LAU Coaching Assessment

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1											Last update to template: 2024.04.23
2		Coaching Assessment		Instructions: This assessment will help you and your LAU coach identify areas of improvement for your Public Water System. To fill out the assessment please: - Mark a 1 in the Yes, No, or N/A column for each question - Document notes where appropriate especially for any n/a answer given - Mark 1 only once in each row - Mark 1 in the no column if you are not finished with a project.
3		Please note: this assessment is not the TMF assessment that is required for some design approval processes. For more information on the design approval process see Policy DW011 - New public water system capacity planning manual Google search “CDPHE Current drinking water policies” (version effective June 28, 2016) or click here.
4	System Name:			Points of Contact:
5	PWSID:			DATE:
6	LAU Coach:
7
8					Yes		No		N/A		Notes
9	Technical	T1	Does your supply always meet your system's demand?								If there are times when demand exceeds supply please explain how often.
10		T2	Are you planning for future water supply/demand?								Has your supply decreased or your demand increased in the last 5 years?
11		T3	Does your PWS regularly read meters and promptly address leaks?
12		T4	Do you have redundancy in your source water supply (e.g. multiple wells or intakes to allow for well pump failure or source water rehab while producing enough water to keep up with demand) ?
13		T5	Does the system have a source water protection plan that is up to date and implemented?								If no, what measures are you taking to protect your source water?
14		T6	Does the system have emergency power capability for all critical facilities?
15		T7	Does the system have enough effective storage capacity that allows for equalizing storage during peak demand, as well as adequate fire, and emergency storage?
16		T8	Does your system keep enough chemical supply on hand to withstand industry shortages and supply chain issues?
17		T9	Do you have redundant storage, allowing for continuity of operations during comprehensive tank maintenance activities?
18		T10	Do you have redundant treatment equipment (chemical pump, tubing, filters etc)?
19		T11	Does your distribution system consistently maintain above 35 psi?								Please explain if any part of your distribution system experienced low pressure or no pressure events in the past 5 years, aside from isolated valve shutoffs on short segments during water main repairs?
20		T12	Do you have a valve exercising program that is acted on?
21		T13	In the event of a main break, are you able to isolate a short segment of the main to make the repair (e.g. shut off water to one block or less, as opposed to several blocks)?
22			Total technical points		YES =	0	NO =	0	N/A =	0	T Score =	#DIV/0!
23	Managerial	M1	Does your PWS have a Certified Operator that meets your systems classification?
24		M2	Do you have redundancy with your ORC? Can someone (certified at or above the level of the facility) make integrity control decisions if the ORC is not available?
25		M3	Has your board or decision maker received board utility training that ensures they understand their roles and responsibilities?
26		M4	Does your PWS ownership meet routinely with the certified operator to review water system operations, needs, fiscal planning, monitoring schedule requirements, and regulatory compliance?
27		M5	Does your PWS have by-laws, resolutions, or ordinances and are reviewed at least biennially?
28		M6	Does your system have up to date standard operating procedures for all routine and emergency tasks?
29		M7	Individuals deemed in direct responsible charge are clearly defined,legally empowered in bylaws or by ordinances to act on behalf of the system, and delegate tasks through a written delegation plan?
30		M8	Does your system know when it is required to call the CDPHE and the current after hours contact information?
31		M9	Does your system have the following plans up to date? A. Monitoring plan (including sample site maps for RTCR,DBP, and LCR, and process flow diagrams for all treatment facilities) B. Finished Water Storage Tank Plan C. Backflow Prevention and Cross Connection Control Plan D. Emergency Response Plan (including emergency supply plan) E. Delegation Plan F. Operations and Maintenance Plan								Monitoring plan
32											Storage tank plan
33											BPCCC
34											Emergency Response
35											Delegation
36											O&M
37		M10	Does your PWS track and have a program to reduce unaccounted for water loss?
38		M11	Does your PWS have metered service connections?
39		M12	Is there a process to address water emergencies 24 hours a day for the PWS?
40		M13	Does your PWS maintain water system records per applicable record retention schedules?
41		M14	Do you have a security and cybersecurity protocol that protects your system from potential attacks and details security response protocol?
42			Total managerial points		YES =	0	NO =	0	N/A =	0	M Score =	#DIV/0!
43	Financial	F1	Does your PWS calculate the annual costs of operating and maintaining the system, including depreciation, reserve funds for capital improvements, and other expenses?
44		F2	Do you have a consistent revenue stream for your system?								If billing customers please explain. If other please explain.
45		F3	Does your revenue stream cover all annual costs including depreciation, future expenses and infrastructure replacement?
46		F4	Does your PWS have rules, regulations, and/or by-laws that cover billing and address delinquent payments?
47		F5	Does your PWS have an Asset Management plan?
48		F6	Has your PWS set up a reserve fund for emergency costs or if not, does the PWS have the legal authority to levy special assessments on customers for unexpected large expenses?
49		F7	Does your PWS have fiscal controls to ensure monies are collected and spent appropriately?
50		F8	Does your PWS have an insurance policy that covers the water system assets and/or board liability?
51			Total financial points		YES =	0	NO =	0	N/A =	0	F Score =	#DIV/0!
52			Final system points		YES =	0	NO =	0	N/A=	0	Final TMF Score =	#DIV/0!
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