legionella-responsible-person-appointment-record
- Version
- v1
- Updated
- 1 October 2026
- Audience
- Primary and secondary schools in England, including maintained and academy schools, where the school is an employer, controls premises, or has health and safety responsibilities for others.
- Jurisdiction
- england
Blank fields · read-only preview
Legionella responsible person appointment record
Complete this record where the school is an employer, controls premises, or has health and safety responsibilities for others. The record documents the appointment of a manager responsible for legionella control arrangements and the relevant responsibilities of others.
School and appointment details
School name
RequiredEnter the full name of the school.
Full school name
School type
RequiredSelect the type or types that describe the school.
Choose one
- Maintained school
- Academy school
Basis on which this record applies
RequiredSelect every condition that applies to the school.
Choose up to 3
- The school is an employer
- The school controls premises
- The school has health and safety responsibilities for others
Appointment effective date
RequiredEnter the date on which the appointment takes effect.
- Day
- Month
- Year
Appointed manager
Name of appointed manager
RequiredEnter the name of the manager appointed to be responsible for the legionella control arrangements.
Full name
Job title or role
RequiredEnter the appointed manager's job title or role within the school or responsible organisation.
Job title or role
Contact details
RequiredProvide a work email address, telephone number, or other contact route for the appointed manager.
Work email, telephone number, or other contact route
Authority and responsibilities
Authority provided to the appointed manager
RequiredDescribe the authority available to the manager to organise, implement, manage, and monitor legionella control arrangements.
Describe delegated authority, access to information, ability to arrange work, and escalation routes
Responsibilities assigned to the appointed manager
RequiredDescribe the responsibilities assigned to the manager and any relevant responsibilities assigned to other people or organisations.
Set out responsibilities, interfaces, reporting arrangements, and escalation responsibilities
Relevant responsibility arrangements
RequiredSelect the arrangements included in this appointment record.
Choose up to 5
- Support from internal staff
- Support from an external specialist or competent organisation
- Management of relevant contractors
- Interface with a premises owner, landlord, or other dutyholder
- Defined reporting and escalation arrangements
- Other
If other, please specify
Competence and support arrangements
Competence or support basis
RequiredDescribe the appointed manager's relevant competence, experience, training, or the support arrangements that enable the responsibilities to be carried out.
Describe relevant competence and experience, or identify the support and advice available
Support provider or competent organisation
RequiredIf support is provided by another person or organisation, enter their name and role. Enter “Not applicable” where no separate support provider is used.
Name and role, or Not applicable
Support arrangement details
RequiredDescribe the scope of support, advice, technical input, or training arrangement. Enter “Not applicable” where no separate support arrangement is used.
Describe the support arrangement, or Not applicable
Planned review date
RequiredEnter the date when this appointment record is planned to be reviewed.
- Day
- Month
- Year
Record confirmation
Confirmation
RequiredConfirm that this record accurately documents the proposed or current appointment and the arrangements described above.
- Tick when complete
Record completed by
RequiredEnter the name and role of the person completing this record.
Name and role
Record completion date
RequiredEnter the date this record was completed.
- Day
- Month
- Year