Rapid assessment of drinking-water quality in the - WHO/UNICEF ...

Total Score of Risks: /10
H OUSEHOLD P IPED W ATER
Risk
1. Is the main source tap sited outside the house (e.g. in the yard) Y
ٱ N ٱ 2. Is the water stored in a container (including rooftop or underground tanks) inside the
house/building
Y
ٱ N ٱ 3. Are any taps leaking or damaged Y
ٱ N ٱ 4. Are any taps shared with other households Y
ٱ N ٱ 5. Is the area around the main source tap insanitary Y
ٱ N ٱ 6. Are there any leaks in the household pipes Y
ٱ N ٱ 7. Do animals have access to the area around the pipe Y
ٱ N ٱ 8. Have users reported pipe breaks in the last week Y
ٱ N ٱ 9. Has there been discontinuity in the water supply in the last 10 days Y
ٱ N ٱ 10. Is the water obtained from more than one source Y
ٱ N ٱ Total Score of Risks: /10
Notes/Comments on Sanitary Inspection:
2. Water Quality Parameters (WSS No.: __________________)
Sample point:
(location where sample is collected)
Appearance: Clear
Clear and coloured
Slightly cloudy
Cloudy
Dirty
Notes/Comments on the Water Quality Analysis:
Count No. 1 Count No. 2
Thermotolerant coliforms (TTC)
(cfu/100 ml)
Faecal streptococci (FS)
(cfu/100 ml) a) X
pH
Turbidity (NTU)
Conductivity (S/cm)
Free Chlorine (mg/l)
Total Chlorine (mg/l)
b) X
Nitrate (mg/l)
Arsenic (mg/l)
Iron (mg/l)
Fluoride (mg/l)
Copper (mg/l)
Signature of Inspector/Analyst: __________________________________
Count No. 2, or Quality
Control (QC) Count, should
be:
TTC: 1 st sample of the
day, use 95% confidence
level
Chemicals: Once a week,
use 10% precision (± 0.1)
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