Legionella risk assessment v1-2 checklist
Risk assessment for legionella in rented residential dwellings - grl and tfp
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Introductory text is displayed in the final report here. This template is only available for customer
Legionellosis is a collective term for diseases caused by legionella bacteria including the most seri
Legionnaires’ disease is normally contracted by inhaling small droplets of water (aerosols), suspende
Duties under the HSW Act apply to the risks from exposure to legionella bacteria that may arise from
(a) there must be a dutyholder – either an employer or a self-employed person; and(b) there must be a
The Reporting of Injuries, Diseases and Dangerous Occurrences Regulations 2013 (RIDDOR) require emplo
This assessment is to assess the risk of exposure to Legionella Bacteria from work activities related
The hazard is the inhalation of water droplets containing Legionella bacteria.
The following people have been identified as being at risk:•occupiers •visitors•staff•contractorsOf pa
Exterior photograph(s)
Schematics (useful for complex system)
Water Supply
- How is water fed to the dwelling?
Photo(s)
Add any boilers heating the hot water (including if heats a cylinder)
Where is the boiler located?
Record the temperature setting of the hot water (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?
Record the temperature of the water in the tank
List of outlets and temperatures except showersIf there are thermostatic mixer valves, the temperatur
Outlet name / location
Record of temperatures
- Is the outlet fed via a TMV?
Hot water temperature
Cold water temperature
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
Deadlegs
- Does the deadleg require removal? (Normally answer remove.)
Information
- Are tenants given information about the control of legionella before they occupy premises?
Void periods
- Is there adequate procedures in place when there are void periods?
Details of risk identified
Detail of risk identified
Any other risks identified
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
Add signature
Company name and address of assessor
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