Title Page

  • Client

  • Site conducted

  • Date of review

  • Review carried out by

  • City job number

  • Is there a current Legionella Risk Assessment for this site?

  • Date of current Legionella Risk Assessment

  • Is the current Legionella Risk Assessment & schematic valid?

  • Please attach current Legionella Risk Assessment, including schematics

  • Please continue review of site & also raise for external Legionella Risk Assessment to be completed

Review Introdution

  • 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.

  • Duty Holder

  • Responsible Person

  • Authorised Deputy

  • Authorised Deputy

  • Water Hygiene Service Provider

Systems of Control - Review

  • Are records of legionella control recorded?

  • Are records of legionella control audited?

  • Are all training records up to date and recorded for all City FM personnel involved with Legionella control?

  • Is there an up to date legionella policy which includes an incident plan in the event of a legionella outbreak or legionella detection?

  • 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.

  • PPM regime - City FM or approved contractors

Asset Identification

  • Please list all assets on site

  • Incoming Mains Supply
  • Location of incoming mains

  • Cold Water Storage Tank
  • CWST ID

  • Location of CWST

  • CWST size (HxLxW)

  • CWST volume

  • Is the CWST linked to another?

  • What other CWST is this tank linked to?

  • External condition of CWST

  • Please detail reason for the external condition of the CWST being unsatisfactory

  • Internal condition of CWST

  • Please detail reason for the internal condition of the CWST being unsatisfactory

  • Is a clean and chlorination required on the CWST

  • Stored temperature of CWST

  • Internal temperature of water is non-compliant

  • Are there signs of stagnation within the tank, suggesting that turn-over is low?

  • CWST turn-over requires investigating

  • Does the CWST supply drinking water outlets

  • Is there safe access to inspect & clean this CWST?

  • Please detail unsafe access & raise a NMPI report

  • Hot Water System
  • Is the hot water on site supplied from a calorifier or a low volume point of use water heater?

  • Volume of stored water

  • Location of POU

  • Outlet temperature from POU

  • Temperature non-compliant

  • Calorifier location

  • Volume of calorifier

  • Flow temperature from calorifier

  • Flow temperature non-compliant

  • Is there a return on the calorifier?

  • Return temperature on the calorifier

  • Temperature non-compliant

  • Nearest sentinel outlet location

  • Furthest sentinel outlet location

  • Shower & Spray Outlets
  • Shower/ spray outlet location

  • Type of outlet

  • If required, clean outlet & flush through

  • Infrequently Used Outlets
  • Is there infrequently used outlets at site?

  • Outlet type & location

  • I have updated the infrequently used outlet register on site

  • Thermostatic Mixing Valves (TMV)
  • Are there any TMV's on site?

  • TMV location

  • Deadlegs
  • Have deadlegs been identified at site?

  • Deadleg description

  • Resource required for deadleg removal

  • RPZ Valve
  • Is there a RPZ Valve on site?

  • Water Softener
  • Is there a water softener on site?

  • Other Assets/ Systems
  • Please list any other assets or systems identified on site

Additional Information

  • Please list any additional information relating to this review

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