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Appendix 103Legionella Surveillance Worksheet HEADDRESS (Street and No.) (last) (first) Prehospital Record No. This information will not be sent to REPORTING SOURCE TYPE NAME physician PH clinic ADDRESS
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How to fill out legionella surveillance worksheet-appendix 10-3
How to fill out legionella surveillance worksheet-appendix 10-3
01
To fill out the legionella surveillance worksheet-appendix 10-3, follow these steps:
02
Begin by entering the date of surveillance in the designated field.
03
Provide the name and location of the facility being surveyed.
04
Record the results of the visual inspection of the water system and any other relevant observations.
05
Assess the control measures in place for legionella management.
06
Record the results of any water sampling and testing performed.
07
Evaluate the effectiveness of the control measures and make any necessary recommendations for improvement.
08
Confirm the signatures of the person conducting the survey and any other relevant personnel.
09
Review and verify the completed worksheet for accuracy.
10
Save a copy of the worksheet for future reference and reporting.
11
Submit the completed worksheet to the appropriate authorities, if required.
Who needs legionella surveillance worksheet-appendix 10-3?
01
The legionella surveillance worksheet-appendix 10-3 is needed by individuals or organizations responsible for conducting surveillance and monitoring of legionella bacteria in water systems. This includes public health agencies, facility managers, water treatment specialists, and other professionals involved in the management of water systems.
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What is legionella surveillance worksheet-appendix 10-3?
The legionella surveillance worksheet-appendix 10-3 is a form used for reporting data related to the monitoring and management of legionella bacteria in water systems.
Who is required to file legionella surveillance worksheet-appendix 10-3?
Entities responsible for managing water systems, such as facility managers of hospitals, hotels, or any commercial establishments, are required to file the legionella surveillance worksheet-appendix 10-3.
How to fill out legionella surveillance worksheet-appendix 10-3?
To fill out the legionella surveillance worksheet-appendix 10-3, users must provide accurate data regarding water system samples, test results, and any remedial actions taken. Instructions are typically included with the worksheet.
What is the purpose of legionella surveillance worksheet-appendix 10-3?
The purpose of the legionella surveillance worksheet-appendix 10-3 is to track and manage potential outbreaks of legionella bacteria, ensuring appropriate public health measures are taken.
What information must be reported on legionella surveillance worksheet-appendix 10-3?
Information that must be reported includes the date of sampling, location of the water system, sample test results, and any actions taken in response to the results.
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