Template

Legionella Risk Assessment Template (LRA)

by Legionella Assessor, from the Community

30+

This Legionella risk assessment template helps landlords and property managers evaluate water system risks and document control measures. It guides users to record hot and cold water temperatures, inspect boilers, cylinders, and cold water storage tanks, review showers and spa pools, identify deadlegs, and note appliances connected to the water system. It includes prompts for high risk occupants, void period procedures, tenant information, and ongoing review. Aligned with HSE guidance, it supports compliance by assessing hazards, recording evidence, setting actions, and scheduling regular reviews to reduce the risk of Legionella exposure in residential premises.

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With SafetyCulture you can

Digitize any process, procedure or policy

Eliminate mistakes made by paper-based processes

Create and share professional reports instantly

Confirm accountability and compliance with a digital log

About author

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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
Legionella Risk Assessment for Rental Properties
This sample template guides assessors through a comprehensive legionella risk assessment for rented residential properties. It covers water supply safety, hot and cold water heating and storage, cylinder and cold-water tank checks, temperature recording at outlets, showerhead cleanliness, spa pool hygiene, and identification of deadlegs. It includes tenant information guidance, procedures for void periods, and clear risk banding with review requirements. Use it to document hazards, assign actions, and ensure controls that protect occupants and maintain legal compliance.
by machine guading, from the Community
Downloads: 0
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Template
Legionella Survey and Risk Assessment Template
This sample Legionella survey and risk assessment template helps landlords and facility managers evaluate building water systems and control risks. Sections cover cold and hot water temperatures, storage tanks, little used outlets, shower heads, and dead legs, plus tenant guidance and corrective actions. Capture outlet locations and conditions, document findings and notes, then conclude overall risk and schedule regular reviews at least annually. Use this template to assign actions, maintain records, and support compliance across properties.
by Abdul Muflahi, from the Community
Downloads: 10+
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Template
Legionella Risk Assessment
Use this Legionella Risk Assessment template to evaluate water systems across your site. Check cold and hot water temperatures, inspect storage tanks, distribution pipes, showers, and little-used outlets, and identify dead legs and stagnation risks. Capture photos, add notes, log temperatures, and verify flushing routines for unoccupied properties. Create on-site reports to document findings, track corrective actions, and maintain compliance with legionella control guidelines.
by Caroline Paton, from the Community
Downloads: 10+
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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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Legionella Risk Assessment Template (LRA)

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Legionella Risk Assessment for Rental Properties

Legionella Survey and Risk Assessment Template