Evolve - Weekly Legionella Checks

This testing needs to be carried out on a weekly basis as part of the risk control measures from the L8 Risk Assessment. All taps and showers flushed through for 5 minutes and all toilets flushed. If there is any non conforming items a picture must be taken at the end of this report, and then logged with an action. Cold water temp (<20c after 2 minutes of running) Hot water temp (>50c after 1 minute)

Title Page

Week commencing
Site address
Date
Name of person carrying out the checks
Location

DOWNSTAIRS FLUSH AND TEMPERATURE CHECKS

Kitchen hot tap flushed and temperature taken - temperature must be added to 'Note'
Kitchen - cold tap flushed and temperature taken - temperature must be added to 'Note'
Downstairs left side toilet hot tap flushed and temperature taken -temperature must be added to 'Note'
Downstairs left side toilet cold tap flushed and temperature taken - temperature must be added to 'Note'
Downstairs disabled toilet hot tap flushed and temperature taken - temperature must be added to 'Note'
Downstairs disabled toilet cold tap flushed and temperature taken - temperature must be added to 'Note'
Downstairs shower hot tap flushed and temperature taken - temperature must be added to 'Note'
Downstairs shower cold tap flushed and temperature taken - temperature must be added to 'Note'
Downstairs shower flushed

UPSTAIRS FLUSH AND TEMPERATURE CHECKS

Kitchenette hot tap flushed and temperature taken - temperature must be added to 'Note'
Kitchenette cold tap flushed and temperature taken - temperature must be added to 'Note'
Upstairs left side toilet hot tap flushed and temperature taken - temperature must be added to 'Note'
Upstairs left side toilet cold tap flushed and temperature taken - temperature must be added to 'Note'
Upstairs first right side toilet hot tap flushed and temperature taken - temperature must be added to 'Note'
Upstairs first right side toilet cold tap flushed and temperature taken - temperature must be added to 'Note'
Upstairs second right side toilet cold tap flushed and temperature taken - temperature must be added to 'Note'
Upstairs second right side toilet hot tap flushed and temperature taken - temperature must be added to 'Note'