Legionella All Taps Audit

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

basement

Kitchen

• Kitchen

  Safe

  At Risk

  N/A

• HOT TAP WATER TEMP

• COLD TAP WATER TEMP

• Condition notes - action required

Back small surgery

• Kitchen

  Safe

  At Risk

  N/A

• HOT TAP WATER TEMP

• COLD TAP WATER TEMP

• Condition notes - action required

Back large surgery

• Kitchen

  Safe

  At Risk

  N/A

• HOT TAP WATER TEMP

• COLD TAP WATER TEMP

• Condition notes - action required

1st floor

• Toilet

  Safe

  At Risk

  N/A