Legionella Monthly TapTemperature Checks

• Document No.00031/03/2016

• Site

• Date

  Date

• Auditor

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  Address

• Personel

• 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

Cold water tap temperatures of 20c after 2 minutes running. Minimum hot water temperature of 50c after 1 minute running.

• Outlet 1<br>

  Safe

  At Risk

  N/A

• Outlet 2

  Safe

  At Risk

  N/A

• Outlet 3

  Safe

  At Risk

  N/A

• Outlet 4

  Safe

  At Risk

  N/A

• Outlet 5

  Safe

  At Risk

  N/A

• Outlet 6

  Safe

  At Risk

  N/A

• Outlet 7

  Safe

  At Risk

  N/A

• Outlet 8

  Safe

  At Risk

  N/A

• Outlet 9

  Safe

  At Risk

  N/A

• Outlet 10

  Safe

  At Risk

  N/A

• Outlet 11

  Safe

  At Risk

  N/A

• Outlet 12

  Safe

  At Risk

  N/A

Signature

• Competent Person

  Sign

• Technical manager

  Sign