Sample Water Audit Forms Page 15

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Where? _______________________________________________________________
When are fountains running? ____________ Typical water consumption? __________
❑ Yes
❑ No
Do fountains use recycled water?
Are they part of a closed-loop system? ❑ Yes
❑ No
Are paved areas ❑ swept clean ❑ blown clean or ❑ hosed?
Maintenance
❑ Yes
❑ No
Are faucets, pipes and plumbing checked regularly for leaks?
How often? __________________
❑ Yes
❑ No
Is there regularly scheduled preventive maintenance in your facility?
❑ Yes
❑ No
Is maintenance documented with standard records or inspection logs?
If you contract with a maintenance company:
How quickly does maintenance staff respond and repair leaks? ___________________
If you control your own maintenance program:
How do you handle reporting and repair of leaks? ____________________________
How quickly are leaks usually repaired? ____________________________________
Contractor Water Use
❑ Yes
❑ No
Are contractors aware of agency water conservation efforts?
❑ Yes
❑ No
Do any contractors have access to or use of facility water?
❑ Yes
❑ No
Do contractors know where the water line is located?
(Oftentimes, contractors accidentally drive heavy equipment over water lines, cracking the piping and
causing expensive leakage and potentially dangerous ground saturation.)
List any contractor activities that consume water. (regular, occasional or one-time)
Activity
Location
Frequency/Season
Water used
_____________________
______________
________________
___________
_____________________
______________
________________
___________
_____________________
______________
________________
___________
_____________________
______________
________________
___________
_____________________
______________
________________
___________
_____________________
______________
________________
___________
Notes/ Other Water Consumption

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Parent category: Business