Forms

Legionella control and precautions record

Record legionella precautions, monitoring and management activity, responsible persons, findings and corrective actions for the school's water systems.

Form
CalmComplianceForm template

Legionella control and precautions record

Version
v1
Updated
1 October 2026
Audience
Maintained and academy schools in England where the school is an employer, controls premises, or has health and safety responsibilities for others.
Jurisdiction
england

Blank fields · read-only preview

Scope and applicability

Use this record where the school is an employer, controls premises, or has health and safety responsibilities for others. Record the precautions taken, monitoring and management activity, findings, responsible persons and corrective actions relevant to the school's water systems.

Which condition or conditions make this record applicable?

Required

Select all that apply. If none apply or applicability is uncertain, do not complete the operational record until the school's position has been considered.

Choose up to 3

  • The school is an employer
  • The school controls premises
  • The school has health and safety responsibilities for others
  • Applicability is uncertain

I have considered whether this record is applicable to the school

Required

Complete this confirmation before entering the record details.

  • Tick when complete

Record details

School name

Required

Enter the name of the maintained or academy school.

School name

Site or building covered by this record

Required

Identify the site, building or buildings to which the record relates.

Site or building

Record period start date

Required

Enter the first date covered by this record.

Day
Month
Year

Record period end date

Enter the final date covered by this record, if the record period has ended.

Day
Month
Year

Purpose of this entry

Required

Briefly describe the precaution, monitoring, management activity, finding or corrective action being recorded.

Describe the purpose of this entry

Type of activity recorded

Required

Select all activity types covered by this entry.

Choose all that apply

  • Precaution taken
  • Monitoring activity
  • Management activity
  • Finding or observation
  • Corrective action
  • Review of arrangements or records
  • Other

If other, please specify

Water system, equipment or area concerned

Required

Identify the relevant water system, equipment, outlet, plant room or area.

System, equipment or area

Date of activity or observation

Required

Enter the date on which the activity or observation took place.

Day
Month
Year

Person responsible for this entry

Required

Enter the name of the person responsible for carrying out or recording the activity.

Name and role

Organisation or contractor involved

If another organisation or contractor carried out or supported the activity, enter its name. Leave blank if not applicable.

Organisation or contractor

Precautions taken

Required

Describe the precautions taken to control legionella risk for this entry.

Describe precautions taken

Monitoring method or source of information

Describe how the information was obtained, such as an inspection, observation, test, review or contractor report.

Monitoring method or source

Measured reading, if applicable

Enter a numerical reading only where one was taken. Record the unit and context in the findings field.

Number

Findings and observations

Required

Record the relevant findings, observations, results or issues identified.

Findings and observations

Is corrective action required?

Required

Select the option that reflects the finding recorded above.

Choose one

  • Yes
  • No
  • To be confirmed

Corrective action or follow-up required

Required

If corrective action is required or is to be confirmed, describe what needs to happen. If no action is required, enter 'None identified'.

Describe corrective action or follow-up

Person responsible for corrective action

Enter the person responsible for completing or coordinating the action, where applicable.

Name and role

Target completion date for corrective action

Complete this field where a corrective action has been identified.

Day
Month
Year

Corrective action completion status

Required

Select the current status. Use 'Not applicable' where no corrective action was identified.

Choose one

  • Not applicable
  • Not started
  • In progress
  • Completed
  • Unable to complete

Actual completion date

Complete this field if the corrective action has been completed.

Day
Month
Year

Additional notes

Add any other information needed to understand or follow up this record.

Additional notes

This entry has been reviewed by the person responsible for managing the relevant precautions

Required

Check this box only after the entry has been reviewed.

  • Tick when complete

Reviewer name and role

Required

Enter the name and role of the person who reviewed this entry.

Name and role

Review date

Required

Enter the date on which this entry was reviewed.

Day
Month
Year
CalmCompliance · v1Template for adaptation

Template details

Type
Form
Version
v1
Updated
1 October 2026

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Legionella control and precautions record template - CalmCompliance