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Legionella Risk Assessment Template

A free legionella risk assessment template for hospitality premises: water system survey, risk assessment of tanks, calorifiers, showers, dead legs and rarely used outlets, a control scheme and a monthly temperature and flushing log. PDF, ready to print.

Free downloadReady to useUK compliant
Legionella Risk Assessment Template
PDF
4 record sheets

Legionella bacteria grow in water between 20°C and 45°C and infect people through fine spray, which is why hotel showers, spa pools, hot tubs, rarely used outlets and the cellar tap that nobody runs are the places outbreaks start. Under COSHH and the HSE Approved Code of Practice L8, every employer and landlord must assess the risk from legionella in their water systems and manage it; there is no exemption for small premises, only a lighter touch where the system is simple. This free template gives you the survey of your water system, the risk assessment itself, a written control scheme and the monthly monitoring log that proves the controls are running. For a simple system a competent manager can complete it; for a hotel with tanks, calorifiers and a spa, use it to brief and check the specialist you bring in.

What's in the PDF

1

Water System Survey

One line per asset or outlet group, from the incoming main to the furthest tap. Columns: Asset / Outlet · Location · Type · Frequency of Use · Temperature Observed · Notes (scale, sediment, dead leg).

2

Legionella Risk Assessment

Assess each component for growth conditions and exposure to spray. Columns: Component · Growth Risk (temp, stagnation, scale) · Exposure Risk (spray, who) · Existing Controls · Risk (H/M/L) · Further Action / Owner.

3

Written Control Scheme

Columns: Control · Frequency · Pass Criteria · Responsible Person · Record Kept Where.

4

Monthly Monitoring Log

Columns: Date · Sentinel Hot (°C, 1 min) · Sentinel Cold (°C, 2 min) · Calorifier Flow / Return · Outlets Flushed (list) · Showers Descaled? · Action Taken · Initials.

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Why you need this

Legionella risk assessment is a legal duty under COSHH and ACOP L8 for every employer and anyone in control of premises
Hospitality has the classic risk factors: showers, spa pools, hot tubs, seasonal rooms and outlets that go unused for weeks
Legionnaires' disease kills around one in ten people who catch it, and outbreaks are traced back to the building
Environmental health officers ask for the assessment and the monitoring log, and insurers ask after a claim

What's included

Water system survey: cold water storage, hot water generation, distribution, outlets, showers, spa and pool equipment, dead legs and little-used outlets
Legionella risk assessment sheet with likelihood, consequence and control columns per system component
Written control scheme: who does what, how often, and the temperatures and actions that count as a pass
Monthly monitoring log: sentinel outlet temperatures, calorifier flow and return, tank inspection, shower head descale and flushing of rarely used outlets

How to use this template

1

Survey the water system

Walk from the incoming main to every outlet. Record tanks, calorifiers, pipe runs, showers, hoses, hot tubs and anything that stores or sprays water. Mark dead legs and outlets used less than weekly.

2

Assess each component

For each item, judge how likely legionella is to grow (temperature, stagnation, scale, sediment) and how likely people are to breathe the spray. Showers and spa pools are the high-risk lines.

3

Write the control scheme

Hot water stored at 60°C and reaching 50°C at the tap within a minute; cold below 20°C; weekly flushing of unused outlets; quarterly shower head descale; tank inspection; name the person responsible for each.

4

Run the log and review the assessment

Record the monthly checks on the log and act on any failure. Review the assessment every two years, after any change to the system, and after any case or suspected case.

Tips for getting the most from this template

The simplest and most effective control is heat: hot hot and cold cold, checked at the furthest outlet
Flush every outlet in a closed room or wing weekly, and log it, because stagnation is the usual cause
Remove dead legs rather than managing them; a capped pipe is cheaper than a lifetime of flushing
Hot tubs and spa pools have their own HSG282 guidance and need daily checks; do not fold them into the monthly log
Paddl schedules the flushing and temperature checks as routines and keeps the completed log against the location

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