Cotswold Manor House - Annual Legionella Review

• Site conducted

  Select

• Conducted on

  Date

• Has there been a change to the water system or the way it is used by guests?

  Yes

  No

  N/A

• Has there been a change to the use of the building where the system is installed?

  Yes

  No

  N/A

• Is there new information available about risks or control measures?

  Yes

  No

  N/A

• When testing the temperature of the water in the system, does hot water flow from any outlets at a temperature of below 50C?

  Yes

  No

  N/A

• When testing the temperature of water in the system, does cold water flow from any outlets at a temperature of above 20C?

  Yes

  No

  N/A

• Are your guests more susceptible due to their age, health or lifestyle?

  Yes

  No

  N/A

• Has there been a case of Legionnaires Disease associated with the system?

  Yes

  No

  N/A

Signature

• Completed by

  Sign