Clean Water Audit Checklist

Campus:
Audit Date:
Auditor:
yes

no n/a

comments

Drinking Water System

1 Does the facility own or operate a public
drinking water system?
2 Does the facility own or operate a public
drinking water well system?
3 Is the facility required to perform drinking
water monitoring?
4 Does the facility respond to water quality
complaints?
5 When responding to water quality complaints,
does the facility perform drinking water
sampling and analysis?
6 Are all drinking water samples analyzed by a
certified laboratory?
7 Are analysis results reported to complainants?
8 Are analysis results maintained onsite for 10
years?
Backflow Prevention Devices
9 Are backflow prevention devices installed to
protect the public water system when
irrigation systems, drinking water systems,
fire protection systems, and other water
systems that may contain possible
contaminants are connected to public water?
10 When installed are backflow prevention
devices tested, prior to water service being
activated, by an SC DHEC certified tester and
results submitted to the Columbia Cross
Connection Control Program within 10 days
after installation?
11 Are all backflow prevention devices tested by
an SC DHEC certified tester at least one time
per year?
12 Is a copy of the annual test results for each
backflow prevention device forwarded to
Columbia Cross Connection Control
Program, as required?

USC EHS Office of Environmental Management

Revisions
EHS-F-189
Page 1 of 1
Reviewed: ______

Destroy Previous
Issue Date: 6/18/07