ENERGY SOURCE DETERMINATION CHECKLIST (Page 3) f. Thermal Energy? Yes No N/A If yes, location of main control/shut-off Can control/shut-off valve be locked in the or closed position? Yes No “OFF” If no, location of closest manual shut-off Does manual shut-off valve have a lock valve? Yes No Is there a bleed or drain valve to safely reduce system pressure and temperature and drain system chemicals? Yes No If no, how can the system be drained and neutralized? What personal protective clothing or equipment is needed for this equipment? Special precautions not noted above (i.e. fire hazards, chemical reactions, required cool down periods, etc.): Recommendations or Comments: Completed by: Reviewed by: Approved by:
ENERGY SOURCE DETERMINATION CHECKLIST (Page 3) f. Thermal Energy? Yes No N/A If yes, location of main control/shut-off Can control/shut-off valve be locked in the “OFF” or closed position? Yes No If no, location of closest manual shut-off Does manual shut-off valve have a lock valve? Yes No Is there a bleed or drain valve to safely reduce system pressure and temperature and drain system chemicals? Yes No If no, how can the system be drained and neutralized? What personal protective clothing or equipment is needed for this equipment? Special precautions not noted above (i.e. fire hazards, chemical reactions, required cool down periods, etc.): Recommendations or Comments: Completed by: Reviewed by: Approved by:
Developing-a-Restaurant-Safety-Program.docx