Template

Legionella Risk Assessment Review Checklist

by Thomas Eckersley, from the Community

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.

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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

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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 Systems Legionella Risk Assessment
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.
by DCUK FM, from the Community
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Template
Legionella Risk Assessment Checklist ACOP L8 HSG274
Use this checklist to support a compliant Legionella risk assessment of hot and cold water systems in buildings. It aligns with HSE ACOP L8 and HSG274 Part 2 and covers site management, roles and responsibilities, temperature control and monitoring, biocide dosing regimes, low flow and little used outlets, flushing and records, cold water storage tank condition, hot water system inspections, gauges and temperatures, and asset registers and schematics. It also prompts review of previous recommendations, evidence of staff training, and written procedures for positive Legionella results or suspected cases. Intended as an aid for trained and competent assessors to document findings, actions, and priorities.
by Fraser Inglis, 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 Template (LRA)
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.
by Legionella Assessor, from the Community
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Legionella Risk Assessment Review Checklist

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Legionella Risk Assessment Checklist ACOP L8 HSG274