Safeguard Winterization Checklist Form PDF Details

As temperatures plummet, the importance of properly winterizing properties cannot be overstated, especially for those under the care of Safeguard Properties. The Safeguard Winterization Checklist form is an extensive tool designed to ensure that every aspect of a property’s plumbing system is adequately prepared to withstand the cold. This checklist covers a comprehensive set of tasks, from the basic step of turning off and securing the water supply, to more complex procedures such as draining systems and adding anti-freeze to protect from freezing. Essential for contractors, this document demands meticulous attention to detail, requiring both a systematic approach to the winterization process and thorough photo documentation of each step. The form also emphasizes the significance of accountability, making it clear that the contractor performing the work is responsible for both the integrity of the winterization and the accuracy of the reporting. By signing the form, the contractor takes full responsibility for the workmanship and any subsequent issues that may arise due to incorrect or incomplete winterization, underscoring the critical nature of a job well done. This exacting approach is designed to safeguard properties and their plumbing systems against the ravages of winter, minimizing the risk of damage and the need for costly repairs.

QuestionAnswer
Form NameSafeguard Winterization Checklist Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesSafeguard Properties Winterization Checklist Form, Safeguard Properties Winterization Checklist and documentation

Form Preview Example

Safeguard Properties

Winterization Checklist and Documentation

Contractor Code:

 

 

 

Utilities (Meter Reading)

 

 

Property Address:

 

 

 

Water: on/off (

)

 

 

 

 

 

 

 

 

 

 

 

 

 

Date:

 

 

 

 

 

Electric: on/off (

)

 

 

 

 

 

 

 

 

 

 

 

 

Employee's Name

 

 

 

Gas: on/off (

)

 

 

 

 

 

 

 

 

 

 

 

 

Crew ID/# that performed the winterization: __

_ Water: Well / City

 

 

Was Broker Contacted: yes/no

 

 

 

 

 

 

 

 

 

Is Broker Maintaining Utilities: yes/no

How many units?

 

 

 

 

 

 

 

 

 

 

 

Type of system? (Dry, Steam, Radiant)

 

 

 

 

 

 

 

 

 

Was property frozen on arrival: yes/no

 

 

 

 

 

 

 

 

 

If yes, provide a detailed description:

 

 

***Document any pre-existing plumbing system and/or water damages to the property:

***Attention Contractors*** It is important for each contractor to provide photo documentation which supports each step during the winterization process. Please remember to provide and illustrate in-depth photos which highlight each step on the Winterization checklist. The contractor is required to upload this checklist identical to the way the maid service checklist is uploaded. This will be required for all initial service orders and all winterization orders in order to receive payment. If you have any questions, please reference the online training material information within vendor web or your work order, which provides direction on the Winterization process.

Disconnecting Water Supply

Shut water off at the curb

Install Zip tie on main shut off valve

Was water meter disconnected?

Was Main water line pluged?

Photo documentation of all the above?

Draining the System

Shut off gas or electric to Water Heater Drain Water Heater (outside or floor drain) Drain Well/Holding tanks if applicable Disconnect electric to well pump if applicable Drain all toilet tanks and bowls

Photo documentation of all the above?

Blowing the lines

Close all faucets and valves

Attach compressor (5 gallon or 3.8 CFM) Build pressure to 35 PSI

Open 1 faucet valve at a time (hot then cold). Did air/water come out of every faucet/valve? Is all water out of the system?

Photo documentation of all the above?

***Provide a detailed reason why the system doesn't hold pressure

Pressure Test System

Make sure all water is drained from system. Close all faucet/valves.

Build pressure to 35 PSI

Did pressure hold for 30 mins? Document why it didn't hold pressure. Photo documentation of all the above?

Adding Anti-Freeze

Add anti-freeze to all toilets (bowls and tanks) Add anti-freeze to all sinks P-traps.

Add anti-freeze to all Shower/Tub P-traps. Add anti-freeze to all floor drains.

Add anti-freeze to dish washer drain. Photo documentation of all the above?

Stickers

Wint sticker on toilets.

Wint sticker on Tubs/Showers Wint sticker on water heater. Wint sticker on water meter.

Wint sticker on dish washer. Wint sticker on sinks.

NO wint sticker on door. Toilet wrap installed on toilets.

Photo documentation of all the above?

REVISED 4/20/12

Notify Safeguard (Call from site)

If Radiant or Steam Heating System

If there is a Fire Suppression System. If there is a lawn sprinkler system.

If there are unusual circumstances. Photo documentation of all the above?

"In addition to all the above" Drain boiler.

Loosen bleeder pins to allow draining. Drain expansion tank.

Blow heating loops. Pressure test heating system. Wint sticker boiler.

Photo documentation of all the above?

By signing and dating the below, I take full responsibility for the accuracy and workmanship for completing and documenting a proper winterization. As a qualified individual to perform a proper winterization, I have photo documented the entire winterization process to support all items are completed per Safeguard Properties guidelines and all supporting documentation for damages and estimates/bids are accurate. I understand that any missed, false and/or inaccurate information will result in total ownership of the plumbing system and all repairs to the system will be at my cost to achieve a sound certified working plumbing system.

Signature:

Date:

REVISED 4/20/12

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