Legionella Risk Assessment Simple Checklist


England and Wales



Product code LRA001

The guidance for carrying out a legionella risk assessment must be read in conjunction with this form!

When carrying out a legionella risk assessment, it might be useful to have a simple checklist which could be give to a third party (such as gas engineer) to make some basic checks which will help determine the outcome of any risk assessment.

This form is a simple checkbox system where a number of items within a property can be recorded including:

  • how the water is fed
  • temperatures of boilers and cylinders
  • condition of water tanks in a loft
  • temperatures of outlets
  • any deadlegs

The form is in PDF format and the link takes you to the legionella guidance where the other forms are available from.