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Florida Department of Environmental Protection CROSSCONNECTION CONTROL PROGRAM ANNUAL REPORT Instructions: Each community water system serving more than 10,000 persons shall complete and submit this
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How to fill out cross-connection control program annual

01
Begin by reviewing the relevant regulations and guidelines for cross-connection control.
02
Identify and document all potential cross-connections within your facility or system.
03
Develop a comprehensive cross-connection control program that includes prevention measures, inspection procedures, and maintenance schedules.
04
Educate and train all personnel involved in the program about the importance of cross-connection control and their respective roles in preventing contamination.
05
Implement regular inspections and testing to identify any potential cross-connection hazards and ensure the proper functioning of backflow prevention devices.
06
Keep detailed records of all cross-connection control activities, including inspections, testing results, maintenance performed, and any corrective actions taken.
07
Conduct annual reviews of your cross-connection control program to identify any necessary updates or improvements.
08
Engage with local regulatory agencies and water suppliers to ensure compliance with their requirements and to stay updated on any changes in regulations or guidelines.
09
Continuously monitor and evaluate the effectiveness of your cross-connection control program and make adjustments as needed.
10
Regularly communicate with facility stakeholders, staff, and customers about the importance of cross-connection control and the measures in place to protect against contamination.

Who needs cross-connection control program annual?

01
Any facility or system that has potential cross-connections to a potable water supply needs a cross-connection control program annual. This can include but is not limited to:
02
- Commercial buildings such as hotels, restaurants, and shopping centers
03
- Industrial facilities
04
- Hospitals and healthcare facilities
05
- Educational institutions
06
- Public buildings
07
- Residential buildings with multiple units
08
- Recreational facilities such as swimming pools and spas
09
- Agricultural operations
10
- Fire protection systems
11
It is important to consult local regulations and guidelines to determine specific requirements for cross-connection control programs.
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The cross-connection control program annual is a report that outlines the measures and actions taken to prevent the contamination of the water supply.
All facilities that are regulated under the Safe Drinking Water Act are required to file a cross-connection control program annual.
The cross-connection control program annual can be filled out by documenting the details of the backflow prevention measures implemented, conducting tests and inspections, and keeping records of maintenance and repairs.
The purpose of the cross-connection control program annual is to ensure the safety of the drinking water supply by preventing potential contamination from backflow incidents.
The report must include details of the backflow prevention devices installed, test results, maintenance records, and any backflow incidents that occurred during the year.
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