Legionella risk assessment record: free blank PDF
Download a printable legionella risk assessment record for England, Wales, Scotland. The PDF contains the record sections shown below and writing space for the actual findings.
Print the blank record and keep the completed copy with the job.
What the Legionella risk assessment record covers
Record the water system, who may be exposed, the assessment findings, control measures, responsible person and review triggers. It records an assessment and its actions; it is not a laboratory water-test result or a compulsory annual certificate.
Who needs one
- A person with the knowledge and competence to assess the actual system, working with the duty-holder.
- Record scope: England, Wales, Scotland.
- Keep the completed record with the source documents, findings and job reference.
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Questions sole traders ask
What is included in the download?
The blank PDF contains the record sections shown below, writing space and sign-off. Its fields come from the record definition used to export this PDF.
Who completes this record?
A person with the knowledge and competence to assess the actual system, working with the duty-holder.
