Template

Clinic Facilities Daily Rounding Checklist

by Jennifer Radicke, from the Community

10+

This daily rounding checklist is designed for healthcare facilities to document critical building systems and ensure consistent operations. It covers fire protection gauge pressures, domestic cold water pumps, water softener status and salt levels, water heaters, boiler temperature readings, heating water supply and return temperatures, hot and chilled water pump temperatures, and chiller inlet and outlet temperatures. A propane note is included, along with fields for date, location, personnel, and signatures. Ideal for specialty clinics and hospitals to standardize facilities rounds and maintain compliance and safety.

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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

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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
Domestic Water Temperature Records
Use this monthly checklist to log hot and cold domestic water temperatures across your site. Cover reception, restrooms, showers, kitchens, labs, workshops and factory areas. Record outlet IDs, readings for hot and cold, note issues such as damage or no hot water, and capture whether building water works were in progress. Add comments, next audit date and a signature to complete the record. Helps facilities teams maintain water hygiene, manage Legionella risk and demonstrate compliance during safety audits.
by Ricardo Cardigos, from the Community
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Daily Mechanical Walk Checklist
Use this daily mechanical walk checklist to verify critical building systems across a hotel or mixed use facility. Inspect boilers, heat exchangers, hot and chilled water pumps, condenser water pumps, cooling towers, domestic cold and hot water, DHW recirculating pumps, and HVAC set points and temperatures. Check elevator control rooms, IT and AV rooms, generator and ATS rooms, fire pump and panel status, and main electrical rooms. Capture readings for supply and return temperatures, PSI, and room conditions, and log issues found on each floor and in the mechanical room. Use this template to standardize rounds, reduce downtime, and maintain safe reliable operations.
by David Carrillo, from the Community
Downloads: 10+
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Template
Bailey 550 Building Rounds
This building rounds template helps facilities teams document critical HVAC and plant operations across Bailey 550. Record chiller performance for units 1 and 2 including water temperatures, refrigerant pressures, compressor currents and voltages, and run time. Capture pump and condenser water statuses, suction and discharge pressures, and chilled water pump data. Log cooling tower conductivity, chemical feed settings, and post-bleed results. Enter garage electrical, makeup water, and blowdown meter readings. Check elevator machine room temperature and water source heat pump room pressures, plus strainer condition and cleaning. Track AHU status, supply and return air temperatures, and chilled water valve positions for multiple units. Conclude with a shift summary, note issues requiring service by UNT or contractors, and attach photos of equipment or damage.
by Cole 166 Sheldon, from the Community
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Third Space Soho Monthly Hot and Cold Water Checks
Use this checklist to complete monthly hot and cold water checks for Legionella control at Third Space Soho or similar facilities. Record cold water temperatures after two minutes and hot water temperatures after one minute, confirm mains supply temperature, check storage and return temperatures from hot water systems, inspect cold water tanks and hot water plant condition, review thermostatic mixer valves, and document corrective actions and sign off.
by Stephen Mason, from the Community
Downloads: 10+
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Clinic Facilities Daily Rounding Checklist

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Domestic Water Temperature Records

Daily Mechanical Walk Checklist

Bailey 550 Building Rounds

Third Space Soho Monthly Hot and Cold Water Checks

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Domestic Water Temperature Records

Daily Mechanical Walk Checklist

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