This general legionella risk assessment form can be used to evaluate the premises. Record the cold and hot water temperatures and check that they are properly maintained. Assess whether the air conditioning and water systems are clean and disinfected. You may not need to take any further action at this time, but you can use the data you collect to periodically review the assessment if something changes in your system. Make full use of the evaluation possibilities by taking photos of risks in the workplace. Comment on the photos to highlight the underlying factors and report risks to safety managers and officials. Use the temperature field to enter the current temperature values. Generate reports in the field to improve the reporting process.
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Please note that this checklist template is a hypothetical appuses-hero example and provides only standard information. The template does not aim to replace, among other things, workplace, health and safety advice, medical advice, diagnosis or treatment, or any other applicable law. You should seek your professional advice to determine whether the use of such a checklist is appropriate in your workplace or jurisdiction.