HSE Property Checks
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Legionella Risk Assessment — Cover
Section 1.0

Assessment Information

Form — complete all fields
1.1   Document Reference
1.2   Date of Assessment
1.3   Client / Managing Agent
1.4   Property Address
1.5   Type of Dwelling
1.6   Occupancy
1.7   Vulnerable Occupants?
1.8   Assessor & Qualification
1.9   Suggested Review Date
Section 2.0

Executive Summary

Overall legionella risk
Overall Risk
Items flagged
0
Actions required
0
Assessment date
Next review
Section 3.0

Water System Details

Supply, heating & distribution
3.1   Cold Water Supply
3.2   Hot Water Generation
3.3   Cylinder / Calorifier Capacity (L)
3.4   Outlets within Property
3.5   Showers Present
3.6   Last Use of System
3.7   Notable Features
Section 4.0

System Inspection

HSG 274 Part 2 — visual checks
# Audit point Status Observation
Cold-water storage tank (where fitted) covered, insulated and vermin-proof.
Cold-water storage tank free of debris, scale, biofilm or stagnation.
Cold and hot pipework adequately insulated; cold separated from heat sources.
No visible dead legs, redundant pipework or capped spurs.
Hot water cylinder (where fitted) in good condition; no leaks at fittings.
All outlets are in regular use (at least weekly) — or flushing regime in place.
Shower head and hose free of visible scale, biofilm or damage.
No flexible hose connections that could permit back-flow / stagnation.
Thermostatic mixing valves (TMVs) accessible and identified.
Tenant has received written user guidance for flushing & shower-head cleaning.
Section 5.0

Temperature Monitoring

Sentinel readings (HSG 274 Part 2)
# Outlet Target Reading °C Time to reach Status
Section 6.0

Photographic Evidence

Supporting images
No photos yet
Section 7.0

Action Plan

Items requiring follow-up
# Action required Risk Responsible Target
Section 8.0

Declaration & Sign-off

Issued by & acknowledged

8.1   Assessor

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