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SMALL DRINKING WATER SYSTEM

Kentucky Peer Review Program – Self Evaluation

Water System Name _________________________________________________

Address ___________________________________________________________

County _______________________ ADD District _________________________

Phone ____________________________ Date ____________________________

PUMPS AND CONTROLS

1.

How many pumps are in your system?

_____________________________

2.

Provide pump location and type of pump.  List whether pump condition is good, fair or poor.

Location        Type     Condition

__________________________________________________________________

__________________________________________________________________

3.   Are repair parts on-site or readily available?

□ Yes     □ No     □ Not Sure

4.

Are standby units on-site or readily available?

□ Yes     □ No     □ Not Sure

5.

Is rated pump capacity adequate to meet demand?

□ Yes     □ No     □ Not Sure

9.

Is there an adequate record of the operational data including pump runtime and gpm? □ Yes     □ No     □ Not Sure

10.

Are pumps and controls protected against vandalism, animals, and flooding?

□ Yes     □ No     □ Not Sure

11. Are the pump controls cleaned period-ically and protected against corrosion?

□ Yes     □ No     □ Not Sure

If “Yes” explain frequency and method.

__________________________________

__________________________________

__________________________________

__________________________________

12.

Are safety measures such as lock-out/tag-out used during pump or pump control maintenance?

□ Yes     □ No     □ Not Sure

13.

Do pump facilities have adequate drainage to prevent ponding of water?

□ Yes     □ No     □ Not Sure

6.   Are all pumps operational?

□ Yes     □ No     □ Not Sure

7.  Are any pumps excessively noisy, vibrating, or overheating?

□ Yes     □ No     □ Not Sure

8.

Is there an established preventive maintenance program for the pumps?

□ Yes     □ No     □ Not Sure

14.

Are pumps equipped with alarms to indicate operational status?

□ Yes     □ No     □ Not Sure

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