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Cut inspection time by 50% Uncover more issues and solve them 4x faster Select from over 4000 expert-proofed templates Legionella Risk Review Section A - Site Management Date of original risk assessment or previous review: Is the name of the nominated responsible person up to date Yes No Is the name of the nominated deputy responsible person up to date Yes No Has the occupancy level of the building(s) changed since the assessment was completed Yes No Has the building had any change of use since the assessment was completed Yes No Has the susceptibility level of the building occupants changed Yes No Has there been any local construction of water systems, outside the building(s), that may affect the risk Yes No Is there any evidence of site staff being trained in Legionella awareness and their responsibilities within the control scheme Yes No Is there a written procedure to define the action to be taken if Legionella bacteria are detected in samples taken from site Yes No 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 Yes No Is there a written procedure regarding when and how to alternate hot or cold water pumps Yes No Are the responsibilities for carrying out the tasks within the control scheme clearly defined Yes No 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 Yes No Are there schematic diagrams for every water system Yes No Are the schematic drawings accurate with regard to the locations that they supply Yes No Do the schematic drawings show enough detail so that they are not ambiguous Yes No Is the outlet asset register accurate? I.e. are all of the outlet types and number defined in each location where water is used Yes No Is the “fixed asset” register accurate? I.e. are all of the cold-water storage tanks and hot water vessels recorded Yes No Is a supplementary biocide being dosed into any of the systems and has this been installed since the previous risk assessment Yes No Complete inspection sheets for all cold-water tanks and hot water vessels and make recommendations for remedial action as required Yes No Section C - Cold Water Tank Inspections Is there a secure, close fitting lid fitted Yes No Is there a lid vent (tank breather) fitted and is it in good condition Yes No Is there an overflow screen fitted and is it in good condition Yes No Is the tank well insulated from heat gain Yes No Is the tank corroded Yes No Is there any evidence of scale deposition Yes No Does the level control valve shut off before the overflow level is reached Yes No Does the inlet supply valve shut off the supply Yes No Does the outlet valve shut off the outlet Yes No Section D - Hot Water Vessel Inspections Was an internal inspection of the vessel undertaken Yes No Were the internal surfaces of the vessel covered in scale deposits Yes No Were there any signs of internal corrosion Yes No Is the vessel well insulated to prevent heat loss Yes No Does the vessel drain valve operate safely Yes No Was the vessel drain flushed until clear water was achieved Yes No Is there a flow/storage temperature gauge fitted Yes No Is there a return line temperature gauge fitted Yes No Is the return pump operating Yes No Section E - Control Scheme Monitoring Records Are the temperature records for all cold water systems complete Yes No Have all non-conformances in cold-water temperature been investigated and addressed Yes No Are the temperature records for all hot water systems complete Yes No Have all non-conformances in hot water temperature been investigated and addressed Yes No Are there full records of flushing for any identified “low use” outlets Yes No Has the risk assessment been reviewed and records produced at the agreed frequency Yes No Are there records to demonstrate that showers have been inspected and disinfected at least quarterly Yes No Are there records of duty/standby pumps being alternated on DHWS return Yes No Are there suitable records of any fitted biocide dosing system Yes No Are there records of cold-water tank and hot water vessel inspection Yes No Summary Photographic Evidence ( if applicable )
Please note that this checklist template is a hypothetical 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.