Template No.: T253 Template Title: Environmental Monitoring Sheet (Temperature / Humidity)
THE HSWAGATA BUDDHA TOOTH RELIC PRESERVATION MUSEUM
FOR INTERNAL USE ONLY
Template No.: T253
Template Title: Environmental Monitoring Sheet (Temperature / Humidity)
Related Research Case IDs / Cluster: Cluster G – Conservation / Neglect Prevention (Facilities & daily care)
Linked Templates / Policies: _______________
Date of form: ____ / ____ / ______
Prepared by / Role: _______________________
Office / Unit: ____________________________
Country / Location: _______________________
Confidentiality Level:
Internal only [ ] Restricted [ ] Sacred-Restricted / Sensitive
Use of this form (tick):
New case / action [ ] Follow-up [ ] Annual review [ ] Archive only
T253 – Environmental Monitoring Sheet (Temp/Humidity)
Purpose:
Record daily temperature and humidity readings in key rooms to support preventive conservation. Log alarms and what action was taken.
Simple rules (tick when done):
Take readings at set times each day. [ ]
If an alarm happens, record it and inform the right person. [ ]
If readings are outside safe range, take action and record it. [ ]
A) Site and equipment details
Building / site: __________________________________________
Room / zone list covered: ___________________________________
Monitoring device type: Data logger [ ] Thermo-hygrometer [ ] BMS [ ] Other: ______
Device brand/model (optional): _______________________________
Device ID / serial no.: ______________________________________
Sensor location in room (height/spot): _________________________
Safe range target (set by conservation team):
Temperature: _______ °C to _______ °C
Relative humidity (RH): _______ % to _______ %
Escalation contact (role/name): _______________________________
Emergency contact (security/facilities): ________________________
B) Alarm key (alarms)
Tick what happened:
High temperature alarm [ ]
Low temperature alarm [ ]
High humidity alarm [ ]
Low humidity alarm [ ]
Power outage / device off [ ]
Door left open / access issue [ ]
Water leak / flood risk [ ]
Other: ____________________ [ ]
C) Daily readings log (main table)
(Required fields: room, time, temperature, humidity, alarms.)
| Date | Room / Zone | Time | Temperature (°C) | Humidity (RH %) | Alarm? (Y/N) | Alarm type (tick from key) | Action taken (what you did) | Reported to (role/name) | Initials |
|---|---|---|---|---|---|---|---|---|---|
| //______ | Y / N | ||||||||
| //______ | Y / N | ||||||||
| //______ | Y / N | ||||||||
| //______ | Y / N | ||||||||
| //______ | Y / N | ||||||||
| //______ | Y / N | ||||||||
| //______ | Y / N | ||||||||
| //______ | Y / N |
(Add rows as needed. Many teams use 2–3 readings per day: morning / afternoon / evening.)
D) If alarm happened (short incident note)
Complete only if Alarm = Yes.
Date/time of alarm: ____ / ____ / ______ ______
Room / zone: __________________________________________
What was observed (1–2 lines): __________________________
Likely cause (tick): AC off [ ] Power issue [ ] Door open [ ] Weather [ ] Leak [ ] Unknown [ ]
Immediate action taken: _________________________________
Follow-up request logged in T252 (Maintenance & Repair)? Yes [ ] No [ ]
If yes, Log No.: ___________________
Conservation team informed? Yes [ ] No [ ] Time: ______
Issue resolved? Yes [ ] No [ ] If yes, date/time: //______ ______
E) End-of-week / end-of-month summary (optional)
Period: __________________________
Rooms with most alarms: ____________________________________
Main causes (top 3): 1) __________ 2) __________ 3) __________
Actions requested (repairs / upgrades): _______________________
Notes for conservation planning: _____________________________
F) Sign-off and archive
Prepared by: _______________________ Signature: ______________ Date: ____ / ____ / ______
Reviewed by (Conservation / Facilities lead): ________________ Signature: ______________ Date: ____ / ____ / ______
Archive file code (T253): _______________________
Digital folder path: __________________________________________