Legionella Risk Assessment

• Location
  Address

• Conducted on

  Date

• Prepared by

• This document forms the basis around which the control of legionella related risks are managed in buildings.
  
  It is enforceable under the following legislation:
  
  Management of Health & Safety at Work Regulations 1999
  Control of Substances Hazardous to Health Regulations 2002
  Health & Safety at Work Act 1974

Legionella Risk Assessment

• Is there any member of staff or regular visitor particularly susceptible to legionella due to age, health or lifestyle?

  Yes

  None

• Details of vulnerable individuals

• Does the person carrying out the assessment have access to competent help and advice when carrying out the assessment?

  Yes

  No

  N/A

• Preliminary guidance can be found here: https://www.hse.gov.uk/legionnaires/what-you-must-do.htm#managing

Water Outlet Temperature

What is the cold water temperature at water outlets after 2 minutes?

• The Health & Safety Executives ACOP L8 tells us that the hot water temperature at outlets should be above 50oC within one minute, and the cold below 20oC after two minutes.
  More information can be found in the document attached.

What is the hot water temperature at water outlets within 1 minute?

• The Health & Safety Executives ACOP L8 tells us that the hot water temperature at outlets should be above 50oC within one minute, and the cold below 20oC after two minutes.
  More information can be found in the document attached.

Cold Water System

• Is a cold water storage tank present?

  Yes

  No

  N/A

• Is the cold water tank accessible?

  Yes

  No

  N/A

• Does it have a tight-fitting lid?

  Yes

  No

  N/A

• Is the water in the tank clean and free from rust, debris, scale, and organic matter?

  Yes

  No

  N/A

• Is the cold water tank insulated?

  Yes

  No

  N/A
What is the temperature in the tank?

Hot Water System

• Is the temperature setting on the boiler and/or hot water tank such that hot water is heated to and stored at a temperature of 60 ° celsius?

  Yes

  No

  N/A

• Are the hot water distribution pipes insulated?

  Yes

  No

  N/A

• If more than one calorifier is used, are they connected in parallel?

  Yes

  No

  N/A

• Does the calorifier have everything fitted?

  Select Drain valve Temperature gauge on the inlet and outlet An access panel

  • Drain valve
  • Temperature gauge on the inlet and outlet
  • An access panel

• If something is missing, has this been notified to the Estate manager?

  Yes

  No

  N/A

Little Used Outlets

• Are there any water outlets are used less than once per week e.g. guest bathrooms?

  Yes

  None

• Are there arrangements in place to flush them through on at least a weekly basis?

  Yes

  No

  N/A

Dead Legs and Redundant Pipework

• Sections of pipework which are redundant or owing to the system design and have little/no through the flow of water (knows as 'dead legs") can allow water to stagnate in the system.

• Are there any dead legs on the property?

  Yes

  No

  N/A

• Where in the facility?

Completion

• Full Name and Signature of Legionella Responsible Person

  Sign