Legionella risk assessment for landords checklist
Landlords should conduct legionella risk assessments to prevent occupants from acquiring legionnaires’ disease from contaminated water. landlords can use this legionella risk assessment template to record water heating and storage equipment (boiler, hot water cylinder, cold water storage tank) installed and check each work condition and temperature. assess if occupants or tenants were given information about the control of legionella. lastly, detail other risks identified. validate the audit by providing a digital signature.
What does this form include?
This form contains 31 sections:
Schematics (optional - might be useful for complex system)
Water Supply
- How is water fed to the dwelling?
Add any boilers heating the hot water (including if heats a cylinder)
Where is the boiler located?
Record the temperature of the hot water setting (If temp. not shown, enter dial setting e.g. Max)
Water heating and storage
- Is the temperature between 55 and 60 degrees celsius?
Add any hot water cylinders here (whether heated by a boiler or electric)
Where is the hot water cylinder located?
What is the temperature setting on the cylinder?
Are there any cold water tanks supplying a hot water cylinder?
List of outlets and temperatures.If there are thermostatic mixer valves, the temperatures recorded ar
Outlet name / location
Record of temperatures
- Is the outlet fed via a TMV?
Add any showers
Showers
- Where is the shower located?
Shower head should be disinfected, dismantled and cleaned by the occupier quarterly or as indicated b
Add any whirlpool baths, spa baths, hot tubs, jacuzzis
Spa pools
It is recommended that spa pools which include whirlpool baths, spa baths, hot tubs etc. should be re
Add any deadlegs
Location
Add media
Deadlegs
- Does the deadleg require removal? (Normally answer remove.)
Information
- Are occupiers given information about the control of legionella?
Void periods
- Is there adequate procedures in place when there are void periods?
Details of risk identified
Detail of risk identified
Take photos (optional)
The risk score is defined as follows:0% to 40% - High risk - there is a high risk to the identified pe
A review of this risk assessment should be carried out regularly (at least every two years) and whene
Full Name and Signature of Assessor
Use this template