Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Name of responsible person
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Is there a logbook available for inspection?
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If yes where is it kept?
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Has this changed?
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Are there floor plans identifying water outlets?
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Do they cover the entire site?
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Is there a named person responsible for flushing protocols?
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If so who?
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Is there evidence of risk assessments identifying no and low usage outlets?
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Is there evidence that risk assessments are reviewed weekly to ensure they are still suitable?
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Do the records identify which outlets are flushed?
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Are there gaps in the flushing records?
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Is there a copy of the legionella/scalding risk policy in the logbook?
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Is there evidence of the flushing protocol being audited?
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Date of last audit:
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Internal or External?
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Comments and recommendations.
