Legionella Risk Assessment Quotation

Get a free online Legionella Risk Assessment Quotation

Please complete the Legionella Survey Form to receive an emailed quotation.

 

Your Contact Information

Contact Name *

Company Name (if applicable)

Contact Telephone Number *

Company Address *

Invoice Address (if different)

Contact Email *

Type of Risk Assessment Required and type of client

Site Information

If you have multiple buildings, provide more details about the others buildings in the 'Additional Information' box at end of this form

Number of Buildings to be surveyed *

Number of floors (in largest building) *

Number of showers in building *

Number of water tanks to be inspected *

Hot water storage heaters/calorifiers *

Number of Heating Boilers*

Number of Cooling Towers*

Approximate number of areas or rooms with water outlets to be inspected. Include bathrooms, toilets, shower rooms, kitchens, tea points, bedrooms, clinics, surgeries, laundries, salons, and or number of sinks and wash hand basins. *

Any other water services that require inspection (provide details below) *

Specify in the 'additional information' section below, details about other water systems if not included above

Please tell us a little bit more about the nature of the building use

e.g. Office, Retail, Care home, School, Sports Facility, Dentist, GP Practice, Residential, HMO, Industrial, Warehouse etc.

What will you have in place for us when we arrive?

Can you provide a site escort and ladders to assist our Assessor in accessing the water services?

Do you have a previous risk assessment or monitoring records available for review?

Do you have a Schematic drawing or diagram of the water services in your building?

Please select which optional requirements you would like to be included in your legionella risk assessment service

Would you like a new or updated Schematic drawing of the water services?

Would you like a basic/standard asset list of outlets and services inspected?

Or

Would you like a fully detailed Asset Register of ALL outlets and services in the building?

Would you like a basic/standard list of Suggested Control Actions to manage the risk?

Or

Would you like a fully comprehensive Written Scheme of Control?

Would you like 10% of any identical units, rooms or flats to be inspected?

Or

Would you like every unit, room, flat or outlet to be inspected separately?

How would you like your report to be issued ?

Would you like water sampling to be carried out alongside the risk assessment?

If yes, please provide details of your water sampling requirements in the 'additional information' section at the end of this form

Do you require a legionella management log book or records with this service?

Site Management Information

Please provide names of the responsible persons for the building or those that hold the responsibility for managing the water at the site. Alternatively please provide the name(s) of the person responsible for commissioning this work. Please state 'Not known' if this information is unavailable to you.'

Name of the Building Owner/ Duty Holder *

Name of Responsible Person*

Name of a Deputy Responsible Person*

Please provide Any additional or important information that you think we might need to know!

Including any additional information about the site or service required and timescale for delivery. Any details about extra buildings or sites to be assessed including their size etc. Any additional or special water systems e.g. water features, cooling towers, humidifiers, wet coolers, spa baths, swimming pools, irrigation sprinklers, aquariums etc. The more information you are able to provide about your site and requirements, the faster we will be able to get a quote to you.

Advisory notes:

Please be aware is your responsibility to ensure you comply to your legal obligations with regards to legionella control and all services, procedures and tasks that are not managed directly or undertaken directly by Aqua Legion UK Ltd. It is also important to highlight that Aqua Legion will only be responsible for those items and services as detailed in the corresponding proposal provided. All other legionella requirements will remain the client’s responsibility unless Aqua Legion are formally appointed to manage, monitor, implement or maintain such other control items. It is important to highlight that a variety of routine inspections, monitoring and management tasks and procedures will be required to demonstrate compliance to the HSE’s Approved Code of Practice and HSG274 documentation where there is a foreseeable risk of legionella growth proliferation and subsequent infection. Likewise, it is important to highlight that the HSE’s Approved Code of practice applies wherever the Health and Safety at Work Act applies including residential properties of a commercial nature. Whilst specific tasks can be delegated, it is also important to confirm that overall compliance responsibility relating to Legionella Control will remain with the client. It is therefore the client’s responsibility to ensure any Contractors appointed to provide legionella risk assessments and or other related services are competent to carry out the works to which they have been assigned. The HSE encourages organisations supplying such services to be registered with the Legionella Control Association (LCA).

Aqua Legion is registered with the Legionella Control Association for the provision of legionella risk assessments, routine water monitoring and water sampling, legionella training and independent consultancy. We can also confirm that all services, procedures and tasks managed or undertaken directly by Aqua Legion UK Ltd will be conducted in accordance with the HSE’s Approved Code of Practice L8, HSG274
and the LCA service standards. However, it is highlighted that Aqua Legion will only retain responsibility for the tasks or services as specified under our corresponding quotation unless otherwise formally documented. Thank you for considering Aqua Legion and we look forward to being of service to you

Please note:  your legal obligations and Aqua Legion LCA Certification