Legionella Management Tower Bridge

• Conducted on

  Date

• Prepared by

HWS water temperature reading

• HWS cylinders in good safe condition with no signs of leaks?

  Yes

  No

• HWS cylinder 1 temperature reading above 60*?

  Yes

  No

• HWS cylinder 2 temperature reading above 60*?

  Yes

  No

• HWS cylinder 3 temperature reading above 60*

  Yes

  No

HWS destratification pumps status

• HWS cylinder 1 destratification pump working properly?

  Yes

  No

• HWS cylinder 2 destratification pump working properly?

  Yes

  No

• HWS cylinder 3 destratification pump working properly?

  Yes

  No

HWS return pump status

• HWS return pump working properly?

  Yes

  No

Water booster pumps status

• Water booster pump 1 working properly?

  Yes

  No

• Water booster pump 2 working properly?

  Yes

  No

Cold water storage tank status

• Cold water storage tank reading below 20*?

  Yes

  No

• Cold water storage tank clean and free from debris or signs of contamination?

  Yes

  No

Plant room area status

• Plant room area clear of any slip or trip hazards?

  Yes

  No

• Plant room area clear of any unauthorised storage?

  Yes

  No

• Plant room area in a safe clean and clear condition?

  Yes

  No

Sentinel outlets temperature checks

• HWS - furthest outlet temperature reading above 50*?

  Yes

  No

• CWS - furthest outlet temperature reading below 20*?

  Yes

  No

• HWS - closest outlet temperature reading above 50*?

  Yes

  No

• CWS - closets outlet temperature reading below 20*?

  Yes

  No

Quarterly shower heads descale

• Shower heads in men's change descaled within quarterly period?

  In date

  Due

  Overdue

• Shower heads in ladies change descaled within quarterly period?

  In date

  Due

  Overdue

• Shower heads on poolside descaled within quarterly period?

  In date

  Due

  Overdue

Shower controls status

• Showers in men's change in normal safe working order?

  Yes

  No

• Showers in ladies change in normal safe working order?

  Yes

  No

• Showers on poolside in normal safe working order?

  Yes

  No

• All checks complete?

  Yes

  No

• Sign as completed

  Sign