Legionella monthly Temperature check - ALC

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

Cold water sentinel tap 1 temperature in centigrade

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• The temperature is above 20oC report this to maintenance!

Cold water sentinel tap 2 temperature in centigrade

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• The temperature is above 20oC report this to maintenance!

Calorifier 1 temperature in centigrade

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• The temperature is below 50oC report this to maintenance!

Calorifier 2 temperature in centigrade

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• The temperature is below 50oC report this to maintenance!

Wet side cleaning cupboard

Cafe food prep sink

Cafe pot wash sink

Random outlet 1

Random outlet 2

Random outlet 3

Comments

• Add signature

  Sign

Cold water storage tank

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• If the temperature is above 20c, report to maintenance

Male dry basins cold

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• If the temperature is above 20c, report to maintenance

Male dry basins hot

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• If temperature is below 50c report to maintenance

Male dry change showers

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Disabled shower

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Female basins cold

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• If the temperature is above 20c, report to maintenance

Female basins hot

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• If temperature is below 50c report to maintenance

Female showers

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• Add signature

  Sign