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Useful Forms/ Check List - Samples
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1. Introduction
1.1. About This Best Practice Booklet
1.2. Target Audience
1.3. How to Use This Best Practice Booklet
1.4. Stakeholder Responsibilities
2. Key Model Framework
2.1. O&M Input on Design for New Building
2.2. Asset Information (Documentation)
2.3. Operation Procedures
2.4. Emergency Preparedness
2.5. Preventive Maintenance Procedures / Standards
2.6. Corrective Maintenance
2.7. Maintenance Record Management
2.8. Spare Parts Management
2.9. Addition, Alteration and Replacement (Planning and Implementation)
2.10. Incident Management
2.11. Environmental and Safety Management
2.12. Application of Technologies
2.13. Stakeholder Management
2.14. Information Management
2.15. Structure and Qualification of O&M Team
3. Innovative & Technology Initiatives
3.1. Technology Trend 1: CAFM Software
3.2. Technology Trend 2: Building Information Modelling (BIM)
3.3. Technology Trend 3: Internet of Things (IoT)
3.4. Technology Trend 4: Drones
3.5. Technology Trend 5: Artificial Intelligence (AI)
3.6. Technologies Initiatives
4. Industry Standards and Requirements
4.1. Guidance Notes and Codes of Practice
4.2. International Standards
5. Useful Forms/ Check List - Samples
5.1. Recommended Minimum Monitoring Frequency for Different Water Quality Parameters for Cooling Tower System
5.2. Recommended Routine Inspection Checklist for Cooling Tower System
5.3. Recommended Routine and Preventive Maintenance Checklist for Cooling Tower System
5.4. Recommended List of Personal Protective Equipment
5.5. Operation and Maintenance Records for Cooling Tower System
5.6. Sample Independent Audit Report for Cooling Tower System
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Useful Forms/ Check List – Samples

5. Useful Forms/ Check List – Samples

5.1 Recommended Minimum Monitoring Frequency for Different Water Quality Parameters for Cooling Tower System

Parameters Minimum Monitoring Frequency for Cooling Water
Conductivity Monthly
Total dissolved solids Monthly
Suspended solids Monthly
Calcium hardness Monthly
pH Monthly
Total alkalinity Quarterly
Oxidising biocide Monthly
Inhibitor level Monthly
Temperature Monthly
Chloride as mg/L Cl Quarterly
Sulphate as mg/L SO4 Quarterly
Total iron as mg/L Fe Quarterly
Residual Cl/ Oxidation Reduction Potential (ORP) Monthly
5-day Biochemical oxygen demand (BOD5) Monthly
Chemical Oxygen Demand (COD) Monthly
Heterotrophic colony count Monthly
Legionella Quarterly*

*Remarks: Cooling tower systems installed at medical and health care premises should be monitored ex-ceptionally closely. Water sampling for cooling tower systems installed in these locations should be carried out at least once a month for both legionella test and HCC. Moreover, if legionella or HCC is found to be greater than the specified requirement under routine sampling, more fre-quent water sampling is required to form part of the system operation programme.

Parameters Minimum Monitoring Frequency for Bleed-off Water
Colour Quarterly
Turbidity Quarterly
Threshold Odour No. Quarterly
Ammoniacal Nitrogen Quarterly
Suspended Solids Quarterly
Dissolved Oxygen Quarterly
5-day Biochemical Oxygen Demand Quarterly
Synthetic Detergents Quarterly
E. Coli/ 100mL Quarterly

Note: The above checklists are for reference only. The owners of the cooling towner systems should develop their own water quality monitoring schedules to suit their systems.

5. Useful Forms/ Check List – Samples

5.2 Recommended Routine Inspection Checklist for Cooling Tower System

Procedures Inspection Frequency
1. Check condenser water pumps Weekly
2. Check cooling water quality Monthly
3. Check internal surfaces of cooling towers/evaporative condenser for scale, rust, sludge and biofilm accumulation Monthly
4. Check cooling water for clarity, odour, surface debris and temperature. Weekly
5. Check strainers Weekly
6. Check drains Weekly
7. Check float valves Weekly
8. Check water treatment dosing equipment and conductivity sensors Weekly
9. Check water treatment chemicals for adequacy and safety Weekly
10. Check condition/cleanliness of fill pack/tubes Monthly
11. Check condition/cleanliness of drift eliminators Monthly
12. Check condition/cleanliness of distribution troughs/spray headers and nozzles Monthly
13. Check fans, drives and gearbox Weekly
14. Check water level of basin Weekly
15. Check bleed-off valve Weekly
16. Check for system leakage and overflow from cooling towers Monthly
17. Check air inlets and fan screens Weekly

Note: The above checklists are for reference only. The owners of the cooling tower systems should develop their own inspection checklists to suit their systems.

5. Useful Forms/ Check List – Samples

5.3 Recommended Routine and Preventive Maintenance Checklist for Cooling Tower System

Checklists Maintenance Frequency
1. Tighten all fasteners Every 6 months
2. Clean strainers Monthly
3. Clean water basin and all internal surfaces of cooling towers Every 6 months
4. Adjust and lubricate pumps and pump motors Quarterly
5. Adjust and lubricate fans and fan motors Quarterly
6. Remove drift eliminators and fills for cleaning Every 6 months
7. Adjust and lubricate valves Quarterly
8. Clean water distribution pipework, including nozzles Quarterly
9. Remove end cap in each header tor cleaning Every 6 months

Note: The above checklists are for reference only. The owners of the cooling tower systems should develop their own routine and preventive maintenance checklists for their systems.

5. Useful Forms/ Check List – Samples

5.4 Recommended List of Personal Protective Equipment

Job Potential Hazzard Respirator and Clothing
Testing and commissioning Aerosol Half face piece, capable of filtering smaller than 5μm particulates, ordinary work clothing
Inspection Aerosol Half face piece, capable of filtering smaller than 5μm particulates, ordinary work clothing
Water Sampling Aerosol Half face piece, capable of filtering smaller than 5μm particulates, ordinary work clothing
High pressure spraying Aerosol Respirator as above, waterproof overalls, gloves, boots, goggles or face shield
Chemical treatment with sodium hypochlorite solution in ventilated space Spray mist and very low concentration chlorine Half face piece, acid gas and particulate respirator, goggles or face shield, overalls, gloves, and boots
As above, in confined space Unknown chlorine concentration, high mist, possible lack of oxygen To comply with the requirement under the Factories and Industrial undertakings (Confined Spaces) Regulation

5. Useful Forms/ Check List – Samples

5.5 Sample Operation and Maintenance Records for Cooling Power System

A. System Description

Record Details
Building Name & Building Address
Cooling tower type
Number of cooling towers in system
Heat rejection capacities of the cooling towers
Building owner's name/contact details*
Owner of cooling towers’ name and contact details*
O&M contractor of cooling towers’ name and details*
Water treatment services provider’s name and contact details*
Water sampling/laboratory contractor's name and contact details*

* To include company name, contact person’s business and after office hours telephone numbers

B. Weekly Monthly Records for the month ( ) of year ( )

Procedures Date of Action
Week1 Week2 Week3 Week4 Monthly
1. Check cleanliness, organic fouling and physical debris
2. Inspect for slime and algal growth
3. Inspect for deterioration of materials, damage to components, blockages and corrosion
4. Inspect for correct operation of fans, motors and pumps
5. Inspect water leaks from seams
6. Inspect misshaped exterior or collapsed internal supports
7. Inspect supporting framework
8. Inspect fill and drift eliminator
9. Check condition and operation of ball value
10. Check fan thermostat (if equipped)
11. Check sprays and distribution deck
12. Check bleed-off rate

C. Quarterly/6-monthly/Yearly Records for the year ( )

Procedures Date of Action
Quarter1 Quarter2 Quarter3 Quarter4
1. Lubricate fan and pump bearings/ gearbox
2. Drain basin and clean distribution deck, fill and drift eliminator
3. Check security of all bolts and fittings
4. Clean fan blades
5. Clean all components as required

D. Monthly Water Sample Bacterial Test Records for the year ( )

Bacteria Test Testing Laboratory Data of Test Test Results (cfu/mL) Action
Heterotrophic colony count Month 1
Month 2
Month 3
Month 4
Month 5
Month 6
Month 7
Month 8
Month 9
Month 10
Month 11
Month 12
Total legionella count Month 1
Month 2
Month 3
Month 4
Month 5
Month 6
Month 7
Month 8
Month 9
Month 10
Month 11
Month 12

Note: The above formats are for reference only. The owners of the cooling towner systems should develop their own formats for their systems.

5. Useful Forms/ Check List – Samples

5.6 Sample Independent Audit Report for Cooling Tower System

Cooling Towner EMSD Registration No. PS- ______________No._________to____________
Auditing Period __________ (month/ year) to ________ (month/ year)

A. System Description

Record Details
Building Name & Building Address
Cooling tower type
Number of cooling towers in system
Heat rejection capacities of the cooling towers
Building owner's name/contact details
Owner of cooling towers’ name and contact details
Designer of cooling towers’ name and contact details
O&M contractor of cooling towers’ name and contact details
Water treatment services provider’s name and contact details

*To include company name, contact person’s business and after office hours telephone numbers

B. Documents Checking

Documents Record available Recommendation
Yes No
Operation & maintenance manual
Testing & commissioning records
System schematic and layout drawings
Routine inspection records
Routine maintenance records
Routine cleaning and disinfection records
Monthly heterotrophic colony count (HCC) results
Monthly/Quarterly* total legionella count results
Routine water quality monitoring records (if available)

*Delete as appropriate

C. Visual Inspection

Items Acceptable Recommendation
Yes No
General cleanliness of cooling tower system
Integrity of components including ladders, rails and platforms
Operation condition of cooling towers and pumps
Operation condition of water treatment equipment
Cleanliness of plant area
Drift loss control

D. Risk Identification

Assessment of Cooling Tower System Recommendation/ remedial action required
System alteration Any system addition, alteration and improvement work carried out in the previous year?
☐ Yes ☐ No
If yes, has operation and maintenance programme been reviewed?
☐ Yes ☐ No
External environment Is there any newly occupied building regarded as high risk designation located in vicinity to the system?
☐ Yes ☐ No
If yes, has operation and maintenance programme been reviewed?
☐ Yes ☐ No
Is there any construction site found nearby?
☐ Yes ☐ No
If yes, has operation and maintenance programme been reviewed?
☐ Yes ☐ No
Is the separation between the cooling towers and the nearest opening(s) maintained to meet the separation requirements as stipulated in Section 4.1 of Code of Practice Part 1?
☐ Yes ☐ No (please specify in details)
System performance Has fouling of cooling towers system occurred in the previous year?
☐ Yes ☐ No
If yes, has appropriate rectify work been carried out?
☐ Yes ☐ No
Water treatment programme performance Has HCC results exceeded 100 000 cfu/mL during the previous year?
☐ Yes ☐ No
If yes, has appropriate rectified work, including cleaning and disinfection and water treatment programme review been carried out?
☐ Yes ☐ No
Has total legionella count results exceeded 10 cfu/mL during the previous year?
☐ Yes ☐ No
If yes, has appropriate rectified work, including cleaning and disinfection and water treatment programme review been carried out?
☐ Yes ☐ No
Compliance of Code of Practice for Fresh Water Cooling Towers Is the system complied with the Code of Practice?
☐ Yes ☐ No
Potential risk identified during walkthrough inspection

E. Progress of remedial works

Assessment of Cooling Tower System Recommendation/ remedial action required
Remedial works Are all the remedial works as recommended in the previous year being carried out?
☐ Yes ☐ No ☐ N/A

F. Other recommendation ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________

G. Personal declaration

Part I: To be completed by Auditor*

*I, _____________________________ (Full name of Auditor), Registered Professional Engineer (*Building Services / Mechanical Discipline), RPE Registration No: ____________________, have carried out annual independent audit for the above cooling tower system in according to section 4.3 of the Code of Practice for Fresh Water Cooling Towers, Part 2. And I am not involved in any O&M activities of this cooling tower systems.

OR

*I, _______________________________________ (Full name of Auditor), holder of_________________________________________ (Qualification of Auditor), issued by ____________________________________ (Institute issue the Qualification), have carried out annual independent audit for the above cooling tower system in according to Section 4.3 of the Code of Practice for Fresh Water Cooling Towers, Part 2. And I am not involved in any O&M activities of this cooling tower systems. (* delete as appropriate)

Signed by the Auditor: ______________________

Full name of Auditor: ______________________

Registration no.: ______________________

Date: ______________________

#Remarks: The Auditor should have relevant operation and maintenance experience on cooling tower systems and possess either one of the following qualifications. a) Registered Professional Engineer in Building Services or Mechanical discipline,
or
b) Higher Certificate or above in building services engineering or mechanical engineering or air-conditioning system, plus at least five years of operation and maintenance experience on cooling tower systems

Part II: To be completed by the owner of cooling tower system
I am the owner of this cooling tower system. I acknowledge that I have read this annual audit report and understand the latest conditions of this cooling tower system.

Signed by the Owner of cooling tower(s): ______________________

Full name of Owner of cooling tower(s): ______________________

Date: ______________________

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