HFG | Estate Services Legionella Temperature Checks - monthly

• Site

  Select

• Conducted on

  Date

• Prepared by

• The temperature of blended water outlets must be distributed in the range of 41 and 43 Degrees Celsius
  The temperature of cold water outlets must be distributed at or below 20 Degrees Celsius
  The temperature of hot water outlets must be distributed at or above 50 Degrees Celsius
  
  1. Run the outlet for 1 minute on hot and blended water outlets, cold water outlets run water for 2 minutes
  2. Test the temperature with a thermometer
  3. Record the temperature in the following audit by stating Safe/At Risk and add the reading into the text box

Mill Village pavillion

• Sink hot

  Safe

  At Risk

  N/A

• Sink cold

  Safe

  At Risk

  N/A

• Shower

  Safe

  At Risk

  N/A

• Plant room tap

  Safe

  At Risk

  N/A

• Outside tap

  Safe

  At Risk

  N/A

• Water storage tanks - CWS

  Safe

  At Risk

  N/A

• Water storage tanks - HWS

  Safe

  At Risk

  N/A

Somerford Nines

• Sink hot

  Safe

  At Risk

  N/A

• Sink cold

  Safe

  At Risk

  N/A

• Shower hot

  Safe

  At Risk

  N/A

• Shower cold

  Safe

  At Risk

  N/A

• Outside tap

  Safe

  At Risk

  N/A

• Water cooler

  Safe

  At Risk

  N/A

• Pool tap

  Safe

  At Risk

  N/A

Grounds Yard

• Kitchen sink hot

  Safe

  At Risk

  N/A

• Kitchen sink cold

  Safe

  At Risk

  N/A

• Left toilet sink Hot

  Safe

  At Risk

  N/A

• Left toilet sink cold

  Safe

  At Risk

  N/A

• Right toilet sink hot

  Safe

  At Risk

  N/A

• Right toilet sink cold

  Safe

  At Risk

  N/A

• Outside tap

  Safe

  At Risk

  N/A

Signature

• Competent Person

  Sign

• Leisure Supervisor/Facility Manager

  Sign