12 Room Control Form (Can be used instead of form no 2 and 3 for HK)
Recording Period: Daily - Weekly - Monthly
Responsible: H/K
| No | Room No | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 | 18 | 19 | 20 | 21 | 22 | 23 | 24 | 25 | 26 | 27 | 28 | 29 | 30 | 31 | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 | 18 | 19 | 20 | 21 | 22 | 23 | 24 | 25 | 26 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Month/Year:
Description:
- For rooms with status VR, application 1 is performed.
- For rooms with status OCC and C/O, applications 2 and 3 are performed.
Application 1
Running water for 3-5 minutes from hot and cold water outlets of empty rooms (sink faucet, shower cabin faucet, shower head, bidet faucet). This application is used in empty clean (VR) rooms.
Application 2
Limescale cleaning (sink faucet, shower faucet, shower head, bidet faucet). This application is used daily/weekly/monthly in guest rooms (OCC) and check-out rooms (C/O).
Used Chemicals: ………………………………………………………..
Application 3
Disinfection (faucets, shower heads). This application is used daily/weekly in guest rooms (OCC) and check-out rooms (C/O).
Used Chemicals: …………………………………………………
Performed by:
Checked by:
Form No: LRM-1.12
ISIS_Water_Safety_Forms_2019
Everyone sometimes needs a doctor, but everyone always needs hygiene.