4 sections, 16 items
1Hot water
- Number
Calorifier flow temperature (°C), target 60 or above *
- Number
Calorifier return temperature (°C), target 50 or above *
- Number
Sentinel hot outlet furthest from the calorifier: temperature after one minute (°C), target 50 or above (55 in healthcare) *
- Number
Sentinel hot outlet nearest the calorifier: temperature after one minute (°C) *
- Pass / fail
TMVs, if fitted, checked for correct operation
2Cold water
- Number
Sentinel cold outlet furthest from the tank or mains: temperature after two minutes (°C), target 20 or below *
- Number
Sentinel cold outlet nearest the tank or mains: temperature after two minutes (°C) *
- Number
Cold water storage tank temperature (°C), target 20 or below
- Pass / fail
Tank lid fitted, insulated, no debris or discolouration
Six-monthly item; photo the inside of the tank.
- Photo
Photo of the tank interior
3Outlets and little-used areas
- Yes / no
Little-used outlets flushed weekly, log confirmed *
- Yes / no
Showerheads and hoses cleaned and descaled in the last quarter
- Yes / no
Dead legs or redundant pipework identified since the last check
4Deviations and sign-off
- Yes / no
Any reading outside the control limits reported to the responsible person *
- Text
Corrective action taken or job raised
- Signature
Operator signature *
* Required