Sample Water Audit Forms Page 5
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15Number of showers
________ Showerhead flow rate ________ gpm/ls
Number of showers
________ Showerhead flow rate ________ gpm/ls
Kitchens/Cafeterias/Lunch rooms
Number of meals served/day: ________
Number of kitchen sinks/ faucets: ________
Are kitchen faucets equipped with aerators? ________
Do spray heads have automatic shut off? ________
Are walk-in refrigerators/freezers water cooled? ________
Are refrigerators equipped with icemakers? ________
Do refrigerators provide drinking water? ________
Are icemakers water cooled? ________
Do kitchens use:
garbage disposals
composting
neither
Is there a dishwasher? ________
Average number of loads per week: ________
Are only full loads washed? ________
Are dishes routinely pre-rinsed prior to wash? ________
Is frozen food routinely thawed under running water? ________
Are kitchen floors hosed clean? ________
How often? ________
Are hoses equipped with high-pressure, water efficient nozzles? ________
Number of Drinking fountains: not cooled ______ water cooled ______ air cooled_____
Number of Vending machines/ coffee makes/ water coolers/ etc. connected to the domestic water system:
________
Number of Ice machines: air cooled________
water cooled________
Mechanical (HVAC) Equipment
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Parent category: Business