Run Cruise Ship Potable Water Bacteriological Sampling Log — Free

Inspection Identification

Vessel name and voyage identifier recorded critical (required)

Sampling event date and time recorded critical (required)

Inspection type identified as routine, follow-up, or investigative critical (required)

Inspector or sampler name and role recorded critical (required)

Reference SOP or CDC VSP sampling procedure documented

Sampling Location and Collection Details

Sample location identifier and exact fixture or outlet recorded critical (required)

Sampling point category selected critical (required)

Sample collection date and time recorded at point of collection critical (required)

Sample volume collected documented critical (required)

Residual disinfectant measured at sampling point critical (required)

Water temperature at sampling point recorded

Chain of Custody and Laboratory Submission

Sample container and preservative requirements verified critical (required)

Yes No N/A

Chain-of-custody form completed and sample ID matches log entry critical (required)

Yes No N/A

Laboratory name and accreditation status recorded critical (required)

Sample received by laboratory within required holding time critical (required)

Yes No N/A

Transport conditions maintained within specified range

Yes No N/A

Laboratory Results and Acceptance Criteria

Total coliform result recorded critical (required)

E. coli result recorded critical (required)

Heterotrophic plate count or equivalent result recorded

Legionella result recorded when required by sampling plan

Result compared against shipboard acceptance criteria critical (required)

Yes No N/A

Any non-conformance or out-of-spec result identified critical (required)

Yes No N/A

Corrective Actions and Follow-Up

Immediate corrective action documented for any failed or out-of-spec result critical (required)

Affected area isolated, flushed, disinfected, or otherwise controlled as required critical (required)

Yes No N/A

Retest or resampling scheduled with target date

Responsible department or officer assigned follow-up critical (required)

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Run: Cruise Ship Potable Water Bacteriological Sampling Log

Inspection Identification

Sampling Location and Collection Details

Chain of Custody and Laboratory Submission

Laboratory Results and Acceptance Criteria

Corrective Actions and Follow-Up

Get your results