Template

Thermostatic Mixing Valve Checklist

by Shane Stevanovich, from the Community

Use this thermostatic mixing valve (TMV) checklist to document inspections, servicing, and commissioning. Capture valve make, model, size, location, outlets served, temperatures for adults, children, and neonatal areas, thermal shutdown test results, parts replaced, and service schedules. Includes licensed plumber sign-off and references to applicable codes and local authority requirements.

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Confirm accountability and compliance with a digital log

With SafetyCulture you can

Digitize any process, procedure or policy

Eliminate mistakes made by paper-based processes

Create and share professional reports instantly

Confirm accountability and compliance with a digital log

About author

Community

This community page makes available free workplace checklists and templates created by other users within the SafetyCulture community. SafetyCulture has re-published this content and where possible, has credited the original author. SafetyCulture has not verified the accuracy, reliability or suitability of any community content. You agree that your use of any of this content is in accordance with SafetyCulture’s Terms and Conditions.

Template
MB Thermostatic Mixing Valve Inspection Checklist
This MB thermostatic mixing valve checklist helps technicians document site details, valve make and model, sizes, identification, and locations. Record inspection and service actions including dismantling, cleaning components, checking non return valves, replacing O rings, reassembling, setting temperatures for adults and children, and performing a thermal shutdown test. Capture parts replaced and outlet temperature ranges for neonatal, children, adults, and other areas. Track service dates, installer and contractor details, and obtain licensed plumber sign off to meet local authority and code requirements.
by Shane Stevanovich, from the Community
Downloads: 0
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Template
Thermostatic Mixing Valve Audit Checklist
Use this Thermostatic Mixing Valve audit template to verify valve location, model and ID, condition, connected fixtures, operational status, outlet temperatures, and fail-safe performance. Capture compliance details, actions required, and next service due, with work completed by licensed tradespeople.
by Andrew Moar, from the Community
Downloads: 10+
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Template
Thermostatic Mixing Valves Commissioning Report
Use this Thermostatic Mixing Valve commissioning report template to help facilities and plumbing teams document site and valve details, model and size, location and identification, outlets served, target temperature ranges for adults, children, and neonates, dynamic hot and cold water pressures, and fail-safe test results. Record accredited tester credentials, signatures, observations, and whether the valve is satisfactory for further use. This structured report supports compliance and safe water delivery across baths, basins, showers, and other outlets.
by James Lynch, from the Community
Downloads: 20+
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Template
TMV and Tempering Valve Inspection Checklist
Use this inspection checklist to verify thermostatic mixing valve and tempering valve compliance in buildings. Capture make and model, valve size, location and ID, and photo evidence. Record the number of outlets served, including baths, basins, showers, and other fixtures. Measure outlet temperatures and check against recommended ranges for adults, children, and neonatals. Perform and document the fail safe test and determine whether the valve is satisfactory for continued use. Include accredited tester details, employer, position, witnesses, and signatures to support compliance and record keeping.
by Daniel Kahi, from the Community
Downloads: 0
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MB Thermostatic Mixing Valve Inspection Checklist

This MB thermostatic mixing valve checklist helps technicians document site details, valve make and model, sizes, identification, and locations. Record inspection and service actions including dismantling, cleaning components, checking non return valves, replacing O rings, reassembling, setting temperatures for adults and children, and performing a thermal shutdown test. Capture parts replaced and outlet temperature ranges for neonatal, children, adults, and other areas. Track service dates, installer and contractor details, and obtain licensed plumber sign off to meet local authority and code requirements.

by Shane Stevanovich, from the Community

Get

Template

Thermostatic Mixing Valve Audit Checklist

Use this Thermostatic Mixing Valve audit template to verify valve location, model and ID, condition, connected fixtures, operational status, outlet temperatures, and fail-safe performance. Capture compliance details, actions required, and next service due, with work completed by licensed tradespeople.

by Andrew Moar, from the Community

10+

Get

Template

Thermostatic Mixing Valves Commissioning Report

Use this Thermostatic Mixing Valve commissioning report template to help facilities and plumbing teams document site and valve details, model and size, location and identification, outlets served, target temperature ranges for adults, children, and neonates, dynamic hot and cold water pressures, and fail-safe test results. Record accredited tester credentials, signatures, observations, and whether the valve is satisfactory for further use. This structured report supports compliance and safe water delivery across baths, basins, showers, and other outlets.

by James Lynch, from the Community

20+

Get

Template

TMV and Tempering Valve Inspection Checklist

Use this inspection checklist to verify thermostatic mixing valve and tempering valve compliance in buildings. Capture make and model, valve size, location and ID, and photo evidence. Record the number of outlets served, including baths, basins, showers, and other fixtures. Measure outlet temperatures and check against recommended ranges for adults, children, and neonatals. Perform and document the fail safe test and determine whether the valve is satisfactory for continued use. Include accredited tester details, employer, position, witnesses, and signatures to support compliance and record keeping.

by Daniel Kahi, from the Community

Get

Thermostatic Mixing Valve Checklist

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MB Thermostatic Mixing Valve Inspection Checklist

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Thermostatic Mixing Valves Commissioning Report

TMV and Tempering Valve Inspection Checklist

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MB Thermostatic Mixing Valve Inspection Checklist

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