Water Heater Maintenance Log
Track the two jobs that decide how long a water heater lasts: flushing out sediment and replacing the sacrificial anode before it is gone.
HS-02 2 pages
Premises and facilities checks · PF-02
Water Temperature and Flushing Record
A free printable record for outlet temperatures and the flushing of little-used outlets, with your own figures written in at the top.
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One page. Choose your paper size — both versions are laid out identically, so neither one gets shrunk to fit.
Print it and write on it
Fill it in type and save
The fillable versions have real form fields — open them in any PDF reader, type into them and save. Printing help.
What this sheet is for
Keep a dated record of outlet temperatures and flushing so a trend is visible, rather than a single reading taken on the day somebody asked.
Who it is for
Landlords, holiday lets, village halls, small care settings, gyms, salons and anyone responsible for water in a building used by others.
How to use it
- Write down where your required figures and intervals come from before you start.
- Give every outlet a reference and use the same one each time.
- Record the actual reading, not whether it passed.
- Flush little-used outlets and record that you did.
- Report anything outside your stated range immediately, and record who you told.
What is on the sheet
One page, top to bottom:
Printed under the title: Outlet temperatures and flushing of little-used outlets, recorded so a trend can be seen rather than a single day.
The figures come from your own assessment. No temperatures, no intervals and no acceptable ranges are printed here. Water safety in a building is the subject of a written assessment by somebody competent, and the figures come from that assessment and from local rules — never from a downloaded sheet. What must be tested or recorded, how often, by whom and how long the record must be kept differ by country and by the kind of premises. This sheet prints no interval and no criterion, names no scheme and satisfies no regulation on its own.
Write-on lines: Building or site · Responsible person · Year · Sheet · Where the required figures and intervals come from
Table, 9 rows: Date · Outlet reference and location · Type · Run for · Temperature recorded · Within your stated range · Flushed · Action taken · By
Write-on lines: Anything outside range reported to · On · Reviewed
Questions
What temperature should the water be?
That comes from a written water safety assessment carried out by somebody competent, and from local rules — not from a printable. Deliberately, no figure appears anywhere on this sheet.
Does keeping this record make the building safe?
No. The record shows what was measured. Whether the system is safe, what has to be monitored and what to do about a poor reading are matters for the assessment and, where relevant, a specialist.
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