Template

TMV Quarterly Service Certificate

by Caitlin Faulds, from the Community

Use this TMV quarterly service certificate to record thermostatic mixing valve checks and water hygiene servicing. Capture site details, asset make or model, pipe size, cold, hot, and mixed temperatures, failsafe operation, condition and access notes, and engineer sign off. Includes PPM summary PPM 38, results, comments, and corrective actions to support compliance and audit trails across multiple facilities.

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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
TMV PPM Checklist
This TMV PPM checklist supports routine planned preventive maintenance of thermostatic mixing valves. Capture site and valve location details, attach photos, and log cold, hot, and mixed supply temperatures. Check for strainers, record cleaning, and document reasons if not completed. Perform fail-safe testing, note any remedial work required, and maintain a clear audit trail for compliance and safe water temperatures in buildings. Ideal for facilities and plumbing maintenance teams.
by Chris Gatcombe, from the Community
Downloads: 10+
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Template
TMV Service Report Template
Use this Thermostatic Mixing Valve service report to capture asset details, calibration dates, TMV locations, and photos. Record cold and hot feed temperatures, mixed outlet readings, and reasons when values fall outside the specified range. Note strainer presence and cleaning, perform failsafe testing, and log any remedial actions required. Supports consistent plumbing maintenance and compliance across facilities.
by Matthew Johnson, from the Community
Downloads: 10+
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Template
TMV Planned Preventive Maintenance Checklist
Use this TMV Planned Preventive Maintenance checklist to conduct routine inspections of thermostatic mixing valves. Record site, date, preparer, and location details; capture TMV location and photos; measure and log cold, hot, and mixed water temperatures; note presence of strainers and cleaning status; perform and verify fail-safe testing; and document any required remedials. This template helps maintenance and facilities teams standardize TMV servicing to support safety, scald protection, and water hygiene compliance across sites.
by Mike Williams, from the Community
Downloads: 10+
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Template
TMV Servicing Checklist
This TMV servicing checklist helps facilities and maintenance teams document thermostatic mixing valve servicing. It captures site details, date, preparer, and location; records TMV locations with photos; and logs make and model information. Technicians can check and record temperatures at source, adjust the TMV as needed, and advise on caution hot water signage. The form prompts inspection of nearby pipework for corrosion, checks for damage and leaks with rectification where possible, and lubrication where required. It also includes space for further notes and an office-completed service summary. Created by P&M Facilities Ltd, this checklist supports safe hot water delivery and consistent plumbing maintenance.
by Liam Williams, from the Community
Downloads: 10+
Get

TMV PPM Checklist

This TMV PPM checklist supports routine planned preventive maintenance of thermostatic mixing valves. Capture site and valve location details, attach photos, and log cold, hot, and mixed supply temperatures. Check for strainers, record cleaning, and document reasons if not completed. Perform fail-safe testing, note any remedial work required, and maintain a clear audit trail for compliance and safe water temperatures in buildings. Ideal for facilities and plumbing maintenance teams.

by Chris Gatcombe, from the Community

10+

Get

Template

TMV Service Report Template

Use this Thermostatic Mixing Valve service report to capture asset details, calibration dates, TMV locations, and photos. Record cold and hot feed temperatures, mixed outlet readings, and reasons when values fall outside the specified range. Note strainer presence and cleaning, perform failsafe testing, and log any remedial actions required. Supports consistent plumbing maintenance and compliance across facilities.

by Matthew Johnson, from the Community

10+

Get

Template

TMV Planned Preventive Maintenance Checklist

Use this TMV Planned Preventive Maintenance checklist to conduct routine inspections of thermostatic mixing valves. Record site, date, preparer, and location details; capture TMV location and photos; measure and log cold, hot, and mixed water temperatures; note presence of strainers and cleaning status; perform and verify fail-safe testing; and document any required remedials. This template helps maintenance and facilities teams standardize TMV servicing to support safety, scald protection, and water hygiene compliance across sites.

by Mike Williams, from the Community

10+

Get

Template

TMV Servicing Checklist

This TMV servicing checklist helps facilities and maintenance teams document thermostatic mixing valve servicing. It captures site details, date, preparer, and location; records TMV locations with photos; and logs make and model information. Technicians can check and record temperatures at source, adjust the TMV as needed, and advise on caution hot water signage. The form prompts inspection of nearby pipework for corrosion, checks for damage and leaks with rectification where possible, and lubrication where required. It also includes space for further notes and an office-completed service summary. Created by P&M Facilities Ltd, this checklist supports safe hot water delivery and consistent plumbing maintenance.

by Liam Williams, from the Community

10+

Get

TMV Quarterly Service Certificate

About author

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