Template

Domestic Water Systems Legionella Risk Assessment

by DCUK FM, from the Community

This template guides a thorough Legionella risk assessment for domestic water systems. It covers system descriptions, surveyed systems, and exclusions, and outlines clear responsibility structures for duty holders and responsible persons. The checklist audits current water hygiene programs, documentation and training, and evaluates risks across cold water storage cisterns, calorifiers, hot water heaters and cylinders. Tasks include temperature monitoring, cleaning and disinfection records, bacteriological sampling, and adherence to HSG274 Part 2 guidelines. Use it to standardize inspections, identify remedial actions, and maintain compliance and safe water management.

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Eliminate mistakes made by paper-based processes

Create and share professional reports instantly

Confirm accountability and compliance with a digital log

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This community page makes available free workplace checklists and templates created by other users within the SafetyCulture community. SafetyCulture has re-published this content and where possible, has credited the original author. SafetyCulture has not verified the accuracy, reliability or suitability of any community content. You agree that your use of any of this content is in accordance with SafetyCulture’s Terms and Conditions.

Template
Domestic Water Temperature Records
Use this monthly checklist to log hot and cold domestic water temperatures across your site. Cover reception, restrooms, showers, kitchens, labs, workshops and factory areas. Record outlet IDs, readings for hot and cold, note issues such as damage or no hot water, and capture whether building water works were in progress. Add comments, next audit date and a signature to complete the record. Helps facilities teams maintain water hygiene, manage Legionella risk and demonstrate compliance during safety audits.
by Ricardo Cardigos, from the Community
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Template
Legionella Risk Assessment for Domestic Properties
This sample Legionella risk assessment for domestic properties helps landlords, property managers, and homeowners evaluate hot and cold water systems. It covers outlet temperature checks, cold water storage tanks, hot water settings at 60 degrees centigrade, little-used outlets, shower heads, dead legs, and unoccupied periods. Use it to identify hazards, record risks and recommendations, assign responsible persons, and plan remedial actions in line with HSE L8 guidance. Includes prompts for evidence, notes, and annual review.
by Ivelisse Figueroa, from the Community
Downloads: 20+
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Template
Legionella Risk Assessment Review Checklist
Use this template to review your current Legionella Risk Assessment in line with HSE L8 4th Edition and HSG274 Parts 1-3. The checklist guides duty holders and responsible persons through verifying policies, training, maintenance records, and control regimes; documenting assets such as cold water storage tanks, calorifiers, point-of-use heaters, showers, thermostatic mixing valves, RPZ valves, and softeners; checking temperatures, stagnation risk, and turnover; updating flushing schedules; and capturing non-compliance and remedial actions. Suitable for audits across commercial and public facilities to maintain water hygiene and compliance.
by Thomas Eckersley, from the Community
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Template
Water Hygiene Management Review
This water hygiene management review checklist helps organizations assess and document compliance with HSE L8 ACoP 2014. It covers roles and responsibilities, designation of a responsible person, contractor competency, and precautionary measures. Sections include cooling tower design, operation, and maintenance; water treatment programs and chemical dosing; routine monitoring and record keeping; dip slides and quarterly Legionella sampling; and cleaning and disinfection procedures. It also reviews hot and cold water services, written schemes of control, system schematics, materials selection, TMVs, insulation, storage, and calorifier performance to control Legionella risk across building water systems.
by Graeme Eear, from the Community
Downloads: 40+
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Domestic Water Systems Legionella Risk Assessment

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Domestic Water Temperature Records

Legionella Risk Assessment for Domestic Properties

Legionella Risk Assessment Review Checklist

Water Hygiene Management Review

You might also like

Domestic Water Temperature Records

Legionella Risk Assessment for Domestic Properties

Legionella Risk Assessment Review Checklist

Water Hygiene Management Review