Legionella Temperature Log

for Middleton Court

Date: / Type of Outlet / Cold Temp / Hot Temp / Comments / Tester Initials
Flat 1 / Shower
Sink Taps
Basin Taps
Flat 2 / Shower
Sink Taps
Basin Taps
Flat 3 / Shower
Sink Taps
Basin Taps
Flat 4 / Shower
Sink Taps
Basin Taps
Flat 5 / Shower
Sink Taps
Basin Taps
Flat 6 / Shower
Sink Taps
Basin Taps
Flat 7 / Shower
Sink Taps
Basin Taps
Flat 8 / Shower
Sink Taps
Basin Taps
Flat 9 / Shower
Sink Taps
Basin Taps
Flat 10 / Shower
Sink Taps
Basin Taps
Flat 11 / Shower
Sink Taps
Basin Taps
Flat 12 / Shower
Sink Taps
Basin Taps
Flat 14 / Shower
Sink Taps
Basin Taps
Flat 15 / Shower
Sink Taps
Basin Taps
Flat 16 / Shower
Sink Taps
Basin Taps
Date: / Type of Outlet / Cold Temp / Hot Temp / Comments / Tester Initials
Flat 17 / Shower
Sink Taps
Basin Taps
Flat 18 / Shower
Sink Taps
Basin Taps
Flat 19 / Shower
Sink Taps
Basin Taps
Flat 20 / Shower
Sink Taps
Basin Taps
Flat 21 / Shower
Sink Taps
Basin Taps
Flat 22 / Shower
Sink Taps
Basin Taps
Flat 23 / Shower
Sink Taps
Basin Taps
Flat 24 / Shower
Sink Taps
Basin Taps
Flat 25 / Shower
Sink Taps
Basin Taps
Flat 26 / Shower
Sink Taps
Basin Taps
Flat 27 / Shower
Sink Taps
Basin Taps
Flat 28 / Shower
Sink Taps
Basin Taps
Flat 29 / Shower
Sink Taps
Basin Taps
Flat 30 / Shower
Sink Taps
Basin Taps
Flat 31 / Shower
Sink Taps
Basin Taps
Flat 32 / Shower
Sink Taps
Basin Taps
Date: / Type of Outlet / Cold Temp / Hot Temp / Comments / Tester Initials
Disabled Toilet / Basin
Residents Kitchen / Sink
Staff Toilet Ground / Basin
Staff Kitchen / Sink
Staff Toilet f/floor / Basin
Laundry Room / Sink
Cleaners Room / Sink
Calorifier 1 (1st floor cupboard)
Calorifier 2 (cleaners loft)
Comments:

Signature: ...... Date: ......

Issue Date: 11.4.13

Issue No: 1