ࡱ> ] Abjbj~]~] U7i7i9~  8la8-(!"Y#D$Or#q ^ @##)))#v)#))FS(ʼ$LT̒10a$((<##)#####{'>###a############# Y o:   Corporate Health & Manual  3.7 THE CONTROL OF LEGIONELLA IN WATER SYSTEMS Guidance and Procedures  Summary Local Duty Holders / person in control of the building must provide a matrix of responsibilities and contact numbers for managing legionella on their property. Water Management Plan including Water Management Risk Assessment (WMRA) in place for building. Carry out any simple tasks e.g., running water through dead legs, flushing infrequently used outlets, e.g used less than once per day. All records of maintenance visits are now recorded electronically and held centrally. Info accessed via docia for all duty holders. Legal Requirements The Health and at Work Etc. Act 1974 places a General Duty on every employer to ensure the health safety and welfare of their employees as far as is reasonably practicable. The Control of Substances Hazardous to Health Regulations 2002 (COSHH) (As Amended) places a duty on ALL employers to assess and control all hazardous substances in respect of employees and other people likely to be affected by them. The Control of Legionella Bacteria in Water Systems Approved Code of Practice (ACOP) L8 is the detailed guidance which if followed (Alongside HSG274, technical guidance), will enable an employer to comply with the COSHH regulations so far as Legionella as a hazardous substance is concerned. The Notification of Cooling Towers and Evaporative Condensers Regulations 1992, also place a duty on to notify the Health and Executive of any Cooling Towers or Evaporative condensers within its area of control. Important Definitions Legionella Bacteria is naturally occurring and can be found in a range of water sources such as rivers, lakes and reservoirs, usually in low numbers. Legionella bacteria can survive under a wide variety of environmental conditions and has been found in water at temperatures between 6C and 60C, water temperatures in the range 20C to 45C seem to favour growth. The bacteria generally only cause illness when they begin to flourish in man-made water systems such as cooling towers, hot/cold water systems, fountains and in equipment that produces moist air such as air conditioning units Legionella Bacteria is dormant below 20C and will not survive above 60C. Legionella Bacteria may, however, remain in its dormant state in cool water and multiply only when water reaches a suitable temperature. Legionella Bacteria held at 37C has greater virulence than the same Legionella Bacteria kept at a temperatures below 25C. Legionnaires disease was first identified following a large outbreak of Pneumonia among people who attended an American Legion Convention in Philadelphia in 1976. A previously unrecognised bacterium was isolated from lung tissue samples, which was subsequently named Legionella Pneumophila. Not everyone exposed will develop symptoms of the disease and those that do, do not necessarily develop the full blown disease. The incubation period is between 210 days (usually 36 days). The initial symptoms of Legionnaires Disease include high fever, chills, headache and muscle pain. Patients may develop a dry cough, and most suffer breathing difficulties. About one third of patients infected also develop diarrhoea or vomiting and about half become confused or delirious. Infection with Legionella Bacteria can be fatal in approximately 12% of reported cases. This rate can be higher in a more susceptible population; for example, immuno-suppressed patients or those with other underlying disease. Certain groups of people are known to be at higher risk of contracting Legionnaires Disease; for example, men appear more susceptible than women, as do those over 45 years of age, smokers, alcoholics, diabetics, and those with cancer or chronic respiratory or kidney disease. It is normally contracted by inhaling Legionella Bacteria, either in tiny droplets of water (aerosols), or in droplet nuclei (the particles left after the water has evaporated) which is contaminated with Legionella, deep into the lungs. Procedures recognises its duty under The Control of Substances Hazardous to Health Regulations 2002 (COSHH) and its associated Approved Code of Practice (ACOP L8) and has developed these arrangements to ensure that the risk of Legionella is managed in its own property portfolio and properties where it has an interest by agreement, i.e., where a Service Level Agreement (SLA) exists to provide a service back to a school or tenant. In addition, under the Reporting of Injuries, Diseases and Dangerous Occurrences Regulations (RIDDOR), you must report any cases of legionellosis in an employee who has worked on cooling towers or hot and cold water systems that are likely to be contaminated with legionella. To comply with COSHH and ACOP L8 will: Identify properties where it has a duty to manage Legionella. Identify suitable duty holders for their property portfolio and are suitably trained to hold this post. Ensure that Legionella is managed in their property portfolio. Make notifications to the Health and Executive where applicable. Ensure any work where an employee could be at risk from exposure to Legionella is assessed. Review and audit the management of Legionella in water systems. Record all of the above. Ensure resources are available to provide competent staff to manage Legionella in Water systems. Lead Duty Holder (Corporate) The Duty Holder (Corporate) for s property portfolio where a duty exists is the Senior Asset Manager. However, this duty is delegated to the s Responsible Person and Local Duty Holders. The corporate duty holder has the responsibility to ensure adequate resources are available for the following: The effective management of Legionella within the corporate property portfolio and properties where it has an interest by agreement. That Initial risk assessments of Water Systems are carried out in all of the above properties and are reviewed as and when required, i.e. change to the water system or management structure triggering a review of the Water Management Risk Assessment / Water Management Plan. Notification to the Health and Executive of any Cooling Towers or Evaporative Condensers. The maintenance of a list of Local Duty Holders, their location and contact numbers. Ensure through the s Procurement Process contractor competence to carry out Water Management Risk Assessments and maintenance of water systems. Responsible Person (Corporate) The Responsible Person is located within Asset Management and has the following responsibilities: To provide contractors with historical information regarding installed systems in Buildings. To instigate initial Water Management Risk Assessments in accordance with HSE Publication HSG274 Legionnaires Disease Technical Guidance Parts 2 and 3 and keep them under review. To Notify the Health and Executive of any Cooling Towers or Evaporative Condensers. To be a first line contact for all water management advice. To maintain a data base of all duty holders, risk assessments and reports. To provide an emergency response service. Notify the National Legionella Surveillance Team (Newcastle) of an outbreak of legionella. To appoint and manage competent contractors who carry out Water Risk Assessment and maintenance of water systems. Duty Holder (Local) Local Duty Holders are persons who have control of the building in which their service is located for example, the manager of a Care Home, Facilities Manager, or a Head Teacher. A Duty Holder can also be any other person delegated by the Local Duty Holder. Once a Local Duty Holder has been identified/appointed they must be suitably trained and knowledgeable or appoint a Responsible Person - someone with suitably training and knowledge. It is their responsibility to: Provide a matrix of responsibilities and contact numbers for managing legionella in their property. Carry out any simple tasks e.g., running water through dead legs, flushing infrequently used outlets, e.g used less than once per day. All records of maintenance visits are now recorded electronically and held centrally. Info accessed via docia for all duty holders. Responsibilities of All Employees Employees have a general duty under the health and safety at work etc act 1974 as follows: To take reasonable care for the health and safety of themselves and of other persons who may be affected by what they do or fail to do. To co-operate with the as an employer in their efforts to comply with the act. Not to interfere or misuse anything provided for the purposes of health, safety or welfare. PLANNING AND IMPLEMENTATION Building Risk Assessment The basis for the management of Legionella risk in any building is an initial Risk Assessment carried out in accordance with ACOP L8 which identifies the type of water system installed in a building and whether a detailed assessment is required. The following criteria are to be used in all instances: Source of system water supply, e.g., whether from a wholesome mains supply or not (for example Tank fed system). Possible contamination sources of the water supply within the premises before it reaches the cold water storage tank, calorifier, cooling tower or any other system using water that may present a risk of exposure to legionella bacteria. The normal plant operating characteristics. Unusual, but reasonably foreseeable operating conditions, e.g., breakdown. Any means of disinfection in use. The review of any current control measures. The local environment. Once this initial Risk Assessment has been completed, it will identify whether a more detailed assessment of the buildings water system is required. Where the assessment demonstrates there is no reasonably foreseeable risk or that risks are insignificant and unlikely to increase, and are properly managed, no further assessment or measures are needed. If an initial Risk Assessment identifies that a more detailed assessment is required, the Buildings & Compliance Manager will instigate the assessment from an approved contractor who is Legionella Control Association accredited. The aim of the assessment is to identify the controls required to: Avoid water temperatures and conditions that favour the growth of legionella bacteria and other microorganisms. Avoid water stagnation which may encourage the growth of biofilm. Avoid the use of materials that harbour bacteria and other microorganisms or provide nutrients for microbial growth. Control the release of water spray, maintaining the cleanliness of the system and water in it. Use water treatment techniques. Take action to ensure the correct and safe operation and maintenance of the water system. Methods of Controlling Legionella Risk Once the risk has been identified and assessed, a written scheme of control will be prepared to control the risk. and will identify the following: The physical treatment programme e.g., using temperature control for hot and cold water systems: The chemical treatment programme, including a description of the manufacturers data on effectiveness, the concentrations and contact time required. Health and safety information for storage, handling, use and disposal of chemicals. System control parameters (together with allowable tolerances); physical, chemical and biological parameters, together with measurement methods and sampling locations, test frequencies and procedures for maintaining consistency. Remedial measures to take in case the control limits are exceeded, including lines of communication. Cleaning and disinfection procedures. Identify specific persons to carry out the above. Dealing with an Outbreak of Legionella In the case of a proven outbreak of Legionella the Building and Compliance Team follow the procedure in section 7 & 8 of Appendix G to this document and s Health and Policy. Record Keeping Where any works are carried out on any installed system (e.g., removal of dead legs, storage tanks), a review of the Water Management Risk Assessment will be carried out and the details of those works will be included in the Water Management Plan. The local Duty holder will sign for the Water Management Plan and will maintain the following within it: A list of contacts. The sign over document. (The duty holder acceptance) The following are held online and centrally via Docia: A record of service visits as identified by the Management Plan The Water Management Risk Assessment Information, Instruction & Training The will ensure that employees receive appropriate information, instruction and training to enable them to safely carry out their duties regarding water management. The responsibility for identifying training requirements lies with all Heads of Service, Senior Managers and Supervisors having control of such employees. Links to Guidance Health & Executive - Legionella and Legionnaires' disease -  HYPERLINK "https://www.hse.gov.uk/legionnaires/" https://www.hse.gov.uk/legionnaires/ The Control of Legionella Bacteria in Water Systems Approved Code of Practice (ACOP) L8 HYPERLINK "http://www.hse.gov.uk/pubns/priced/l8.pdf"http://www.hse.gov.uk/pubns/priced/l8.pdf The Health and at Work Etc. Act 1974 HYPERLINK "http://www.legislation.gov.uk/ukpga/1974/37"http://www.legislation.gov.uk/ukpga/1974/37 The Control of Substances Hazardous to Health Regulations 2002 (COSHH) (As Amended)  HYPERLINK "http://www.legislation.gov.uk/uksi/2002/2677/contents/made" http://www.legislation.gov.uk/uksi/2002/2677/contents/made The Notification of Cooling Towers and Evaporative Condensers Regulations 1992,  HYPERLINK "http://www.legislation.gov.uk/uksi/1992/2225/made" http://www.legislation.gov.uk/uksi/1992/2225/made Reporting of Injuries, Diseases and Dangerous Occurrences Regulations 2013 -  HYPERLINK "https://www.hse.gov.uk/riddor/" https://www.hse.gov.uk/riddor/ Legionella Plan Appendix G -HYPERLINK "https://intranet.southtyneside.gov.uk/article/20668/Legionella-health-and-safety-plan"https://intranet.southtyneside.gov.uk/article/20668/Legionella-health-and-safety-plan Review These guidance and procedures will be reviewed on an annual basis. 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