Information
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Enter an Audit Title of "Risk Review" ...
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Audit Title
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Customer Name
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Address
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Contract / Job Number
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Conducted on
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Prepared by
Section A - Site Management
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This document is designed to review the legionella risk assessment and control scheme against compliance with the HSE approved code of practice and guidance , ACoP L8
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Date of original risk assessment or previous review:
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Define the scope of the risk assessment being reviewed. I.E. which buildings and water systems
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Is the name of the nominated responsible person up to date
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Details / Priority /Action By Whom & Date
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Is the name of the nominated deputy responsible person up to date
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Details / Priority /Action By Whom & Date
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Has the occupancy level of the building(s) changed since the assessment was completed
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Details / Priority /Action By Whom & Date
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Has the building had any change of use since the assessment was completed
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Details / Priority /Action By Whom & Date
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Has the susceptibility level of the building occupants changed
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Details / Priority /Action By Whom & Date
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Has there been any local construction of water systems, outside the building(s), that may affect the legionella risk on site
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Details / Priority /Action By Whom & Date
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Is there any evidence of site staff being trained in Legionella awareness and their responsibilities within the control scheme
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Details / Priority /Action By Whom & Date
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Is there a written procedure to define the action to be taken if Legionella bacteria are detected in samples taken from site
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Details / Priority /Action By Whom & Date
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Is there a written procedure to define the action to be taken if a case of Legionnaire’s disease is suspected from water systems on the site
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Details / Priority /Action By Whom & Date
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Is there a written procedure regarding when and how to alternate hot or cold water pumps
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Details / Priority /Action By Whom & Date
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Are the responsibilities for carrying out the tasks within the control scheme clearly defined
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Details / Priority /Action By Whom & Date
Section B - Assets, Previous Recommendations & Schematics
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By checking the available records, can it be shown that all recommendations of the risk assessment have been implemented
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Details / Priority /Action By Whom & Date
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Are there schematic diagrams for every water system
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Details / Priority /Action By Whom & Date
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Are the schematic drawings accurate with regard to the locations that they supply
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Details / Priority /Action By Whom & Date
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Do the schematic drawings show enough detail so that they are not ambiguous
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Details / Priority /Action By Whom & Date
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Is the outlet asset register accurate? I.e. are all of the outlet types and number defined in each location where water is used
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Details / Priority /Action By Whom & Date
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Is the “fixed asset” register accurate? I.e. are all of the cold-water storage tanks and hot water vessels recorded
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Details / Priority /Action By Whom & Date
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Is a supplementary biocide being dosed into any of the systems
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Has this biocide dosing equipment been installed since the previous risk assessment
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Details / Priority /Action By Whom & Date
Section C - Cold Water Tank Inspections
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Is there a secure, close fitting lid fitted
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Tank Number / Details / Priority /Action By Whom & Date
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Is there a lid vent (tank breather) fitted and is it in good condition
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Tank Number / Details / Priority /Action By Whom & Date
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Is there an overflow screen fitted and is it in good condition
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Tank Number / Details / Priority /Action By Whom & Date
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Is the tank well insulated from heat gain
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Tank Number / Details / Priority /Action By Whom & Date
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Is the tank corroded
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Tank Number / Details / Priority /Action By Whom & Date
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Is there any evidence of scale deposition
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Tank Number / Details / Priority /Action By Whom & Date
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Describe the level of sediment on the base of the tank. (Percentage covered)
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Does the level control valve shut off before the overflow level is reached
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Tank Number / Details / Priority /Action By Whom & Date
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Does the inlet supply valve shut off the supply
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Tank Number / Details / Priority /Action By Whom & Date
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Does the outlet valve shut off the outlet
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Tank Number / Details / Priority /Action By Whom & Date
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Record the stored water temperature as far away as possible from the inlet valve.
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Record the inlet temperature at the mains inlet.
Section D - Hot Water Vessel Inspections
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Was an internal inspection of the vessel undertaken
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Were the internal surfaces of the vessel covered in scale deposits
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HWS Number / Details / Priority /Action By Whom & Date
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Were there any signs of internal corrosion
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HWS Number / Details / Priority /Action By Whom & Date
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Is the vessel well insulated to prevent heat loss
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HWS Number / Details / Priority /Action By Whom & Date
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Does the vessel drain valve operate safely
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HWS Number / Details / Priority /Action By Whom & Date
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Was the vessel drain flushed until clear water was achieved
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HWS Number / Details / Priority /Action By Whom & Date
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Is there a flow/storage temperature gauge fitted
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HWS Number / Details / Priority /Action By Whom & Date
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What is the stored water temperature
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Is there a return line temperature gauge fitted
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HWS Number / Details / Priority /Action By Whom & Date
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What is the return water temperature
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Is the return pump operating
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HWS Number / Details / Priority /Action By Whom & Date
Section E - Control Scheme Monitoring Records
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Are the temperature records or biocide levels for all cold water systems complete
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Details / Priority /Action By Whom & Date
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Have all non-conformances in cold-water temperature or biocide level been investigated and addressed
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Details / Priority /Action By Whom & Date
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Are the temperature records or biocide levels for all hot water systems complete
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Details / Priority /Action By Whom & Date
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Have all non-conformances in hot water temperature or biocide level been investigated and addressed
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Details / Priority /Action By Whom & Date
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Are there full records of flushing for any identified “low use” outlets
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Details / Priority /Action By Whom & Date
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Has the risk assessment been reviewed and records produced at the agreed frequency
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Details / Priority /Action By Whom & Date
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Are there records to demonstrate that showers have been inspected and disinfected at least quarterly
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Details / Priority /Action By Whom & Date
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Are there records of duty/standby pumps being alternated on DHWS return
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Details / Priority /Action By Whom & Date
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Are there suitable records of any fitted biocide dosing system
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Details / Priority /Action By Whom & Date
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Are there records of cold-water tank and hot water vessel inspection
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Details / Priority /Action By Whom & Date
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Is the current legionella risk assessment valid
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Details / Priority /Action By Whom & Date
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Is the current control scheme valid
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Details / Priority /Action By Whom & Date
Summary
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Assessors comments and summary
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Photographic Evidence ( if applicable )
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Details
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Photograph