Title Page
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Client
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Site conducted
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Date of review
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Review carried out by
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City job number
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Is there a current Legionella Risk Assessment for this site?
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Date of current Legionella Risk Assessment
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Is the current Legionella Risk Assessment & schematic valid?
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Please attach current Legionella Risk Assessment, including schematics
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Please continue review of site & also raise for external Legionella Risk Assessment to be completed
Review Introdution
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The following Legionella Risk Assessment Review has been completed in accordance with L8 4th Edition and HSG274 parts 1,2 & 3 (The control of legionella bacteria in water systems). The findings of this review relate to the legionella risk assessment attached to this report. If any major changes are identified on site that are not reflected within the current legionella risk assessment, a new legionella risk assessment will be carried out following this review. If no major changes are identified and recent control measures have been satisfactory then the Legionella Risk Assessment remains valid for the following: • The presence of Legionella • System conditions – supportive to growth and Legionella proliferation • Potential for aerosol & breathable droplets • Review of the current control measures • Exposure & susceptibility of person (s) exposed to the water system (s). All findings of non-compliance will be identified and highlighted to the client.
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Duty Holder
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Responsible Person
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Authorised Deputy
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Authorised Deputy
- City FM National Water Hygiene Manager
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Water Hygiene Service Provider
Systems of Control - Review
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Are records of legionella control recorded?
- Electronically on the Mercury platform
- Electronically on the Mercury platform and as paper copies on site
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Are records of legionella control audited?
- Audit regime in place by City FM Water Hygiene
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Are all training records up to date and recorded for all City FM personnel involved with Legionella control?
- Training regimes and records held by City FM
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Is there an up to date legionella policy which includes an incident plan in the event of a legionella outbreak or legionella detection?
- Client and City FM have their own legionella policy and incident plan.
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Ensure that all identified remedial actions are captured within this review
Please list all existing maintenance, monitoring regimes and control measures which comply with L8 & HSG274 requirements.
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PPM regime - City FM or approved contractors
- Weekly flushing of infrequently used outlets
- Monthly temperature monitoring of sentinel outlets and 10% of hot & cold water outlets
- Monthly temperature monitoring of hot water storage flow/ return
- Quarterly disinfection of shower/ spray outlets
- Six monthly CWST temperature and annual inspections
- Annual TMV inspections
- Annual calorifier inspections/ blow down/ flush
- Annual RPZ Valve service
- Annual water softener service
- UKAS bacteriological sampling regime
- Vehicle wash system inspection & service
Asset Identification
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Please list all assets on site
Incoming Mains Supply
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Location of incoming mains
Cold Water Storage Tank
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CWST ID
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Location of CWST
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CWST size (HxLxW)
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CWST volume
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Is the CWST linked to another?
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What other CWST is this tank linked to?
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External condition of CWST
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Please detail reason for the external condition of the CWST being unsatisfactory
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Internal condition of CWST
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Please detail reason for the internal condition of the CWST being unsatisfactory
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Is a clean and chlorination required on the CWST
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Internal temperature of water is non-compliant
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Are there signs of stagnation within the tank, suggesting that turn-over is low?
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CWST turn-over requires investigating
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Does the CWST supply drinking water outlets
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Is there safe access to inspect & clean this CWST?
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Please detail unsafe access & raise a NMPI report
Hot Water System
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Is the hot water on site supplied from a calorifier or a low volume point of use water heater?
- Calorifier (15L + storage)
- Local low volume point of use water heater
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Location of POU
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Temperature non-compliant
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Calorifier location
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Flow temperature non-compliant
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Is there a return on the calorifier?
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Temperature non-compliant
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Nearest sentinel outlet location
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Furthest sentinel outlet location
Shower & Spray Outlets
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Shower/ spray outlet location
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Type of outlet
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If required, clean outlet & flush through
Infrequently Used Outlets
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Is there infrequently used outlets at site?
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Outlet type & location
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I have updated the infrequently used outlet register on site
Thermostatic Mixing Valves (TMV)
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Are there any TMV's on site?
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TMV location
Deadlegs
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Have deadlegs been identified at site?
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Deadleg description
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Resource required for deadleg removal
RPZ Valve
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Is there a RPZ Valve on site?
Water Softener
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Is there a water softener on site?
Other Assets/ Systems
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Please list any other assets or systems identified on site
Additional Information
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Please list any additional information relating to this review