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Legionella Risk Assessment Template

Identify and control risk factors and keep your facility safe with digital legionella risk assessment templates.

Rated 4.6/5 stars on Capterra | 3k+ app store reviews
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Legionella Risk Assessment Template
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This simple free Legionella Risk Assessment Template can be used by the Legionella-responsible person to assess the premises of a property. This template has been built according to the UK Residential Landlords Association (RLA) Legionnaires Disease Risk Assessment & Guidelines. Maximize Mitti (by SafetyCulture) features by:

  • Capturing photos of risks present in the workplace.

  • Annotate photos to emphasize underlying factors and report risks to safety managers and officials.

  • Use Sensors for automatic temperature readings.

  • Generate reports while on-site for a better reporting process.

  • Regularly review risk assessment data gathered over time and easily take action when anything changes in your system.

Legionella Risk Assessment Template
Mobile Preview
See the template in action (opens in new tab)

Why Mitti digital checklists?

  • Free to use for up to 10 users

  • Eliminate paperwork with digital checklists

  • Generate reports from completed checklists

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  • What is a Legionella risk assessment template?
  • Why use Legionella risk assessment templates?
  • What to include in the template
  • Sample Legionella risk assessment report
  • Top 3 Legionella-related risk factors and how to control them
  • FAQs about Legionella Risk Assessments

In this article

  • What is a Legionella risk assessment template?
  • Why use Legionella risk assessment templates?
  • What to include in the template
  • Sample Legionella risk assessment report
  • Top 3 Legionella-related risk factors and how to control them
  • FAQs about Legionella Risk Assessments

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Article by

Jona Tarlengco

|

3 min read

|

11 Apr 2025

What is a Legionella risk assessment template?

A Legionella risk assessment is a tool used by landlords, employers, and property managers to identify Legionella-related risk factors in a property, workplace, or facility and to control the risks of Legionnaires’ disease, a pneumonia-like illness caused by Legionella.

Why use Legionella risk assessment templates?

To help save time, others opt to use templates instead for their Legionella risk assessments. Legionella risk assessment templates aim to guide assessors in performing thorough inspections of water systems and prevent the growth of Legionella bacteria, which can cause serious harm or fatality from Legionnaires’ disease.

What to include in the template

There are many ways to create a Do-It-Yourself (DIY) Legionella risk assessment form, though most forms have the following common items:

  • List of water-related hardware installed such as showers, sink faucets, and the like

  • Data on water temperature, as well as water cooling and heating systems and their tune-ups

  • Disinfection steps

  • Description of the pipework in place

  • People most at risk for contracting Legionnaires

Sample Legionella risk assessment report

Here is an example of a Legionella risk assessment report using Mitti (by SafetyCulture)

Legionella Risk Assessment Sample Report

Top 3 Legionella-related risk factors and how to control them

In Michigan, Flint’s water crisis spawned one of the largest outbreaks of Legionnaires’ disease in U.S. history. Here are the most common factors that make a facility more susceptible to Legionella bacteria and how landlords, employers, and property managers can effectively control them:

1. Redundant piping or dead legs

Dead legs are stagnant or rarely used pipes in a system, which can become breeding grounds for Legionella bacteria. To prevent this, regularly survey and update the full schematic diagram of the hot and cold water system. Include water flow details, a water treatment program, and a written plan for Legionella control.

2. Infected cold water storage tanks

Another condition for Legionella to rapidly multiply is the lack of residual disinfectants like chlorine in cold water storage tanks. Routine cleaning and disinfection of cooling towers and the hot and cold water system should take place at least once every six months.

3. Lukewarm water temperature

The temperature of hot and cold tap water should remain 50 degrees Celsius (122°F) or above and 20 degrees Celsius (68°F) or below, respectively, while the water temperature inside the boiler should be kept at or above 60 degrees Celsius (140°F). Legionella grows exponentially in warm water temperatures, ranging from 25-42 degrees Celsius (77°-108°F). Proactively guard the premises against Legionnaires’ disease by installing temperature sensors.

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FAQs about Legionella Risk Assessments

JT

Article by

Jona Tarlengco

Mitti (by SafetyCulture) Content Specialist

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Templates

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Legionnaires risk assessment template

This printable Legionnaires risk assessment template is according to the Health and Safety Executive (HSE) Control of Legionella Bacteria in Water Systems for auditing cooling towers. Use this template to efficiently inspect cooling towers and evaluate a site’s water treatment program for controlling the risk of exposure to Legionella bacteria.

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Legionella risk assessment form

This Legionella risk assessment form is based on the Centers for Disease Control and Prevention (CDC) Legionella Environmental Assessment Form used to gain a thorough understanding of a facility’s water systems and assist facility management with minimizing the risk of legionellosis.

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HSE Legionella checklist template

Landlords, employers, and property managers can use this HSE Legionella risk assessment template to identify Legionella-related risk factors, record water temperatures, inspect cold and hot water systems, monitor the usage of water outlets, affix their digital signature for validation.

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