
Get the free Cross-Connection Control Program - New York State Department of Health
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CROSS CONNECTION CONTROL BACKFLOW PREVENTIONEnclosed are two new forms, the DOH347 and DOH1013, to be used for all future plan submittals for the approval of containment backflow preventers. All submittals
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How to fill out cross-connection control program

How to fill out cross-connection control program
01
Identify all potential cross-connections in the water system.
02
Develop a plan to eliminate or control these cross-connections.
03
Implement backflow prevention devices where necessary.
04
Regularly inspect and test these devices to ensure they are functioning properly.
05
Keep detailed records of all cross-connection control measures taken.
Who needs cross-connection control program?
01
Any facility or property that is at risk of having contaminated water backflow into the public water system needs a cross-connection control program.
02
This includes but is not limited to hospitals, restaurants, industrial facilities, and residential buildings with irrigation systems.
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What is cross-connection control program?
A cross-connection control program is a set of measures and practices implemented to prevent backflow of contaminated water into the public water supply.
Who is required to file cross-connection control program?
Certain businesses and facilities, such as healthcare facilities, industrial plants, and commercial buildings, are required to file a cross-connection control program.
How to fill out cross-connection control program?
The program must be filled out with detailed information on potential cross-connection hazards, backflow prevention devices, and maintenance procedures.
What is the purpose of cross-connection control program?
The purpose of a cross-connection control program is to protect the public water supply from contamination and ensure safe drinking water for the community.
What information must be reported on cross-connection control program?
Information on potential cross-connection hazards, backflow prevention devices, maintenance procedures, and testing schedules must be reported on the program.
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