| Item | Yes | No | N/A | Comments |
|---|---|---|---|---|
| 1. Is the source of water safe and protected? | ||||
| 2. Is bunkered water accompanied by certificates? | ||||
| 3. Are pipes & tanks free from leaks/contamination? | ||||
| 4. Is potable water clearly labeled and separated? |
| Item | Yes | No | N/A | Comments |
|---|---|---|---|---|
| 5. Are storage tanks clean and maintained? | ||||
| 6. Is water treated/disinfected as required? | ||||
| 7. Is residual chlorine within recommended limit? | ||||
| 8. Water temperature monitored (legionella risk)? |
| Item | Yes | No | N/A | Comments |
|---|---|---|---|---|
| 9. Are taps/fountains clean and functional? | ||||
| 10. Is water appearance/smell/taste normal? |
| Item | Yes | No | N/A | Comments |
|---|---|---|---|---|
| 11. Sampling conducted periodically? | ||||
| 12. Records of water treatment & tests kept? |