Weekly Legionella Checks

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

*CENTRE NAME* - This check is to be completed on a weekly basis. If there is any non conforming items a picture must be taken at the end of this report, and then logged in the Corrective Action Log located within the Shared Drive.

• *INSERT AREA* All taps and showers run through for 3 mins, all toilets flushed through.

• *INSERT AREA* All taps and showers run through for 3 mins, all toilets flushed through.

• *INSERT AREA* All taps and showers run through for 3 mins, all toilets flushed through.

• *INSERT AREA* All taps and showers run through for 3 mins, all toilets flushed through.

• *INSERT AREA* All taps and showers run through for 3 mins, all toilets flushed through.

• *INSERT AREA* All taps and showers run through for 3 mins, all toilets flushed through.

• *INSERT AREA* All taps and showers run through for 3 mins, all toilets flushed through.

• *INSERT AREA* All taps and showers run through for 3 mins, all toilets flushed through.

• *INSERT AREA* All taps and showers run through for 3 mins, all toilets flushed through.

• *INSERT AREA* All taps and showers run through for 3 mins, all toilets flushed through.

• *INSERT AREA* All taps and showers run through for 3 mins, all toilets flushed through.

• *INSERT AREA* All taps and showers run through for 3 mins, all toilets flushed through.

• *INSERT AREA* All taps and showers run through for 3 mins, all toilets flushed through.

• *INSERT AREA* All taps and showers run through for 3 mins, all toilets flushed through.

• *INSERT AREA* All taps and showers run through for 3 mins, all toilets flushed through.

• Please note down any issues in the space provided below, log on the corrective action log and take a picture using the media tool below if applicable.

• Add media

  Media

• Select date

  Date

• Add signature

  Sign