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:

20% REPRESENTATIVE OUTLET TEMPERATURE MONITORING RECORD SHEET

Frequency:

Annual

Acceptance date:

Oct’12

File Ref:

C - LEG04

Next review date:

Oct’14


Property:




System Reference:




Thermometer No.




Thermometer Calibration no.




Location details

Outlet details


TOC

Comply?

[Yes or No]


Action Taken

Ward / Dept.

Room

No.

WHB/

SINK/ BATH etc.


Hot

T OC


Cold T OC

Mixer Fitted

(tick)


Mixer T OC

Inlet TOC prior to mixer (hot and cold).

























Yes / No




























Yes / No




























Yes / No




























Yes / No




























Yes / No




























Yes / No




























Yes / No




























Yes / No




























Yes / No




























Yes / No




























Yes / No




























Yes / No




























Yes / No




























Yes / No




























Yes / No




























Yes / No




























Yes / No




























Yes / No




























Yes / No




Competent Person


Name:

Signature:


Date:

Authorised Person [Water]


Name:

Signature:

Date:

Additional docket numbers issued:





PPM:

OUTLET FLUSHING – LITTLE USED OUTLETS* / VACANT AREAS (<60 DAYS)

PPM Ref:

C – LEG26

Frequency:

Twice Weekly

If outlets are not being used on an occupied dept. / ward for whatever reason e.g. a shower room being used as a store which is not cleaned by Hotel Services then the outlet needs to be flushed twice / week.


If an area e.g. ward is temporarily closed then all outlets in the affected area should be flushed / week.
1) The outlet[s] should be flushed twice a week for at least 3 minutes each time.

  • If outlets have TMVs fitted then the flow of the water should be set to warm.

  • WCs should be flushed.

2) All flushing procedures should be completed whilst trying to minimise the release of aerosol, if an outlet is being flushed without knowledge of when it was last run then the outlet should be flushed completing via the ‘safe purge’ method.


2) Use form C- LEG26 for both of the weekly flushes (Monday & Thursday).
3) The completed record sheet must be return to the Authorised Person [Water].
NB – should you discover any defects with the outlet contact Estates Helpdesk.
* Showers, baths, sinks, wash hand basins, sluice, WCs, tap, sprays etc.
RECORD SHEET C – LEG26 MUST BE FILLED IN AND RETURNED TO THE AUTHORISED PERSON [WATER]




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