Table 1: Inspection Results (use additional pages if necessary) Date(s) of inspection: _____________ Follow up / Findings ( ) actions Name(s) of building(s) Component Action to be taken Flushing water Is any leakage? pipe (from Is there any serious corrosion connection to cause discolouration? point, communal riser to communal downfeed) Is the pump(s) functioning properly? Pump Is there any sign of corrosion? Is it installed for supply from a flushing water tank? Is it maintained with Filter if installed replacement of filter cartridge in accordance to the instruction given by the supplier? Is the flushing water dirty? Are the tanks dirty? Is there any cross connection between the flushing water tank and the fresh / fire service water tank? Are the metallic components susceptible to corrosion? Flushing tanks Is there any sign of corrosion? Are the overflow and warning pipes functioning and free from obstructions? Are the access manholes provided with raised necks? Are the access manhole covers sealed and locked? Inspected by: (Plumber’s Licence / Membership no., if applicable)
Table 1: Inspection Results (use additional pages if necessary) Date(s) of inspection: _____________ Component Action Findings ( / ) Follow up actions to be taken Name(s) of building(s) Flushing water pipe (from connection point, communal riser to communal downfeed) Is any leakage? Is there any serious corrosion to cause discolouration? Pump Is the pump(s) functioning properly? Is there any sign of corrosion? Filter if installed Is it installed for supply from a flushing water tank? Is it maintained with replacement of filter cartridge in accordance to the instruction given by the supplier? Flushing tanks Is the flushing water dirty? Are the tanks dirty? Is there any cross connection between the flushing water tank and the fresh / fire service water tank? Are the metallic components susceptible to corrosion? Is there any sign of corrosion? Are the overflow and warning pipes functioning and free from obstructions? Are the access manholes provided with raised necks? Are the access manhole covers sealed and locked? Inspected by: (Plumber’s Licence / Membership no., if applicable)
qwsb_form_c_annex_I_e.docx