1. Thursday 21st September Legionnaires’ Disease - Why all the fuss?
Legionella – A re-cap
Example Risk Systems
The Regulator.
Good Control Measurers
What happens when it goes wrong

4. Remember to take care when dealing with Void/Vacant Properties

5. Legionnaires’ Disease isn’t going away
PHE statistic – annual summary reports

6. Foreseeable & Preventable
Cooling Towers &
Evaporating Condensers
Water in Production
Aqueous tunnel washer
Spa Pools HSG282 Jan 2017

7. Foreseeable & Preventable
Hot & Cold Water Systems
Foreseeable
& Preventable
Hot Water Cylinders
Cold Water Storage Tanks

8. Foreseeable & Preventable
Hot & Cold Water Systems
Foreseeable
& Preventable
Free Floating Biofilm/Bacteria
Heavy Mould Spotting & Sediment

9. The Regulator

10. Take ownership of the risk Sustained Compliance
The Regulator
Dutyholder
As an employer, or a person in control of the premises, you are responsible for
health and safety and need to take the right precautions to reduce the risks of exposure
to legionella.
You must understand how to:
• identify and assess sources of risks
• prevent or control any risks
• keep and maintain the correct records
• carry out any other duties you may have
Take ownership of the risk
Sustained Compliance

11. Overview of failings
Regulator Intervention programme 2013/14 – Evaporative cooling systems
HSE carried out 1,906 inspections
– found material breaches identified at 625 sites (~ 33%)
HSE served, in total,
– 500 Improvement Notices
– 19 Prohibition Notices
HSE visited a further 500 cooling tower sites in 2016 and plan to go back to a further 100 poor performers in late 2017.

12. Contributory factors to outbreaks
•HSE commissioned enforcement and outbreak cause analysis over 10
year period
• 2012 – published HEX/12/07 report
• Highlighted high percentage of outbreaks had root causes in contributory
factors:
Regulators Intervention Programme 2013/14
Failure to;
– Identify risk
– Put in place effective schemes of control
– Implement scheme of control
– Keep adequate records
and Poor communication.

13. Outbreak Data HEX/12/07 report

14. Outbreak Data HEX/12/07 report

15. What do Good Control Measures Look Like?
Key procedures in place to;
– Design, Implement, Monitor & Maintain Effective Control Measures
Site survey
Set of standard operating procedures
Site visit reports, site log book
– Inspection, monitoring, recording/ signed & dated
Non conformances recorded, communicated
Follow up actions taken until closure & recorded
Audit trail in place
Regular undertake internal audits to provide level of confidence in your procedures and processes.

16. The Legionella Control Association
The LCA has close links with the Health and Safety Executive (HSE) and other public health authorities and regularly participates in consultations, task groups and conferences concerned with minimising the risk of Legionnaires'
disease.

17. What happens if it goes wrong.
21 People Affected.
Van driver Richard Griffin, 56, from Clayton, William Hammersley, 79, from Chesterton, died following the outbreak in the summer of Harry Cadman, 71, from SoT (who had an underlying condition) did not die as a result of Legionnaires'’ disease but his end of life was severely impaired.
Although initially charged with corporate manslaughter JTF were then prosecuted under the HSWA.
Fine £1m

18. Fined £1.8m (since appealed and upheld)
What happens if it goes wrong.
Following a report a worker had contracted the serious lung infection which causes flu-like symptoms. Harlow's environmental health officers could not prove the Harlow worker had contracted the disease through the site.
However, searches uncovered a serious lack of compliance in maintaining water systems at the workplace.
“The environmental health officers found monitoring and testing of systems was erratic. Staff had received inadequate training and there were no up to date policies or suitable and sufficient risk assessments in place to safely operate or manage the building’s water systems.”
“G4S did not take steps required to reduce the risk of Legionnaires’ disease from its water systems. This was despite a long-standing duty, extensive guidance, advice from their own consultants and advice from Harlow Council.”
Fined £1.8m (since appealed and upheld)

19. What happens if it goes wrong.
The Feathers Hotel in Ludlow
One person has died after an outbreak of Legionnaires’ disease at a hotel. Two guests of the hotel contracted the disease. The first case was diagnosed in April 2017 and has recovered but another individual, who stayed at the hotel in July, has died.
The Feathers Hotel in Ludlow has closed temporarily after advice from health professionals from Public Health England
Not the kind of publicity you want to appear on ITN News when running a business like this.

20. Could it happen on yours or your clients premises?

21. Question and Answers

22. Contact Details 01782 791775 07793 775839 ashley@qube- uk.co.uk
Qube are independent and impartial Legionella & Asbestos compliance experts who are ISO 9001 & certified for the services we offer and registered with the Legionella Control Association.
Services Include
Legionella Risk Assessment
Legionella Analytical Services 
Hot and Cold Water Monitoring and Inspection Services
Cleaning & Disinfection Services
Legionella Training Services
Asbestos Surveys
Asbestos Management Plans
Asbestos Management Reviews
Asbestos Awareness Training