CBI INTELLIGENCE

Assessment Details

Person(s) Completing the Assessment

Person(s) Interviewed

Facility Characteristics

Building Information

Building Name Original Construction Year Later Construction (From/To) Stories/Levels Occupancy Rate (%) Daily Census (avg) Use

Water Supply Source

Premise Plumbing System

Hot Water System Configuration

Building Name Type of System Name of System Areas Served Date of Installation Total Capacity (gallons) Usual Temperature (°F) Distal Outlet Temperature (°F)
  1. (°F or °C)
  2. (°F or °C)
  3. (°F or °C) (°F or °C)

Measured Water System Parameters

Building Name Name of System Part of System (C/P/D) Sampling Site Free Chlorine (ppm) Monochloramine (ppm) pH Temp (°F) Time to Max Temp (min) Comments

Appendix A: Healthcare, Assisted Living, and Senior Living Facilities

Appendix B: Cooling Towers and Evaporative Condensers

Cooling Tower Details

Cooling Tower ID Operational (Y/N) Manufacturer Date of Installation Location Number of Cells Drift Eliminators (Y/N) Purpose

Specific Parameters

Cooling Tower ID Current Disinfectant Level Current Water Temperature Current Water pH

CDC Legionella Prevention Tips

  • An effective water management program is the primary strategy to control Legionella growth and spread.
  • Maintain appropriate water temperature and disinfectant levels.
  • Monitor and maintain adequate disinfectant levels in hot tubs (3–10 ppm free chlorine or 4–8 ppm bromine, pH 7.2–7.8).
  • Flush faucets and showerheads if not used for a week or more.
  • Clean and maintain all fountains according to manufacturer recommendations.
  • Follow local, state, territorial, federal, or tribal laws for water management.
  • If concerned about Legionella, test water samples and disinfect systems.

OSHA Water Safety Checklist for Legionella

  • Conduct visual inspections and maintenance to prevent scale, sediment, and biofouling.
  • Maintain records of system descriptions, operating procedures, inspection/cleaning/disinfection dates, test results.
  • Use biocides like chlorine, bromine, ozone for control.
  • Provide PPE for maintenance: gloves, goggles, respirators (N95 or better).
  • For cooling towers: Clean/disinfect twice yearly, use high-efficiency drift eliminators.
  • For hot water systems: Store at ≥140°F, deliver at ≥122°F, flush lines, clean aerators.
  • For cold water systems: Limit storage, eliminate stagnant tanks, use backflow preventers.
  • For HVAC: Drain sumps, clean routinely, locate intakes away from cooling towers.
  • Train on PPE use and limitations.

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