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Landlord legionella risk assessment template

Landlord legionella risk assessment template

Complete your landlord legionella compliance with our detailed assessment template. Identify water system risks and protect tenants with proper documentation.

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Landlord legionella risk assessment template

Complete your landlord legionella compliance with our detailed assessment template. Identify water system risks and protect tenants with proper documentation.

Use this template with Lumiform

The Lumiform application helps frontline teams uphold internal standards effortlessly.
  • Customize this template or build your own
  • Fill out templates via mobile app
  • Assign and track corrective actions
  • Get reports and analyse your data
Prices start from ░░░ per month
Book a demo
Learn more
or Download template as PDF

Conducting thorough legionella risk assessments is a critical legal requirement for anyone renting out property. This template provides a systematic approach to evaluating water systems in rental properties, focusing on temperature controls, storage conditions, and high-risk fixtures like showers and spa pools. You’ll be able to identify potential breeding grounds for legionella bacteria and document control measures for compliance purposes.

The CDC estimates there are between 8,000 and 18,000 hospitalizations due to Legionnaires’ disease annually in the U.S. This template helps you maintain comprehensive documentation while implementing practical risk mitigation strategies.

Related categories

Preview of the template
Audit
Schematics (optional - might be useful for complex system)
Schematic diagram
Water Supply
How is water fed to the dwelling?
Describe other systems
Water heating and storage
Add any boilers heating the hot water (including if it heats a cylinder)
Where is the boiler located?
Other description
Record the temperature of the hot water setting (If temp. not shown, enter dial setting e.g. Max)
Is the temperature between 55 and 60 degrees Celsius?
Temperature in Celsius:
Add any hot water cylinders here (whether heated by a boiler or electric)
Where is the hot water cylinder located?
Other description
Is this a fortic tank?
It is recommended that the fortic tank be removed at the earliest opportunity and replaced with a different type of hot water provider. In the meantime, the temperature on the hot water setting should be set to at least 60 degrees.
What is the temperature setting on the cylinder?
Is the temperature setting between 55 and 60 degrees?
Are there any cold water tanks supplying a hot water cylinder?
Where is the cold water tank which supplies the hot water cylinder located?
Is there a well fitted lid on the tank?
Is the tank clean?
Is the tank lagged?
Is the water stored at below 20 degrees?
Record the temperature of the water in the tank:
Record of temperatures
List of outlets and temperatures. If there are thermostatic mixer valves, the temperatures recorded are the temperatures of the pipes as close to the TMV as possible.
Outlet name / location
Other description
Is the outlet fed via a TMV?
Hot water temperature:
Cold water temperature:
Is the cold water below 20 degrees and the hot water 50 degrees or greater?
Showers
Add any showers
Where is the shower located?
Other description
Does the shower head look clean?
The showerhead should be disinfected, dismantled, and cleaned by the occupier quarterly or as indicated by the rate of fouling.
Spa pools
Add any whirlpool baths, spa baths, hot tubs, jacuzzis
Where are they located?
Other description
Does the item look clean and regularly disinfected?
It is recommended that spa pools which include whirlpool baths, spa baths, hot tubs etc. should be removed at the earliest opportunity. The occupier should disinfect after EVERY use according to manufacturers instructions.
Deadlegs
Add any deadlegs
Location
Add media
Does the deadleg require removal? (Normally the answer is remove.)
This deadleg should be removed within one month of the report by a competent person.
Information
Are occupiers given information about the control of legionella?
See later in this risk assessment for suggested wording on a tenant's information leaflet which should be provided to the current occupier and to new occupiers at the time of signing any tenancy agreement.
Void periods
Is there adequate procedures in place when there are void periods?
Recommended action for void periods: taps should be opened during viewings with prospective tenants at least weekly. If the property is unoccupied for longer than 6 weeks, the hot cylinder (if present) should be heated to at least 60 degrees for one hour and run through for 5 minutes. Where there is no cylinder, the temperature should be set to 60 degrees and run through for 5 minutes. For longer periods, consideration should be given to professional cleaning. Where a new tenant is to take occupation, temperatures on boilers and cylinders should be checked to ensure they are set at between 55 and 60 degrees.
Any other risks identified
Details of risk identified
Detail of risk identified
Take photos (optional)
Banding, review and signature
Risk banding
The risk score is defined as follows: 0% to 40% - High risk - there is a high risk to the people identified and prompt action is needed 41% - 74% - Medium risk - there is a medium risk to the people identified and the recommended action is required within one month 75% - 100% - Low risk - there is a low risk to the people identified. Recommendations to be completed as soon as possible
Review
A review of this risk assessment should be carried out regularly (at least every two years) and whenever there is reason to suspect that it is no longer valid for example if there is: • a change to the water system or its use; • a change to the use of the building where the system is installed; • new information available about risks or control measures; • the results of checks indicating that control measures are no longer effective; • changes to key personnel; • a case of legionnaires’ disease / legionellosis associated with the system
Signed
Full Name and Signature of Inspector
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Frequently asked questions

What information should I provide to tenants about legionella control?

Provide tenants with information about legionella risks, including guidance on regular shower head cleaning, running taps after periods of non-use (like vacations), maintaining appropriate water temperatures, and reporting any water system issues promptly. This communication should be documented in your risk assessment.

How should I handle legionella risk assessment for properties with spa pools or hot tubs?

Properties with spa pools require special attention as these are high-risk systems. Document their location, cleaning protocols, and disinfection schedule. Recommend removal if maintenance appears inadequate, or provide detailed manufacturer-specific cleaning instructions requiring disinfection after every use to minimize risk.

What specific actions should I take when a property is vacant for extended periods?

For properties vacant longer than six weeks, heat the hot water cylinder to at least 60°C for one hour and flush all outlets for five minutes. For shorter vacancies, run all taps weekly during property viewings. For extended vacancies, consider professional system cleaning before new tenancy begins.

This template, developed by Lumiform employees, serves as a starting point for businesses using the Lumiform platform and is intended as a hypothetical example only. It does not replace professional advice. Companies should consult qualified professionals to assess the suitability and legality of using this template in their specific workplace or jurisdiction. Lumiform is not liable for any errors or omissions in this template or for any actions taken based on its content.