| #Q001 | monitoring | operational | recommended | Distribution system monitoring | drinking water | Total coliforms should be monitored in the distribution system because they are used to indicate changes in water quality. | Applies to the distribution system | high |
| #Q002 | corrective_action | operational | recommended | Investigation of total coliform detection | drinking water | Detection of total coliforms from consecutive samples from the same site or from more than 10% of the samples collected in a given sampling period should be investigated. | Consecutive samples from same site or >10% positive in a given sampling period | high |
| #Q003 | monitoring | operational | recommended | Treatment plant water monitoring | drinking water | Total coliforms should be monitored at least weekly in water leaving a treatment plant. | Municipal-scale systems, water leaving a treatment plant | high |
| #Q004 | corrective_action | health | recommended | Notification and resampling for positive coliform | drinking water | The presence of any total coliform bacteria in water leaving a treatment plant indicates a serious breach in treatment and is therefore unacceptable. This situation should be corrected immediately. The system owner should notify all responsible authorities and immediately reanalyze the coliform-positive sample(s) for Escherichia coli (E. coli), resample, and test the positive site(s) to confirm the presence or absence of both E. coli and total coliforms | When any total coliform bacteria are detected in water leaving a treatment plant | high |
| #Q005 | corrective_action | health | recommended | Carrying out corrective actions | drinking water | If corrective actions are deemed necessary, the owner of the drinking water treatment system, in consultation with the responsible authorities, should carry out appropriate corrective actions | When deemed necessary based on assessment of problem significance and extent | high |
| #Q006 | corrective_action | health | recommended | Conditions to rescind boil water advisory | drinking water | A boil water advisory should be rescinded only after a minimum of two consecutive sets of samples, collected 24 hours apart, show negative results that demonstrate full system-wide integrity (including acceptable bacteriological quality, disinfection residuals, and/or turbidity). | Prior to rescinding an active boil water advisory | high |
| #Q007 | treatment | treatment | recommended | Minimum treatment for surface water/GUDI | drinking water | Minimum treatment of supplies derived from surface water or GUDI sources should include adequate filtration (or technologies providing an equivalent log removal/inactivation) and disinfection to ensure the removal/inactivation of enteric protozoa and enteric viruses. | Supplies derived from surface water or GUDI sources | high |
| #Q008 | operational | treatment | recommended | Maintenance of disinfectant residual | drinking water | In all systems with a distribution system, a disinfectant residual should be maintained at all times. | Systems with a distribution system | high |
| #Q009 | monitoring | health | recommended | Testing of new or rehabilitated wells | drinking water | New or rehabilitated wells should also be tested before use to confirm the microbiological quality. | Before use of new or rehabilitated wells | high |
| #Q010 | monitoring | health | recommended | Resampling of residential-scale supplies | drinking water | If a sample contains total coliform bacteria, it should be immediately reanalyzed and the positive site resampled and tested to confirm the presence or absence of both E. coli and total coliforms. | When a residential-scale sample is positive for total coliforms | high |
| #Q011 | operational | operational | recommended | Dechlorination of discharged water | drinking water | Water should be dechlorinated before being discharged into the environment. The responsible authority should be consulted regarding the methods available, as well as the correct procedure, for carrying out dechlorination | When discharging flushed or shock-chlorinated water into the environment | high |
| #Q012 | administrative | reporting | recommended | Compliance with directed analytical methods | drinking water | All analyses for total coliforms should be carried out as directed by the responsible authority. | | high |
| #Q013 | operational | reporting | recommended | Quality assurance program | drinking water | To ensure reliable results, a quality assurance (QA) program, which incorporates quality control (QC) practices, should be in place. | When performing analytical testing | high |
| #Q014 | monitoring | operational | mandatory | Sample collection procedures | drinking water | Proper procedures for collecting samples must be observed to ensure that the samples are representative of the water being examined. | | high |
| #Q015 | monitoring | operational | recommended | Sample transportation temperature | drinking water | The sample should be transported to the laboratory in a cooler containing ice or cooling packs (at 5 ± 3°C), to minimize changes in populations and concentrations | During sample transport | high |
| #Q016 | monitoring | operational | recommended | Protection from freezing during transport | drinking water | Samples should be protected from direct contact with the ice or cooling packs to prevent freezing during transport. | During sample transport | high |
| #Q017 | reporting | reporting | recommended | Reporting collection or storage issues | drinking water | Water utilities should record any collection or storage related issues and report them to the laboratory, so that results can be properly interpreted. | If issues arise during sample collection or storage | high |
| #Q018 | monitoring | reporting | recommended | Minimum sample examination volume | drinking water | A minimum volume of 100 mL of water should be examined to obtain a reliable estimate of the number of organisms (using MTF or MF) or to obtain an accurate presence-absence result at the expected low levels in treated drinking water. | | high |
| #Q019 | monitoring | health | recommended | Minimum testing frequency for treated water | drinking water | As a minimum, water leaving a treatment plant should be tested daily for disinfectant residual and turbidity and at least weekly for total coliforms as part of the verification process in a source-to-tap approach. | For water leaving a treatment plant | high |
| #Q020 | monitoring | operational | recommended | Disinfectant residual and turbidity concurrent testing | drinking water | Disinfectant residual and turbidity analyses tests should be conducted when bacteriological samples are taken in the distribution system. | When taking bacteriological samples in the distribution system | high |
| #Q021 | administrative | operational | mandatory | Approval of sampling point locations | drinking water | In municipal-scale systems, the location of sampling points must be selected or approved by the responsible authority. | Municipal-scale systems | high |
| #Q022 | operational | treatment | recommended | Disinfection and residual maintenance | drinking water | In general, all drinking water supplies should be disinfected, and a disinfectant residual should be maintained throughout the distribution system at all times. | All drinking water supplies | high |
| #Q023 | monitoring | health | recommended | Periodic testing of treatment devices | drinking water | Periodic testing for E. coli and total coliforms by an accredited laboratory should be conducted on both the water entering the treatment device and the treated water to verify that the treatment device is effective. | For residential/small scale treatment devices | high |
| #Q024 | operational | operational | recommended | Servicing of treatment devices | drinking water | Treatment devices should be inspected and serviced in accordance with the maintenance schedule and manufacturer's recommendations. | | high |
| #Q025 | monitoring | operational | recommended | Regular monitoring of distribution systems | drinking water | Distribution system water quality should be regularly monitored. | | high |
| #Q026 | operational | operational | recommended | Implementation of protection and optimization measures | drinking water | In addition to regularly monitoring distribution system water quality, source water protection measures should be implemented, along with treatment optimization, maintenance of physical/hydraulic integrity of the distribution system, and minimization of negative- or low-pressure events | | high |
| #Q027 | administrative | health | recommended | Consumer notification of contamination incident | drinking water | In the event that an incident that may have contaminated the distribution system or interfered with treatment is known to the owner, consumers should be notified immediately to boil the drinking water. | When a contamination incident or treatment interference is known to the owner | high |
| #Q028 | monitoring | health | recommended | Municipal distribution sampling frequency | drinking water | In municipal-scale distribution and storage systems, the number of samples collected for total coliform testing should reflect the size of the population being served, with a minimum of four samples per month. | Municipal-scale distribution and storage systems | high |
| #Q029 | operational | health | recommended | Physical condition verification for residential-scale systems | drinking water | The first step is to verify the physical condition of the drinking water system, as applicable, including water intake, well, well head, pump, treatment system (including chemical feed equipment, if present), plumbing, and surrounding area. Any identified faults should be corrected before proceeding. | Corrective action step for residential-scale disinfected supplies | high |
| #Q030 | monitoring | operational | recommended | Sample labeling requirements | drinking water | Samples should be labelled with the time, date, location, type of sample (e.g., raw water, distribution system), sampler's name, and identification number (if used), along with the disinfectant residual measurements and any special conditions. | | high |
| #Q031 | monitoring | operational | recommended | Maximum sample holding time | drinking water | Ideally, for total coliform analysis of drinking water samples, the holding time between the collection of the sample and the beginning of its examination should not exceed 30 hours. | | high |
| #Q032 | operational | operational | recommended | O&M programs and hygiene during repairs | drinking water | Operations and maintenance programs should be in place (e.g., watermain cleaning, cross-connection control, asset management) and strict hygiene should be practiced during watermain repairs to ensure drinking water is transported to the consumer with minimum loss of quality. | | high |
| #Q033 | monitoring | operational | recommended | Minimum Corrective Action Sampling | drinking water | At a minimum, one sample upstream and one sample downstream from the original sample site(s) plus the finished water from the treatment plant as it enters the distribution system should be tested. | When sampling and testing sites adjacent to positive sample sites during corrective actions | high |
| #Q034 | corrective_action | treatment | recommended | Non-Disinfected Well Shock Chlorination | drinking water | Shock-chlorinate the well and plumbing system. | Corrective action for non-disinfected wells with acceptable physical conditions | high |
| #Q035 | monitoring | operational | recommended | Residential Well Confirmatory Test Timing | drinking water | Confirmatory tests should be done no sooner than either 48 hours after tests indicate the absence of a chlorine residual or five days after the well has been treated. | After shock-chlorination and flushing of non-disinfected wells | high |
| #Q036 | monitoring | health | recommended | Long-Term Follow-Up Testing | drinking water | An additional test should be taken after three to four months to ensure that the contamination has not reoccurred. | Long-term follow-up for residential well contamination | high |
| #Q037 | monitoring | operational | recommended | Representative Sampling Locations | drinking water | In general, samples should be taken at the point where the water enters the system and from representative points throughout the distribution system. | Selection of distribution system sampling points | high |
| #Q038 | monitoring | operational | recommended | Targeted Area Sampling | drinking water | The majority of samples should be taken from potential problem areas: low-pressure zones, reservoirs, dead ends, areas at the periphery of the system farthest from the treatment plant, and areas with a poor previous record. | Distribution system monitoring | high |
| #Q039 | operational | treatment | recommended | Hypochlorite Certification Requirement | drinking water | Private and semi-public supplies that use liquid chlorine should use hypochlorite solutions that are certified as meeting NSF/ANSI/CAN Standard 60 (NSF/ANSI/CAN, 2018) | When using liquid chlorine for disinfection | high |
| #Q040 | administrative | health | recommended | Outbreak Advisory Consultation | drinking water | If enhanced health surveillance indicates that a waterborne outbreak may be occurring or if conditions exist that could result in a waterborne outbreak, then the necessity of issuing a boil water advisory should be discussed immediately with qualified operations personnel at the water utility and with the responsible authority. | During potential waterborne outbreaks or high-risk conditions | high |
| #Q041 | operational | reporting | recommended | Test Kit Performance Requirements | drinking water | In addition to the QA/QC program, any test kits used should meet minimum requirements for accuracy, detection (sensitivity), and reproducibility, and be used according the manufacturer's instructions. | When using commercial test kits for analysis | high |
| #Q042 | administrative | operational | recommended | Sampling Problem Consultation | drinking water | Any on-going problems with sampling and/or transportation should be discussed with the responsible authority. | Presence of persistent sampling or transport issues | high |
| #Q043 | monitoring | operational | recommended | Timely Examination Commencement | drinking water | To avoid unpredictable changes in the bacterial flora of the sample, examination should be started as soon as possible after collection. | | high |
| #Q044 | operational | treatment | recommended | Operator CT/IT Value Maintenance | drinking water | Thus operators should understand and maintain the required CT/IT values (where CT = concentration of disinfectant x contact time, and IT = intensity of UV light x contact time, see sections 7.1.3.1 and 7.3.1.2 for descriptions of the CT and IT concepts, respectively) for primary disinfection, in addition to disinfectant residual requirements for secondary disinfection. | Primary disinfection operations | high |
| #Q045 | treatment | health | recommended | Point-of-Use Device Equipping | drinking water | To minimize the potential health risks from the use of microbiologically-contaminated drinking water, it is important to note that in the absence of a point-of-entry system, all points of water used for drinking, food and beverage preparation, hygiene or washing dishes should be equipped with a point-of-use treatment device. | Residential-scale systems without point-of-entry treatment | high |
| #Q046 | operational | operational | recommended | Consumer Maintenance and Verification | drinking water | Consumers should verify the expected longevity of the components in their treatment device according to the manufacturer's recommendations and establish a clearly defined maintenance schedule. | Ownership of residential-scale treatment devices | high |
| #Q047 | monitoring | health | recommended | Risk-Based Residential Sampling Frequency | drinking water | Sampling frequencies for residential-scale systems will be determined by the authority having jurisdiction for the system and should include times when the risk of contamination is greatest, for example, early spring after the thaw, after an extended dry spell, or following heavy rains. | Residential-scale system monitoring programs | high |
| #Q048 | monitoring | health | recommended | Investigative Phase Sampling | drinking water | Continue selected sampling and testing (e.g., bacteriology, disinfectant residual, turbidity) of all identified sites during the investigative phase to confirm the extent of the problem and to verify the success of the corrective actions | During the investigative phase following the detection of total coliforms in municipal systems | high |
| #Q049 | corrective_action | health | recommended | Retesting After Flushing | drinking water | Flush the system thoroughly and retest to confirm that the water is free of total coliform contamination. | Following shock-chlorination of non-disinfected wells | high |
| #Q050 | monitoring | health | recommended | Confirmatory Negative Samples | drinking water | A minimum of two consecutive total coliform-negative samples should be obtained. | To confirm a problem has been corrected in residential-scale non-disinfected wells | high |
| #Q051 | administrative | reporting | recommended | Analytical Method Performance Measures | drinking water | Water utilities should establish performance measures regarding method sensitivity and specificity when selecting analytical methods for internal analysis or when purchasing laboratory services. | | high |
| #Q052 | monitoring | operational | recommended | Delayed Examination Procedure | drinking water | When delays are anticipated, a delayed incubation procedure should be employed or consideration given to on-site testing. | When holding time between collection and examination will exceed recommendations (30 hours) | high |
| #Q053 | operational | treatment | mandatory | Operator Training and Process Control | drinking water | Adequate process control measures and operator training are also required to ensure the effective operation of treatment barriers at all times | | high |
| #Q054 | monitoring | operational | recommended | Multi-source sampling | drinking water | If the water supply is obtained from more than one source, the location of sampling points in the system should ensure that water from each source is periodically sampled. | Applies when water supply is obtained from more than one source | high |
| #Q055 | treatment | treatment | mandatory | Treatment target achievement point | drinking water | It is essential that the removal and disinfection targets are achieved before drinking water reaches the first consumer in the distribution system. | | high |
| #Q056 | monitoring | operational | recommended | Remote area repeat sampling procedure | drinking water | if normal transportation time exceeds the above recommendations, the sample should be processed and arrangements made to have another sample collected as soon as the first sample is received. | When normal transportation time exceeds recommended holding times (remote areas) | high |
| #Q057 | administrative | operational | mandatory | Authority oversight of distribution monitoring | drinking water | The sampling points and testing frequencies for total coliforms, residual disinfectant, and turbidity in treated water within distribution and storage systems will be specified and/or approved by the responsible authority. | | high |
| #Q058 | corrective_action | health | mandatory | Residential Coliform Source Investigation | drinking water | Regardless of whether a boil water advisory is issued, the source of the coliforms needs to be investigated, and appropriate actions need to be taken (see Appendix B). | When total coliforms are detected in residential-scale supplies | high |
| #Q059 | monitoring | operational | recommended | Site-Specific Sampling Frequency Assessment | drinking water | systems should conduct a site-specific assessment to ensure that their sampling frequency meets the requirements of the responsible authority. | Municipal-scale distribution system monitoring | high |
| #Q060 | monitoring | operational | recommended | Storage Data Recording for Delayed Samples | drinking water | When examination will be delayed, it is particularly important to record the duration and temperature of storage, as this information should be taken into consideration when interpreting the results. | When sample examination is delayed | high |
| #Q061 | administrative | operational | recommended | Remote Area Holding Time Consultation | drinking water | In remote areas, up to 48 hours may be an acceptable time interval; however, the implications of the extended holding time should be discussed with the responsible authorities. | When sample holding time in remote areas extends up to 48 hours | high |
| #Q062 | prohibition | health | recommended | Surface Water Supply Restriction | drinking water | In general, surface water is not recommended as a private or semi-public water supply unless it is properly filtered, disinfected and monitored for water quality. | Private or semi-public water supplies | high |