Water Usage Register

Company Letterhead

{{company_name}}

{{company_address}}

Phone: {{company_phone}}

Email: {{company_email}}

Website: {{company_website}}

Document Title

<h2>WATER USAGE REGISTER</h2>

Instructions for Use

This register is to be completed daily/weekly/monthly (delete as appropriate) by the designated personnel.

Ensure all entries are accurate and legible.

Report any significant deviations in water usage to {{responsible_person_name}} immediately.

Retain this register for a minimum of {{retention_period}} years.

Register Details

<strong>Reporting Period:</strong> From {{start_date}} to {{end_date}}

<strong>Facility/Department:</strong> {{facility_department}}

Water Meter Readings

Record the meter readings from the primary water meter(s) at the designated intervals.

| Date | Time | Previous Reading (m³) | Current Reading (m³) | Daily/Weekly/Monthly Usage (m³) | Comments | Initialled by |

|---|---|---|---|---|---|---|

| {{date_1}} | {{time_1}} | {{previous_reading_1}} | {{current_reading_1}} | {{usage_1}} | {{comments_1}} | {{initials_1}} |

| {{date_2}} | {{time_2}} | {{previous_reading_2}} | {{current_reading_2}} | {{usage_2}} | {{comments_2}} | {{initials_2}} |

| {{date_3}} | {{time_3}} | {{previous_reading_3}} | {{current_reading_3}} | {{usage_3}} | {{comments_3}} | {{initials_3}} |

*(Add more rows as necessary)*

Other Water Consumption Records (e.g. Borehole, Rainwater Harvesting)

If other water sources are utilized, record their usage here.

| Date | Source Type | Volume Used (m³) | Purpose | Comments | Initialled by |

|---|---|---|---|---|---|

| {{other_date_1}} | {{source_type_1}} | {{volume_used_1}} | {{purpose_1}} | {{other_comments_1}} | {{other_initials_1}} |

| {{other_date_2}} | {{source_type_2}} | {{volume_used_2}} | {{purpose_2}} | {{other_comments_2}} | {{other_initials_2}} |

*(Add more rows as necessary)*

Summary of Water Usage

<strong>Total Water Usage for Period:</strong> {{total_usage_period}} m³

<strong>Average Daily Usage:</strong> {{average_daily_usage}} m³

Observations and Actions

Record any unusual observations, leaks, or maintenance actions taken.

| Date | Observation/Issue | Action Taken | Responsible Person | Date Resolved |

|---|---|---|---|---|

| {{obs_date_1}} | {{observation_1}} | {{action_1}} | {{responsible_person_obs_1}} | {{date_resolved_1}} |

| {{obs_date_2}} | {{observation_2}} | {{action_2}} | {{responsible_person_obs_2}} | {{date_resolved_2}} |

Approval and Review

<strong>Prepared By:</strong>

Name: {{prepared_by_name}}

Signature: _________________________

Date: {{prepared_date}}

<strong>Reviewed By:</strong>

Name: {{reviewed_by_name}}

Signature: _________________________

Date: {{reviewed_date}}

Position: {{reviewed_by_position}}