PHX1LRAHCW

• Enter an Audit Title of "Risk Review" ...

• Audit Title

• Customer Name

• Address
  Address

• Contract / Job Number

• Conducted on

  Date

• Prepared by

• This checklist is designed to aid the completion of a Legionella Risk Assessment satisfying the requirements of Health & Safety Executive (HSE)'s. Approved Code of Practice and guidance - ACOP L8 - along with HSG 274 Part 2 Guidance covered Hot & Cold water systems. The checklist provides and AID ONLY, and it is designed for use by trained and competent risk assessor.

• Date of last risk assessment or previous review:

  Date

• Define the scope of the risk assessment being reviewed. I.E. which buildings and water systems

• Is the name of the nominated responsible person up to date

  Yes

  No

• Is the name of the nominated deputy responsible person up to date

  Yes

  No
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• Details / Priority /Action By Whom & Date

• Details / Priority /Action By Whom & Date

• Has the occupancy level of the building(s) changed since the assessment was completed

  Yes

  No
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• Details / Priority /Action By Whom & Date

• Has the building had any change of use since the assessment was completed

  Yes

  No
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• Details / Priority /Action By Whom & Date

• Has the susceptibility level of the building occupants changed

  Yes

  No
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• Details / Priority /Action By Whom & Date

• Has there been any local construction of water systems, outside the building(s), that may affect the legionella risk on site

  Yes

  No
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• Details / Priority /Action By Whom & Date

• Is there any evidence of site staff being trained in Legionella awareness and their responsibilities within the control scheme

  Yes

  No
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• Details / Priority /Action By Whom & Date

• Is there a written procedure to define the action to be taken if Legionella bacteria are detected in samples taken from site

  Yes

  No
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• Details / Priority /Action By Whom & Date

• 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

  Yes

  No
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• Details / Priority /Action By Whom & Date

• Is there a written procedure regarding when and how to alternate hot or cold water pumps

  Yes

  No
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• Details / Priority /Action By Whom & Date

• Are the responsibilities for carrying out the tasks within the control scheme clearly defined

  Yes

  No
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• Number of Cold Water Storage Tanks (CWSTs) in the system?

Tanks

• Details / Priority /Action By Whom & Date

Temperature Control Scheme & Monitoring

• Are all cold water temperatures maintained at <20 degrees C at all outlets?

  Yes

  No
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• Details / Priority /Action By Whom & Date

• Are all cold water temperatures maintained at >50 degrees C at all outlets

  Yes

  No
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• Details / Priority /Action By Whom & Date

• Are the temperature records or for all hot and cold water systems complete

  Yes

  No
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• Details / Priority /Action By Whom & Date

• Have all non-conforming in temperatures been investigated and addressed

  Yes

  No
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• Details / Priority /Action By Whom & Date

Biocide Dosing Regimes

• Is there suitable records and information for any fitted Biocide Dosing System that is installed?

  Yes

  No

  N/A
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• Details / Priority /Action By Whom & Date

• Are the biocide dosing records for the water system complete

  Yes

  No
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• Details / Priority /Action By Whom & Date

• Have all non-conforming biocide levels and checks been investigated and addressed

  Yes

  No
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• Details / Priority /Action By Whom & Date

Low-Flow Areas

• Is there a record or Register noting all deadlegs within the water system?

  Yes

  No
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• Details / Priority /Action By Whom & Date

• Does this include any identified “little-used outlets” - where water is used infrequently?

  Yes

  No
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• Details / Priority /Action By Whom & Date

• Are there full records of flushing for any identified “little-used” outlets?

  Yes

  No
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• Details / Priority /Action By Whom & Date

• Are there records of any duty/standby pumps being switched or alternated where fitted in the water system?

  Yes

  No
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• Details / Priority /Action By Whom & Date

• Has the risk assessment been reviewed and records produced at the agreed frequency

  Yes

  No
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• Details / Priority /Action By Whom & Date

Periodic Inspection & Cleaning

• Are there records to demonstrate that showers have been inspected and disinfected at least quarterly

  Yes

  No
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• Details / Priority /Action By Whom & Date

• Are there records of cold-water tank and hot water vessel inspection

  Yes

  No
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• Details / Priority /Action By Whom & Date

Suitability & Sufficency

• Is the current control scheme being adhered to?

  Yes

  No
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• Details / Priority /Action By Whom & Date

• Is there evidence that the current controls scheme is effectively controlling bacterial growth in the water system

  Yes

  No
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• Details / Priority /Action By Whom & Date

Number of Cold Water Storage Tanks (CWST) in System?

• Number of Cold Water Storage Tanks (CWSTs) in the system?
  
  (NB. Multiple linked Storage Vessels may be considered one single tank, providing any issues are accurately identified & located.)

Tank

• Name, Ref Number, and Location

• Areas fed from this tank

Tank Design & Structure

• Is there a secure, close fitting lid fitted

  Yes

  No
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• Tank Number / Details / Priority /Action By Whom & Date

• Is there a lid vent (tank breather) fitted and is it in good condition

  Yes

  No
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• Tank Number / Details / Priority /Action By Whom & Date

• Is there an overflow screen fitted and is it in good condition

  Yes

  No
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• Tank Number / Details / Priority /Action By Whom & Date

• Is the tank well insulated from heat gain

  Yes

  No
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• Tank Number / Details / Priority /Action By Whom & Date

Tank Hygienic Condition

• Is the tank corroded

  Yes

  No
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• Tank Number / Details / Priority /Action By Whom & Date

• Is there any evidence of scale deposition

  Yes

  No
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• Tank Number / Details / Priority /Action By Whom & Date

• Describe the level of sediment on the base of the tank. (Percentage covered)

• Does the level control valve shut off before the overflow level is reached

  Yes

  No
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• Tank Number / Details / Priority /Action By Whom & Date

• Does the inlet supply valve shut off the supply

  Yes

  No
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• Tank Number / Details / Priority /Action By Whom & Date

• Does the outlet valve shut off the outlet

  Yes

  No
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• Tank Number / Details / Priority /Action By Whom & Date

• Record the stored water temperature as far away as possible from the inlet valve.

• Record the inlet temperature at the mains inlet.

• Select from range

Hot Water Heaters

• Was an internal inspection of the vessel undertaken

  Yes

  No

• Were the internal surfaces of the vessel covered in scale deposits

  Yes

  No

  N/A
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• HWS Number / Details / Priority /Action By Whom & Date

• Were there any signs of internal corrosion

  Yes

  No

  N/A
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• HWS Number / Details / Priority /Action By Whom & Date

• Is the vessel well insulated to prevent heat loss

  Yes

  No
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• HWS Number / Details / Priority /Action By Whom & Date

• Does the vessel drain valve operate safely

  Yes

  No
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• HWS Number / Details / Priority /Action By Whom & Date

• Was the vessel drain flushed until clear water was achieved

  Yes

  No
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• HWS Number / Details / Priority /Action By Whom & Date

• Is there a flow/storage temperature gauge fitted

  Yes

  No
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• HWS Number / Details / Priority /Action By Whom & Date

• What is the stored water temperature

• Is there a return line temperature gauge fitted

  Yes

  No
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• HWS Number / Details / Priority /Action By Whom & Date

• What is the return water temperature

• Is the return pump operating

  Yes

  No
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• HWS Number / Details / Priority /Action By Whom & Date

• By checking the available records, can it be shown that all recommendations of the risk assessment have been implemented

  Yes

  No

  N/A
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• Details / Priority /Action By Whom & Date

• Are there schematic diagrams for every water system

  Yes

  No
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• Details / Priority /Action By Whom & Date

• Are the schematic drawings accurate with regard to the locations that they supply

  Yes

  No
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• Details / Priority /Action By Whom & Date

• Do the schematic drawings show enough detail so that they are not ambiguous

  Yes

  No
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• Details / Priority /Action By Whom & Date

• Is the outlet asset register accurate? I.e. are all of the outlet types and number defined in each location where water is used

  Yes

  No
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• Details / Priority /Action By Whom & Date

• Is the “fixed asset” register accurate? I.e. are all of the cold-water storage tanks and hot water vessels recorded

  Yes

  No
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• Details / Priority /Action By Whom & Date

• Is a supplementary biocide being dosed into any of the systems

  Yes

  No

• Has this biocide dosing equipment been installed since the previous risk assessment

  Yes

  No

  N/A
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• Details / Priority /Action By Whom & Date

• Assessors comments and summary

• Photographic Evidence ( if applicable )

Item

• Details

• Photograph

  Media