WATER TEMPERATURE RECORDING SHEET

Service:10 Priory Avenue Month/Year: __________________

(Tick as Appropriate)
DATE Room BATH SHOWER AM SIGNED PM SIGNED
numbe
r
1st 1
2
3
4
5
6
2nd 1
2
3
4
5
6
3rd 1
2
3
4
5
6
4th 1
2
3
4
5
6
5th 1
2
3
4
5
6
6th 1
2
 WATER TEMPERATURE RECORDING SHEET

3
4
5
6
7th 1
2
3
4
5
6
8th 1
2
3
4
5
6
9th 1
2
3
4
5
6
10th 1
2
3
4
5
6
11th 1
2
3
4
5
6
12th 1
2
3
 WATER TEMPERATURE RECORDING SHEET

4
5
6
13th 1
2
3
4
5
6
14th 1
2
3
4
5
6
15th 1
2
3
4
5
6
16th 1
2
3
4
5
6
17th 1
2
3
4
5
6
18th 1
2
3
4
 WATER TEMPERATURE RECORDING SHEET

5
6
19th 1
2
3
4
5
6
20th 1
2
3
4
5
6
21st 1
2
3
4
5
6
22nd 1
2
3
4
5
6
23rd 1
2
3
4
5
6
24th 1
2
3
4
5
 WATER TEMPERATURE RECORDING SHEET

6
25th 1
2
3
4
5
6
26th 1
2
3
4
5
6
27th 1
2
3
4
5
6
28th 1
2
3
4
5
6
29th 1
2
3
4
5
6
30th 1
2
3
4
5
6
 WATER TEMPERATURE RECORDING SHEET

31st 1
2
3
4
5
6
Please ensure the temperature is taken before supporting the individual in the bath or shower.
Ensure the water temperature is always below 42c before an individual is supported.