Document name: Maintenance & Operational Procedures for the control of Legionella, water hygiene, ‘safe’ hot water, cold water, drinking water and non-drinking water. Document type



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Procedure:

SENTINEL OUTLET MONTHLY TEMPERATURE [MIXED & NON MIXED] RECORD SHEET

Frequency:

Monthly

Acceptance date:

Oct’12

File Ref:

C – LEG39 [page 1 of 1]

Next review date:

Oct’14

Details of the whereabouts of all sentinel outlets for each property can be found in Appendix 3 of the Procedures manual.


Property:




System Reference:





Date & Time:




Thermometer Serial No:




Location details

Outlet details


TOC

comply?

[Yes or No]


Action Taken

Ward / Dept. & Room No.

Test Point

No.

WHB/

SINK/ BATH etc.

Hot

T OC

Cold T OC

Mixer Fitted

(tick)

Mixer T OC

Pipe TOC prior to mixer.





























































































































































































































































































































































































































































































































































I, the undersigned, have completed the works outlined above:

Competent Person


Name:

Signature:


Date:

Authorised Person [Water]


Name:

Signature:

Date:

Additional docket numbers issued:





PPM:

20% REPRESENTATIVE OUTLET TEMPERATURE MONITORING

PPM Ref:

C – LEG04

Frequency:

Monthly

1) Run the cold water outlet at a moderate flow rate (do not fully open) and take the temperature to ensure it is <20OC within two minutes of running the outlet.


2) Run the hot water outlet at a moderate flow rate (do not fully open) and take the temperature to ensure it is at least 55OC within one minute of running the outlet.
3) If the outlet is fitted with a TMV then take :

  • The cold inlet temperature.

  • The hot inlet temperature.

  • The mixed outlet temperature.

4) Record all temperatures achieved. Where temperatures do not comply within the required time then keep the tap running and record the time taken to achieve the temperature (up to a maximum of 5 minutes).


5) Where temperatures do not comply investigate possible reasons why. Record your actions in the ‘ACTIONS TAKEN’ column with trying to resolve the non compliance.
NB – If a hot water outlet is supplied by an electric water heater then record the maximum temperature achieved.
RECORD SHEET C – LEG04 MUST BE FILLED IN AND RETURNED TO THE AUTHORISED PERSON [WATER]




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