Identification and Assessment of
the Risk
Regulations
Control of Substances Hazardous to Health
and Safety Regulations 199, regulation 6;
Management of Health and Safety at Work Regulations
1999, regulation 3; Health and Safety at Work
etc. Act 1974, sections 2, 3 and 4.
Acop
A suitable and sufficient assessment is required
to identify and assess the risk of exposure
to legionella bacteria from work activities
and water systems on the premises and any
necessary precautionary measures. The assessment
is carried out by or on behalf of: the employer,
where the risk from their undertaking is to
their employees or to others; or a self-employed
person, where there is a risk from their undertaking
to themselves or to others; or the person
who is in control of premises or system in
connection with work where the risk is present
from systems in the building (e.g. where a
building is let to tenants but the landlord
retains responsibility for its maintenance).
In conducting the assessment, the person
on whom the statutory duty falls is required
to have access to competent help to assess
the risks of exposure to legionella bacteria
in the water systems present in the premises
and the necessary control measures.
The assessment should include identification
and evaluation of potential sources of risk
and the particular means by which exposure
to legionella bacteria is to be prevented;
or if prevention is not reasonably practicable,
the particular means by which the risk from
exposure to legionella bacteria is to be controlled.
When the assessment demonstrates that there
is no reasonably foreseeable risk or that
risks are insignificant and unlikely to increase,
no further assessment or measures are necessary.
However, should the situation change, the
assessment needs to be reviewed and any necessary
changes implemented. The assessment needs
to be reviewed regularly and, in any case,
whenever there is reason to believe that the
original assessment may no longer be valid.
Guidance
Before any formal health and safety management
system for water systems can be implemented,
a risk assessment has to be carried out to
decide the possible risks. The purpose of
the assessment is to enable a decision to
decide:
* the risk to health, i.e. whether the potential
for harm to health from exposure is reasonably
foreseeable unless adequate precautionary
measures are taken;
* the necessary measures to prevent, or adequately
control, the risk from exposure or legionella
bacteria.
The risk assessment also enables the person
on whom the statutory duty falls to show that
all the pertinent factors, and the steps needed
to prevent or control the risk, have been
considered.
In conducting the assessment, the person on
whom the statutory duty falls needs to have
access to competent help and advice. This
source of advice may not necessarily be within
the person's organisation but may be from
a consultancy, water treatment company or
a person experienced in carrying out risk
assessments. Employers are required to consult
employees or their representatives about the
arrangements for getting components help and
advice.
It is the duty of the responsible person to
make reasonable enquiries to ensure that organisations
such as water treatment companies or consultants,
together with personnel from the occupier's
organisation, are competent and suitably trained
and have the necessary equipment to carry
out their duties within the written scheme
in a safe and adequate manner.
Carrying out a risk assessment
A number of factors are required to create
a risk of acquiring legionellosis, such as;
* the presence of legionella bacteria;
* conditions suitable for multiplication of
the organisms e.g. suitable temperature (20C-45C)
and a source of nutrients e.g. sludge, scale,
rust, algae and other organic matter;
* a means of creating and disseminating breathable
droplets e.g. the aerosol generated by a cooling
tower or shower; and the presence (and numbers)
of people who may be exposed, especially in
premises where occupants are particularly
vulnerable, e.g. healthcare.
While there will inevitably be common factors
associated with the many and varied types
of premises being assessed, the individual
nature of each site should be taken into account.
In complex systems or premises, a site survey
of all the water systems should be carried
out and should include an asset register of
all associated plant, pumps, strainers and
other relevant items. This should include
an up-to-date
drawing/diagram showing the layout of the
plant or system, including parts temporarily
out of use. A schematic diagram would be sufficient.
It should then be decided which parts of the
water system (for example, which specific
equipment and services) may pose a risk to
those at work or other people.
The following list contains some of the factors
which should be considered, as appropriate,
when carrying out the assessment: the source
of system supply water (for example, whether
from a mains supply or not) possible sources
of contamination of the supply water within
the premises before it reaches the cold water
storage cistern, calorifier, cooling tower
or any other system using water that may present
a risk of exposure to legionella bacteria;
the normal plant operating characteristics;
and unusual, but reasonably foreseeable operating
conditions (for example, breakdowns).
When there is a risk, the significant findings
of the assessment should be recorded (if there
are five or more employees). In any case,
it may be necessary to record sufficient details
of the assessment to be able to show that
it has been done. The record of the assessment
should be linked to other relevant health
and safety records and, in particular, to
the written scheme.
Employers are required to consult employees
or their representatives on the identified
risks of exposure to legionella bacteria and
on the measures and actions taken to control
the risks. The employees should be given an
opportunity to comment on the assessment and
control measures and the employer has to take
account of these views. It is, therefore,
important for employers to publicise to employees
that a legionella risk assessment has been
performed, and one means by which employers
could ensure that employees are informed of
the measures and actions taken to control
risks, and have an opportunity to comment
on the risk assessment, would be by displaying
the appropriate parts of the risk assessment.
It is essential that the effectiveness of
the control measures is monitored and decisions
made on the frequency and manner of this monitoring.
The assessment should be reviewed regularly
(at least every two years) and, whenever there
is reason to suspect that it is no longer
valid. An indication of when to review the
assessment and what needs to be reviewed should
be recorded. This may result from, for example:
* changes to the water system or its use;
* changes to the use of the building in which
the water system is installed;
* the availability of new information about
risks or control measures;
* the results of checks indicating that control
measures are no longer effective;
* a case of Legionnaires' Disease/legionellosis
is associated with the system.
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