Water Plant Shift Checklist Form
Complete the Water Plant Shift Checklist Form at the start or end of your shift to ensure accurate handoff and operational status tracking.
Operator Name
*
First Name
Last Name
Shift Type
*
Start of Shift
End of Shift
Date and Time
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Main Pump Status
*
Operational
Standby
Fault
Water Level Reading (meters)
*
Pressure Reading (psi)
*
Chlorine Level (mg/L)
Any Alarms or Incidents During Shift?
*
No
Yes (details below)
Incident or Maintenance Notes
Shift Completion Confirmation
*
Submit Checklist
Submit Checklist
Should be Empty: