New system commissioning record
A record for commissioning new or refurbished water systems before handover: confirming flushing, disinfection, temperatures and any sampling so a system is not brought into use stagnant or contaminated.
This PDF is not tagged for assistive technology. Use this structured HTML page or the CSV as the accessible alternative.
| Date | System / area | Work stage | Flushed (Y/N) | Disinfected (Y/N) | Sample taken (Y/N) | Result / status | Sign-off |
|---|---|---|---|---|---|---|---|
| 2026-06-05 | New shower block | Pre-handover | Y | Y | Y | Awaiting lab result | Project RP |
| 2026-06-12 | New shower block | Handover | Y | Y | Y | Satisfactory; in use | Project RP |
Sample rows are illustrative. Download the PDF for a clean print-ready form, or the CSV to fill in digitally.
How to use it
- Use when commissioning new, extended or refurbished systems: avoid leaving pipework filled and stagnant between installation and use.
- Record thorough flushing, disinfection and, where the risk assessment indicates, sampling before handover, in line with HSG274 and water fittings/commissioning guidance.
- Confirm hot and cold temperatures are achieved and obtain a disinfection certificate where one is produced.
- Add the new assets to your asset register and written scheme of control, and sign off the system as fit to bring into use.
Background: Commissioning new water systems: preventing Legionella from day one
Cite this page
"New system commissioning record (free template)." Legionella.io. https://legionella.io/templates/new-system-commissioning-record/
Free to reuse under CC BY 4.0: quote, adapt or republish with attribution and a link back to the original.
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