Landlord & lettings

Legionella Risk Check template

Record water-system features, little-used outlets and temperature observations at a property. UK landlords should use a suitable competent risk assessment; this practical record does not certify that a system is safe.

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What's on this sheet

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Legionella Risk Check

Blank sheet
Job ref: __________

Property

Date

Date

Property address

Short answer

Assessed by

Short answer

Water temperatures

Hot water at outlet after 1 minute

Reading · °C · ≥ 50 °C

Hot water below 50 °C at outlet. Check the cylinder is set to 60 °C.

Hot water cylinder temperature

Reading · °C · ≥ 60 °C

Cylinder below 60 °C — raise the thermostat setting.

Cold water after 2 minutes

Reading · °C · ≤ 20 °C

Cold water above 20 °C. Check for warm storage tanks or pipes near heat.

Risk checks

System

Yes / No / N/A · notes on No

Cold water tank (if any) has a lid and is clean□ Yes □ No □ N/A
No dead legs or unused pipework□ Yes □ No □ N/A
Little-used outlets flushed weekly□ Yes □ No □ N/A
Shower heads clean and descaled□ Yes □ No □ N/A
Tenant told how to reduce risk□ Yes □ No □ N/A

Actions needed

Notes

Sign off

Assessor name

Short answer

Assessor signature

Signature

Assessor signature

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Who uses it

Landlord & lettings teams and UK businesses keeping a clear visit or check record. Simple landlord water-system risk check: stored water, temperatures, little-used outlets and actions.

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Common questions

Is this landlord & lettings sheet a certificate?

Use it alongside your tenancy records and check the rules in the nation where the property is located. A completed form does not decide responsibility or legal compliance.

Can I print it or fill it on my phone?

Download the blank Classic PDF without signing up, or fill a copy in guest mode on your phone. Photos and signatures are available when filling digitally.

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