

• Team Change 3 Shower 2 - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• Team Change 3 Shower 2 - Remedial Work Actioned

  Yes

  No

  N/A

• Team Change 3 Shower 3 - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• Team Change 3 Shower 3 - Remedial Work Actioned

  Yes

  No

  N/A

• Team Change 3 Shower 4 - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• Team Change 3 Shower 4 - Remedial Work Actioned

  Yes

  No

  N/A

• Team Change 4 Tap 1 - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• Team Change 4 Tap 1 - Remedial Work Actioned

  Yes

  No

  N/A

• Team Change 4 Tap 2 - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• Team Change 4 Tap 2 - Remedial Work Actioned

  Yes

  No

  N/A

• Team Change 4 Shower 1 - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• Team Change 4 Shower 1 - Remedial Work Actioned

  Yes

  No

  N/A

• Team Change 4 Shower 2 - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• Team Change 4 Shower 2 - Remedial Work Actioned

  Yes

  No

  N/A

• Team Change 4 Shower 3 - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• Team Change 4 Shower 3 - Remedial Work Actioned

  Yes

  No

  N/A

• Team Change 4 Shower 4 - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• Team Change 4 Shower 4 - Remedial Work Actioned

  Yes

  No

  N/A

• Team Change 5 Tap 1 - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• Team Change 5 Tap 1 - Remedial Work Actioned

  Yes

  No

  N/A

• Team Change 5 Tap 2 - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• Team Change 5 Tap 2 - Remedial Work Actioned

  Yes

  No

  N/A

• Team Change 5 Shower 1 - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• Team Change 5 Shower 1 - Remedial Work Actioned

  Yes

  No

  N/A

• Team Change 5 Shower 2 - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• Team Change 5 Shower 2 - Remedial Work Actioned

  Yes

  No

  N/A

• Team Change 5 Shower 3 - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• Team Change 5 Shower 3 - Remedial Work Actioned

  Yes

  No

  N/A

• Team Change 5 Shower 4 - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• Team Change 5 Shower 4 - Remedial Work Actioned

  Yes

  No

  N/A

• Team Change 6 Tap 1 - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• Team Change 6 Tap 1 - Remedial Work Actioned

  Yes

  No

  N/A

• Team Change 6 Tap 2 - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• Team Change 6 Tap 2 - Remedial Work Actioned

  Yes

  No

  N/A

• Team Change 6 Shower 1 - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• Team Change 6 Shower 1 - Remedial Work Actioned

  Yes

  No

  N/A

• Team Change 6 Shower 2 - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• Team Change 6 Shower 2 - Remedial Work Actioned

  Yes

  No

  N/A

• Team Change 6 Shower 3 - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• Team Change 6 Shower 3 - Remedial Work Actioned

  Yes

  No

  N/A

• Team Change 6 Shower 4 - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• Team Change 6 Shower 4 - Remedial Work Actioned

  Yes

  No

  N/A

• Team Change 7 Tap 1 - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• Team Change 7 Tap 1 - Remedial Work Actioned

  Yes

  No

  N/A

• Team Change 7 Tap 2 - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• Team Change 7 Tap 2 - Remedial Work Actioned

  Yes

  No

  N/A

• Team Change 7 Shower 1 - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• Team Change 7 Shower 1 - Remedial Work Actioned

  Yes

  No

  N/A

• Team Change 7 Shower 2 - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• Team Change 7 Shower 2 - Remedial Work Actioned

  Yes

  No

  N/A

• Team Change 7 Shower 3 - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• Team Change 7 Shower 3 - Remedial Work Actioned

  Yes

  No

  N/A

• Team Change 7 Shower 4 - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• Team Change 7 Shower 4 - Remedial Work Actioned

  Yes

  No

  N/A

• Team Change 8 Tap 1 - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• Team Change 8 Tap 1 - Remedial Work Actioned

  Yes

  No

  N/A

• Team Change 8 Tap 2 - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• Team Change 8 Tap 2 - Remedial Work Actioned

  Yes

  No

  N/A

• Team Change 8 Shower 1 - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• Team Change 8 Shower 1 - Remedial Work Actioned

  Yes

  No

  N/A

• Team Change 8 Shower 2 - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• Team Change 8 Shower 2 - Remedial Work Actioned

  Yes

  No

  N/A

• Team Change 8 Shower 3 - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• Team Change 8 Shower 3 - Remedial Work Actioned

  Yes

  No

  N/A

• Team Change 8 Shower 4 - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• Team Change 8 Shower 4 - Remedial Work Actioned

  Yes

  No

  N/A

Team Changes Corridor

• North Corridor Toilet Tap - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• North Corridor Toilet Tap - Remedial Work Actioned

  Yes

  No

  N/A

• North Corridor Corridor Water Fountain - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• North Corridor Water Fountain - Remedial Work Actioned

  Yes

  No

  N/A

• South Corridor Accessible Tap - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• South Corridor Accessible Tap - Remedial Work Actioned

  Yes

  No

  N/A

• South Corridor Accessible Tap - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• South Corridor Accessible Cleaning Tap - Remedial Work Actioned

  Yes

  No

  N/A

• South Corridor Accessible Shower - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• South Corridor Accessible Shower - Remedial Work Actioned

  Yes

  No

  N/A

• Official Change Shower - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• Official Change Shower - Remedial Work Actioned

  Yes

  No

  N/A

• First Aid Room Shower - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• First Aid Room Shower - Remedial Work Actioned

  Yes

  No

  N/A

• First Aid Room Tap - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• First Aid Room Tap - Remedial Work Actioned

  Yes

  No

  N/A

First Floor

• First Floor Toilets Tap 1 - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• First Floor Toilets Tap 1 - Remedial Work Actioned

  Yes

  No

  N/A

• First Floor Toilets Tap 2 - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• First Floor Toilets Tap 2 - Remedial Work Actioned

  Yes

  No

  N/A

• First Floor Toilets Tap 3 - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• First Floor Toilets Tap 3 - Remedial Work Actioned

  Yes

  No

  N/A

• First Floor Accessible Tap - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• First Floor Accessible Tap - Remedial Work Actioned

  Yes

  No

  N/A

• First Floor Cleaning Cupboard Tap 1 - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• First Floor Cleaning Cupboard Tap 1 - Remedial Work Actioned

  Yes

  No

  N/A

• First Floor Cleaning Cupboard Tap 2 - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• First Floor Cleaning Cupboard Tap 2 - Remedial Work Actioned

  Yes

  No

  N/A

• Gym Water Fountain - Correct Operation

  Yes

  No

• Fault Notified

  Yes

  No

  N/A

• Gym Water Fountain - Remedial Work Actioned

  Yes

  No

  N/A

• Little used outlets should be flushed sufficiently until the temperature at the outlet stabilises and is comparable to the water supply (either hot or cold). As a guidance, run for 2 to 5 minutes and increase where necessary to ensure all control measures are maintained. Little used outlets to include: Showers, Taps, Emergency Shower, Eye Wash Stations, Hose Reels, Sprinklers, etc.

First Floor Plant room

• Length of time outlet run (mins)

• Remedial Works Actioned

  Yes

  No

  N/A

Outside bin area

• Length of time outlet run (mins)

• Remedial Works Actioned

  Yes

  No

  N/A

First Aid room + Shower

• Length of time outlet run (mins)

• Remedial Works Actioned

  Yes

  No

  N/A

North corridor cleaning cupboard x 2

• Length of time outlet run (mins)

• Remedial Works Actioned

  Yes

  No

  N/A

South Corridor Accessible toilet cleaning tap

• Length of time outlet run (mins)

• Remedial Works Actioned

  Yes

  No

  N/A

Cleaning tap - Team Change 1

• Length of time outlet run (mins)

• Remedial Works Actioned

  Yes

  No

  N/A

Cleaning tap - Team Change 2

• Length of time outlet run (mins)

• Remedial Works Actioned

  Yes

  No

  N/A

Cleaning tap - Team Change 3

• Length of time outlet run (mins)

• Remedial Works Actioned

  Yes

  No

  N/A

Cleaning tap - Team Change 4

• Length of time outlet run (mins)

• Remedial Works Actioned

  Yes

  No

  N/A

Cleaning tap - Team Change 5

• Length of time outlet run (mins)

• Remedial Works Actioned

  Yes

  No

  N/A

Cleaning tap - Team Change 6

• Length of time outlet run (mins)

• Remedial Works Actioned

  Yes

  No

  N/A

Cleaning tap - Team Change 7

• Length of time outlet run (mins)

• Remedial Works Actioned

  Yes

  No

  N/A

Cleaning tap - Team Change 8

• Length of time outlet run (mins)

• Remedial Works Actioned

  Yes

  No

  N/A

Café Cupboard

• Length of time outlet run (mins)

• Remedial Works Actioned

  Yes

  No

  N/A

Café Toilet Tap 1

• Length of time outlet run (mins)

• Remedial Works Actioned

  Yes

  No

  N/A

Café Toilet Tap 2

• Length of time outlet run (mins)

• Remedial Works Actioned

  Yes

  No

  N/A

Café Toilet Tap 3

• Length of time outlet run (mins)

• Remedial Works Actioned

  Yes

  No

  N/A

Brentford Office Shower

• Length of time outlet run (mins)

• Remedial Works Actioned

  Yes

  No

  N/A