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This form relates to Section 61H of the Public Health Act 2005. Use this form to notify the Department of Health when Regionally has been detected in water used at a prescribed facility* using a prescribed
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How to fill out legionella detection notification form

01
To fill out the legionella detection notification form, follow these steps:
02
Start by gathering all the necessary information, such as contact details, address of the facility, and the date of the detection.
03
Fill in the section that requires information about the source of the sample taken for testing. Include details such as the location of the sample, type of water system, and if any control measures were in place.
04
Proceed to the section that asks for the laboratory details. Provide the name of the laboratory, their contact information, and the date the sample was received for testing.
05
Complete the section related to the detection results. Include the details of the test results, such as the presence or absence of legionella bacteria, the concentration level, and any additional information.
06
If necessary, fill in the section for remedial actions taken or planned to address the legionella detection. Include any monitoring or control measures that have been implemented.
07
Finally, sign and date the form once all the information has been filled out correctly.
08
Remember to submit the completed form to the appropriate authority or agency as specified by the regulations in your jurisdiction.

Who needs legionella detection notification form?

01
Legionella detection notification form is typically required by facility owners or operators who have conducted testing for legionella bacteria in their water systems.
02
This form is needed to report the presence or absence of legionella bacteria and provide information on any detected concentrations or remedial actions taken to mitigate the risk.
03
Regulatory agencies, public health departments, or other relevant authorities often require this form to monitor and ensure public safety.

What is Legionella detection notification . A to notify the Department of Health when Legionella has been detected in water used at a prescribed facility. Form?

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Template Legionella detection notification . A to notify the Department of Health when Legionella has been detected in water used at a prescribed facility. instructions

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The legionella detection notification form is a document used to report the presence of legionella bacteria in a water system.
Any facility owner or operator that has a water system and detects legionella bacteria is required to file the legionella detection notification form.
The legionella detection notification form can be filled out by providing information about the facility, type of water system, detection methods used, and any actions taken to address the presence of legionella bacteria.
The purpose of the legionella detection notification form is to ensure that proper steps are taken to address and prevent the spread of legionella bacteria in water systems.
Information such as facility details, water system type, legionella detection methods, and any corrective actions taken must be reported on the legionella detection notification form.
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