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CrossConnection Control Policy Water AssociationApproved:Amended:I. Purpose. To protect the water supplied to the public by the Water Association from the possibility of contamination or pollution
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How to fill out cross-connection control policy template

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How to fill out cross-connection control policy

01
To fill out a cross-connection control policy, follow these steps:
02
Start by gathering all necessary information, such as local regulations and requirements.
03
Develop a comprehensive understanding of your facility's water system and potential cross-connections.
04
Assess potential risks and hazards associated with cross-connections in your facility.
05
Determine the appropriate control measures and backflow prevention devices needed to mitigate these risks.
06
Create a written policy that outlines the procedures and protocols for preventing and addressing cross-connections.
07
Include details on regular inspections, maintenance, and testing of backflow prevention devices.
08
Train staff members on the importance of cross-connection control and how to implement the policy effectively.
09
Periodically review and update the policy as needed to ensure its continued effectiveness.
10
Keep accurate records of all cross-connection control activities for reference and compliance purposes.

Who needs cross-connection control policy?

01
Any facility or establishment that has a water supply connection, whether public or private, needs a cross-connection control policy.
02
This includes but is not limited to:
03
- Residential buildings
04
- Commercial buildings
05
- Industrial facilities
06
- Schools and educational institutions
07
- Healthcare facilities
08
- Restaurants and food establishments
09
- Public swimming pools
10
- Municipal water supply systems
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- Any location where backflow of contaminants into the water supply can occur.

What is Cross-Connection Control Policy Form?

The Cross-Connection Control Policy is a fillable form in MS Word extension that has to be completed and signed for certain needs. Next, it is provided to the actual addressee to provide some details of certain kinds. The completion and signing is possible manually or using a trusted tool like PDFfiller. Such applications help to fill out any PDF or Word file without printing them out. While doing that, you can edit its appearance according to your needs and put legit electronic signature. Upon finishing, the user sends the Cross-Connection Control Policy to the respective recipient or several of them by email and even fax. PDFfiller includes a feature and options that make your blank printable. It includes various settings when printing out appearance. No matter, how you'll deliver a form after filling it out - in hard copy or electronically - it will always look well-designed and clear. To not to create a new editable template from scratch every time, make the original form as a template. Later, you will have an editable sample.

Instructions for the Cross-Connection Control Policy form

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Cross-connection control policy is a set of rules and regulations put in place to prevent the contamination of drinking water by ensuring that non-potable water sources do not come into contact with the potable water supply.
Public water systems and certain commercial and industrial facilities are required to file cross-connection control policies.
Cross-connection control policies can usually be filled out by documenting the potential cross-connections in a facility, implementing backflow prevention devices where necessary, and outlining procedures for regular testing and maintenance of these devices.
The purpose of a cross-connection control policy is to safeguard public health by preventing the backflow of contaminated water into the drinking water supply.
Cross-connection control policies typically include a list of potential cross-connections, details of backflow prevention measures in place, a schedule for testing and maintenance of backflow prevention devices, and contact information for the responsible party.
Penalties for late filing of cross-connection control policies vary by jurisdiction, but may include fines or penalties against the responsible party.
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