Introduction

  • Site conducted

  • Conducted on

  • Prepared by

Since the original risk assessment was carried out...

  • Has there been a change to the water supply or the way it is used by the occupants?

  • Has there been a change in the use of the building where the system is installed?

  • Has new information been made available about risks or control measure?

  • Has hot water flowed from any outlets at a temperature below 50 degrees when testing the temperature of the water in the system?

  • Has cold water flowed from any outlets at a temperature of above 20 degrees when testing the temperature of water in the system?

  • Are the current tenants or visitors susceptible to Legionnaire's Disease due to age, health, lifestyle?

  • Has there been a case of Legionnaire's Disease associated with the system?

  • Signed

  • Print Name

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