Legionella guides

Every guide on this site, grouped by topic. Each one answers a real question in enough depth to act on: what the guidance actually says, what it does not say, and what to record.

Care and healthcare settings

  • Legionella in care homes

    Care-home residents are a high-risk group for Legionnaires' disease. What the law and the CQC require, the controls to run, and the records to keep.

  • What does augmented care mean for legionella control?

    Augmented care units treat patients highly vulnerable to waterborne infection, so HTM 04-01 adds tighter controls: water safety plans, outlet sampling and point-of-use filters. What applies, and where.

Causes and growth conditions

Comparisons and regulations

Compliance and records

  • How often do you check a water system for legionella?

    A legionella monitoring schedule sets out the routine checks that keep control in place: temperatures, flushing, tank and calorifier inspections, and outlet cleaning. The usual frequencies and how they are recorded.

  • What is a legionella written scheme of control?

    The written scheme of control is the document that sets out how you will keep legionella risk under control: the tasks, frequencies, and responsibilities. What it must contain and how it differs from the risk assessment.

  • What is a water safety plan?

    A water safety plan is a risk-management framework for the whole water system, used mainly in healthcare and larger premises. What it contains, who sits on a water safety group, and when you need one.

  • Who is the responsible person for legionella?

    ACOP L8 expects a named, competent person to take day-to-day charge of managing legionella risk. What the responsible person does, what competence means, and how the role sits alongside the duty holder.

  • What is an authorising engineer for water?

    An authorising engineer (water) independently audits how an organisation manages its water systems and advises the duty holder. Where the role comes from, who needs one, and who can act.

Control measures

Costs and quotes

Enforcement case studies

High-risk systems

  • How is legionella controlled in a cooling tower?

    Cooling towers are among the highest-risk sources of Legionnaires disease and are notifiable to the local authority. How they are controlled under HSG274 Part 1, and the duties that come with owning one.

  • Are rainwater and greywater systems a legionella risk?

    Rainwater harvesting and greywater reuse store warm, unchlorinated water for flushing and irrigation, and any spray from them can carry legionella. How the risk arises and the controls.

  • Can you get legionella from air conditioning?

    Standard air conditioning is not a legionella risk; water-based cooling is. Split units vs evaporative coolers vs cooling towers, the HSG274 Part 1 regime, and why Barrow 2002 linked the two.

  • How do water systems affect indoor air quality?

    Humidifiers, evaporative coolers, air washers and spray taps turn water into breathable aerosol. Where indoor air quality meets water hygiene, and what your legionella risk assessment must cover.

  • Why are hot tubs a legionella risk?

    Hot tubs and spa pools are among the highest-risk water systems for legionella: warm water, aerosol, and biofilm all at once. Why the risk is so high and the control regime that manages it.

L8 and compliance

Legionella questions

  • Can legionella grow in cold water?

    Not below 20°C, but it survives dormant and resumes growth when water warms. Why cold water in real buildings often is not cold, and how to check the cold side properly.

  • Can legionella live in chlorinated water?

    Yes. The mains chlorine residual keeps legionella low but never eliminates it, and biofilm shields it further. Why chlorinated is not sterile, and what actually controls the risk.

  • Can you see legionella in water?

    No. Even 1,000 CFU per litre, the upper action level, is invisible in a glass of water. Why clear water proves nothing and what you can usefully inspect instead.

  • Can you smell legionella?

    No. Legionella has no smell at any concentration, and colonised water can seem completely normal. Why your senses cannot detect it and what to check instead.

  • Does boiling water kill legionella?

    Yes, boiling kills legionella quickly, but it treats a kettle of water, not a building's water system. Why boiling cannot scale, and what the system-level equivalent is.

  • Does hot water kill legionella?

    Yes, hot water kills legionella, faster the hotter it gets. Why 60°C storage kills, why 50°C at the tap only controls, and what that means for your checks.

  • How does legionella spread?

    Legionella spreads in water and causes harm in breathable spray from showers, taps and cooling towers. How it moves through a building, and the controls that break the chain.

  • Where does legionella come from?

    Legionella is a natural organism of fresh water that enters buildings in trace numbers through the mains. Why the risk is created inside your building, and whose duty it is.

Legionella questions and answers

Monitoring

  • How do you monitor legionella?

    Monitor legionella with a stack of checks at different frequencies: weekly flushing, monthly temperatures, quarterly cleaning, six-monthly and annual inspections. The stack by system type.

  • How often should water temperatures be checked in a care home?

    The care-home water monitoring frequencies: monthly sentinel temperatures, weekly flushing, TMV servicing and inspections, with the frequency table and the scalding balance explained.

  • What are sentinel outlets and how do you choose them?

    Sentinel outlets are the nearest and furthest taps on each hot and cold loop, checked monthly. How to pick them, with a worked example, and what a failure pattern tells you.

  • What are the annual legionella checks?

    The annual legionella review in order: calorifier inspection, TMV servicing, the dead-leg sweep, the records audit, and the scheme review. What to check, who does it, and what to record.

  • What are the weekly legionella checks?

    The weekly legionella round, minute by minute: flushing little-used outlets to temperature, in the right order, with every flush recorded. What to do when an outlet fails.

  • What goes on a legionella temperature monitoring sheet?

    The columns a legionella temperature monitoring sheet needs, a filled-in example, and how to run the monthly round on paper or in the web log book. Free printable starting point.

  • What is a legionella monitoring log sheet?

    The log sheets a legionella monitoring regime needs: flushing, temperatures, cleaning and inspections, plus the remedial action record. Free printable set and the web log book.

  • What is legionella monitoring?

    Legionella monitoring is the repeating loop of checks that proves your controls work: temperatures, flushing, cleaning, inspections and records. How the regime fits together under ACOP L8.

Prevention and control

Q&A

Questions and answers

Regulations and guidance

  • What is ACOP L8?

    ACOP L8 is the HSE Approved Code of Practice for controlling legionella in water systems. What L8 is, the legal status it carries, what it requires, and how it fits with HSG274 and the law.

  • What is HSG274?

    HSG274 is the HSE technical guidance on controlling legionella, published in three parts. What each part covers, how it relates to ACOP L8, and the key figures.

  • HSG282: controlling legionella in spa pools and hot tubs

    HSG282 is the HSE guidance on controlling legionella in spa-pool systems. What it covers, who it applies to, and why holiday-let hot tubs are in scope.

  • What is HTM 04-01?

    HTM 04-01 is the healthcare-specific guidance for safe water in premises like hospitals and care settings. How it sits above HSG274, what a water safety group is, and who it applies to.

  • What is HTM 01-05 and what does it mean for dental waterlines?

    HTM 01-05 governs decontamination in dental practices, including dental unit waterlines; HTM 04-01 covers the building water system. The two-document split and the DUWL flushing regime.

Risk assessment

  • What is a legionella risk assessment?

    A legionella risk assessment is the legal starting point for controlling legionella in a water system. What it is, the law that requires it (HSWA, COSHH, ACOP L8, BS 8580-1), what it involves, who can do it, how often to review it, and what it costs.

Temperature and control

  • How do you balance scalding risk against legionella?

    Legionella control wants water hot; scald prevention wants it cool. How the two duties are reconciled, the temperatures involved, who is most at risk of scalding, and where thermostatic mixing valves fit.

  • What temperatures control legionella?

    The temperature rules that keep legionella in check: cold water below 20C, hot water stored at 60C and delivered at 50C, and the 20C to 45C growth range in between. What each number means and how often to check it.

  • What is the difference between TMV2 and TMV3?

    TMV2 and TMV3 are the same thermostatic mixing valve certified to two schemes: TMV2 for general and domestic use, TMV3 for healthcare under the NHS D08 specification. What TMV stands for, how the two differ, which one you need, and why the valve matters for legionella.

  • How do hot surfaces fit into legionella control?

    Legionella control keeps water systems hot; burn prevention wants outlets and surfaces safe to touch. How TMVs, insulation and guards reconcile the two duties, and the temperatures that matter.

  • What are the legionella temperatures?

    Hot stored at 60°C, 50°C at the tap within one minute (55°C healthcare), cold below 20°C within two. The complete HSG274 temperature reference, with the danger and kill zones explained.

Templates

Testing and monitoring

Treatment and remediation

  • How does chlorination control legionella?

    Chlorination disinfects a water system by dosing it to a high chlorine concentration for a set period. When it is used, the standard procedure, and how it compares with thermal disinfection.

Water system components

Waterborne organisms

  • What is biofilm and why does it matter for legionella?

    Biofilm is the slime layer that forms on wet pipe surfaces. It shelters and feeds legionella and protects it from heat and disinfectant, which is why it sits behind most persistent water hygiene problems.

  • What is pseudomonas in a water system?

    Pseudomonas aeruginosa is a waterborne bacterium that colonises taps, drains, and outlets, and is a particular concern in healthcare. Where it comes from in a water system and how it is controlled.

  • How do amoebae help legionella grow?

    Legionella multiplies inside free-living amoebae that graze on biofilm. The host relationship explains why temperature, flushing and cleaning work, and why disinfection alone fails.

  • What do coliforms and E. coli in water mean?

    Coliforms and E. coli are indicator organisms that signal contamination getting into the water, a different hazard from legionella. What a positive result means and what to do.

  • What is mycobacterium in a water system?

    Non-tuberculous mycobacteria such as M. avium live in building water biofilm, resist chlorine and tolerate heat. Where they come from, who they matter for, and how they are controlled.

  • Which bacteria live in hot tubs?

    Hot tubs harbour more than legionella: pseudomonas causes hot tub rash, mycobacteria affect lungs, and biofilm shelters them all. The organisms, the risks and the HSG282 control regime.

Waterborne pathogens

backflow prevention

bs 8558

bs 8580 legionella risk assessment standard

landlord legionella responsibility

legionella certificate

legionella in water

legionella management

legionella prosecution

legionella risk assessment frequency

legionella-causes-and-growth-conditions

  • What Causes Legionella to Grow?

    Legionella grows when water sits at 20 to 45°C, stagnates and collects biofilm, scale and nutrients. Learn the five causes of growth and the control that removes each.

legionella-regulations-and-legislation

legionellosis-and-health-effects

  • Pontiac fever: the mild form of legionellosis

    Pontiac fever is the mild form of legionellosis. Learn its symptoms, incubation period, how it differs from Legionnaires' disease, and why it still signals a water-safety failure.

  • What is Lochgoilhead fever?

    Lochgoilhead fever is the name given to a Pontiac-fever-like outbreak traced to a whirlpool spa in the Scottish village, caused by Legionella micdadei and reported in The Lancet in 1989.

  • What is the difference between legionella and legionnaires' disease?

    Legionella is the bacterium; legionnaires' disease is the pneumonia it causes. The legionellosis umbrella explained, including Pontiac fever and Lochgoilhead fever, with no medical advice.

point-of-use water filters legionella

  • Point-of-use water filters for legionella

    How point-of-use water filters control Legionella and Pseudomonas at the outlet, where they are used in augmented care, and why they supplement temperature control rather than replacing it.

what is legionella

  • What Is Legionella?

    Legionella is a waterborne bacterium that multiplies in warm, stagnant water inside buildings. Learn what it is, what causes it and why controlling it is a legal duty.

Free legionella risk assessment template

A structured Word document following the five-step approach in ACOP L8. Covers risk identification, written scheme, monitoring, and records. If it isn't written down, you can't evidence it.

Follows ACoP L8 and HSG274 Part 2. Free. No spam.

Important This page is general guidance only. Legionella risk varies with the specific water system, its use, and the people exposed to it. You should consult a competent legionella risk assessor for advice on your premises. LegionellaCheck is an independent information service and is not affiliated with HSE, UKAS, the Legionella Control Association, or any water hygiene company. This site does not provide medical advice. If you suspect Legionnaires' disease, contact NHS 111 or your GP.