| Item | Yes | No | Remarks |
|---|---|---|---|
| Is the source of the drinking water safe and protected? | |||
| Is the water storage tank clean and well-maintained? | |||
| Is there evidence of water contamination (odor, taste, color)? | |||
| Are water distribution pipes in good condition? | |||
| Is free residual chlorine level within safe limits? | |||
| Are potable water testing records available and up to date? | |||
| Are backflow prevention devices fitted and functioning? |