Written scheme of control (outline)
An outline for setting out the control measures from your risk assessment, who is responsible and how often each is carried out, in line with COSHH (regulations 7 and 9) and ACoP L8.
This PDF is not tagged for assistive technology. Use the accessible HTML worksheet below to complete it online, or use the structured CSV.
Fill in online
Complete this worksheet online
- Treat this as a drafting outline. Identify every relevant system, control limit, owner, record and escalation route for the premises.
- A competent person must review and approve the completed scheme; this worksheet does not create an approved scheme.
No values are sent to Legionella.io or stored by this page. They remain in this browser tab unless you deliberately export or print them.
Enter the section, or leave it blank if not known.
Enter the control measure, or leave it blank if not known.
Enter the detail & target, or leave it blank if not known.
Enter the responsible person, or leave it blank if not known.
Enter the frequency, or leave it blank if not known.
Enter the record / reference, or leave it blank if not known.
| Section | Control measure | Detail & target | Responsible person | Frequency | Record / reference |
|---|---|---|---|---|---|
| Hot water service | Maintain storage & distribution temperature | Example: store around 60C; outlets reach about 50C (55C in healthcare) within about 1 min | Responsible Person | Monthly sentinel checks | Temperature monitoring log |
| Cold water service | Keep cold water cool | Example: outlets below 20C within about 2 min | Responsible Person | Monthly sentinel checks | Temperature monitoring log |
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 as an outline to document the control measures from your risk assessment, as expected under COSHH (regulations 7 and 9) and ACoP L8.
- For each control measure, state the target, who is responsible, how often it is carried out and where the record is kept.
- The targets shown are illustrative only: set yours from your own risk assessment and current HSE guidance (HSG274).
- Keep the scheme up to date and reference it from your logbook and asset register.
Background: Written scheme of control template and worked example (COSHH & ACoP L8)
"Written scheme of control (outline) (free template)." Legionella.io. https://legionella.io/templates/written-scheme-of-control/
Free to reuse under CC BY 4.0: quote, adapt or republish with attribution and a link back to the original.