Thursday 21 st September Legionella – A re-cap Example Risk Systems The Regulator.

1. Legionnaires’ Disease - Why all the fuss? Thursday 21st September 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. Hot & Cold Water Systems Foreseeable & Preventable Hot Water Cylinders Cold Water Storage Tanks

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

9. The Regulator

10. 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 2012. 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. 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 www.qube-uk.co.uk Qube are independent and impartial Legionella & Asbestos compliance experts who are ISO 9001& 45001 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