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This legionnaires risk assessment template is according to the Health and Safety Executive (HSE) Control of Legionella Bacteria in Water Systems for auditing cooling towers. Use this template to efficiently inspect an unlimited number of cooling towers and evaluate a site's water treatment program and written scheme for controlling the risk from exposure to legionella bacteria.
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This legionella risk assessment form is based on the Centers for Disease Control and Prevention (CDC) Legionella Environmental Assessment Form used to gain a thorough understanding of a facility's water systems and assist facility management with minimizing the risk of legionellosis.
This general Legionella Risk Assessment Form can be used by the Legionella responsible person to assess the premises. Record cold and hot water temperatures and check if maintained properly. Evaluate if air conditioning and water systems are clean and disinfected. You may not need take any further action at this stage but you can use the gathered data to review the assessment regularly in case anything changes in your system. Maximize SafetyCulture's features by capturing photos of risks present in the workplace. Annotate photos to emphasize underlying factors and report risks to safety managers and officials. Use SafetyCulture's Temperature field to enter the current temperature readings. Generate reports while on-site for better reporting process.
Based on HSE guidance for risk assessment at work, this workplace risk assessment template can be used by employers, owners, and managers to do the following: 1) Decide on the focus of the workplace risk assessment by stating the goal, scope, and other important details (when and where workplace risk assessment will be performed), 2) Identify hazards, risks caused by the hazards, and who might be harmed by these risks, 3) Evaluate risks by estimating likelihood and consequences of risk and using the risk matrix provided to identify risk levels (high, medium, low), 4) Develop effective risk control measures when hazards cannot be eliminated, and 5) Specify how often the workplace risk assessment will be reviewed.
Use this generic dynamic risk assessment template to capture a variable number of observed hazards. Observe tasks, identify hazards, persons at risk and select the risk rating based on the risk matrix. Select control measures and recommended actions to minimize the risk.
