Detect legionella with a legionella risk review

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Legionella Risk Review

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Section A - Site Management

Date of original risk assessment or previous review:

Define the scope of the risk assessment being reviewed. I.E. which buildings and water systems

Is the name of the nominated responsible person up to date

Details / Priority /Action By Whom & Date

Is the name of the nominated deputy responsible person up to date

Details / Priority /Action By Whom & Date

Has the occupancy level of the building(s) changed since the assessment was completed

Details / Priority /Action By Whom & Date

Has the building had any change of use since the assessment was completed

Details / Priority /Action By Whom & Date

Has the susceptibility level of the building occupants changed

Details / Priority /Action By Whom & Date

Has there been any local construction of water systems, outside the building(s), that may affect the risk

Details / Priority /Action By Whom & Date

Is there any evidence of site staff being trained in Legionella awareness and their responsibilities within the control scheme

Details / Priority /Action By Whom & Date

Is there a written procedure to define the action to be taken if Legionella bacteria are detected in samples taken from site

Details / Priority /Action By Whom & Date

Is there a written procedure to define the action to be taken if a case of Legionnaire’s disease is suspected from water systems on the site

Details / Priority /Action By Whom & Date

Is there a written procedure regarding when and how to alternate hot or cold water pumps

Details / Priority /Action By Whom & Date

Are the responsibilities for carrying out the tasks within the control scheme clearly defined

Details / Priority /Action By Whom & Date

Section B - Assets, Previous Recommendations & Schematics

By checking the available records, can it be shown that all recommendations of the risk assessment have been implemented

Details / Priority /Action By Whom & Date

Are there schematic diagrams for every water system

Details / Priority /Action By Whom & Date

Are the schematic drawings accurate with regard to the locations that they supply

Details / Priority /Action By Whom & Date

Do the schematic drawings show enough detail so that they are not ambiguous

Details / Priority /Action By Whom & Date

Is the outlet asset register accurate? I.e. are all of the outlet types and number defined in each location where water is used

Details / Priority /Action By Whom & Date

Is the “fixed asset” register accurate? I.e. are all of the cold-water storage tanks and hot water vessels recorded

Details / Priority /Action By Whom & Date

Is a supplementary biocide being dosed into any of the systems and has this been installed since the previous risk assessment

Details / Priority /Action By Whom & Date

Complete inspection sheets for all cold-water tanks and hot water vessels and make recommendations for remedial action as required

Details / bPriority /Action By Whom & Date

Section C - Cold Water Tank Inspections

Is there a secure, close fitting lid fitted

Tank Number / Details / Priority /Action By Whom & Date

Is there a lid vent (tank breather) fitted and is it in good condition

Tank Number / Details / Priority /Action By Whom & Date

Is there an overflow screen fitted and is it in good condition

Tank Number / Details / Priority /Action By Whom & Date

Is the tank well insulated from heat gain

Tank Number / Details / Priority /Action By Whom & Date

Is the tank corroded

Tank Number / Details / Priority /Action By Whom & Date

Is there any evidence of scale deposition

Tank Number / Details / Priority /Action By Whom & Date

Describe the level of sediment on the base of the tank. (Percentage covered)

Does the level control valve shut off before the overflow level is reached

Tank Number / Details / Priority /Action By Whom & Date

Does the inlet supply valve shut off the supply

Tank Number / Details / Priority /Action By Whom & Date

Does the outlet valve shut off the outlet

Tank Number / Details / Priority /Action By Whom & Date

Record the stored water temperature as far away as possible from the inlet valve.

Record the inlet temperature at the mains inlet.

Section D - Hot Water Vessel Inspections

Was an internal inspection of the vessel undertaken

HWS Number / Details / Priority /Action By Whom & Date

Were the internal surfaces of the vessel covered in scale deposits

HWS Number / Details / Priority /Action By Whom & Date

Were there any signs of internal corrosion

HWS Number / Details / Priority /Action By Whom & Date

Is the vessel well insulated to prevent heat loss

HWS Number / Details / Priority /Action By Whom & Date

Does the vessel drain valve operate safely

HWS Number / Details / Priority /Action By Whom & Date

Was the vessel drain flushed until clear water was achieved

HWS Number / Details / Priority /Action By Whom & Date

Is there a flow/storage temperature gauge fitted

HWS Number / Details / Priority /Action By Whom & Date

What is the stored water temperature

Is there a return line temperature gauge fitted

HWS Number / Details / Priority /Action By Whom & Date

What is the return water temperature

Is the return pump operating

HWS Number / Details / Priority /Action By Whom & Date

Section E - Control Scheme Monitoring Records

Are the temperature records for all cold water systems complete

Details / Priority /Action By Whom & Date

Have all non-conformances in cold-water temperature been investigated and addressed

Details / Priority /Action By Whom & Date

Are the temperature records for all hot water systems complete

Details / Priority /Action By Whom & Date

Have all non-conformances in hot water temperature been investigated and addressed

Details / Priority /Action By Whom & Date

Are there full records of flushing for any identified “low use” outlets

Details / Priority /Action By Whom & Date

Has the risk assessment been reviewed and records produced at the agreed frequency

Details / Priority /Action By Whom & Date

Are there records to demonstrate that showers have been inspected and disinfected at least quarterly

Details / Priority /Action By Whom & Date

Are there records of duty/standby pumps being alternated on DHWS return

Details / Priority /Action By Whom & Date

Are there suitable records of any fitted biocide dosing system

Details / Priority /Action By Whom & Date

Are there records of cold-water tank and hot water vessel inspection

Details / Priority /Action By Whom & Date

Summary

Assessors comments and summary

Photographic Evidence ( if applicable )

Description

This template, developed by Lumiform employees, serves as a starting point for businesses using the Lumiform platform and is intended as a hypothetical example only. It does not replace professional advice. Companies should consult qualified professionals to assess the suitability and legality of using this template in their specific workplace or jurisdiction. Lumiform is not liable for any errors or omissions in this template or for any actions taken based on its content.