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									                        MID CHESHIRE HOSPITALS NHS TRUST


                   HOT WATER SCALDING POLICY

                                           1 MARCH 1999
                                           REVIEW DATE 1 MARCH 2000
ref: aw/scaldply


MCHT accepts it has a legal responsibility under duty of care in respect of the risks of scald-
ing and burning from hot water (hot surfaces).

The hot water distribution temperatures, which the Trust is legally obliged to meet, are re-
quired for the control and prevention of legionellae. These can lead to discharge tempera-
tures in excess of 500C, therefore the Trust accepts to prevent scalding injuries to patients, in
particular to those who are elderly and those with sensory loss, action will be needed to limit
water discharge temperatures to acceptable levels. The above duty also extends to include all
ward accommodation, resident rooms and those areas to which patients, residents and visitors
have free access including public areas.


The contents of the policy is relevant to all areas of the Trust, however implementation will
be via the Director of Estates.


All patients, residents, visitors and staff must be presumed to be potentially at risk, but some
are more vulnerable to scalding and burning then others.

{ Risk assessments and site surveys will be carried out by the Trust in order to identify those
areas at risk.

{ A planned programme of upgrading in order to reduce the risk of scalding will be imple-

{ Risk reduction measures will then be undertaken by the fitting of thermostatic mixing
valves (TMV's) in order to control hot water temperatures.

{ Appropriate interim precautions taken in areas to be shown at risk via labelling hot water
services will be implemented until TMV's are fitted.

{ Until all the recommended precautions are put into effect, staff will be made aware of the
potential danger in order for them to take necessary steps to protect patients, residents and


{ All staff will be made aware of this policy and they will be encouraged to report circum-
stances, or changes in circumstances, which may increase the risk of scalding to their Direc-
tor/Head of Department.

{ Where areas require a constant supply of hot water due either to their function or because
of legislation ie the kitchens, clear unambiguous labelling to each hot water outlet will be
provided, however it will be their responsibility for controlling scalding via their own risk as-

{ New technology will be investigated by Estates on controlling water temperatures.

{ A planned preventative maintenance schedule will be set-up to ensure that TMV mecha-
nisms are working correctly to eliminate faulty appliances.

{ Maintenance records and the record of the temperatures at the hot water outlet before and
after servicing, or any alteration to the TMV will be kept. These records will be inspected by
the designated and/or responsible Officer on a regular basis to ensure standards are being
maintained as required.

{ Only competent and trained staff will be employed to fit, maintain and service the TMV's.

Roles & Responsibilities

Director of Estates

The Director of Estates will be responsible for implementing this policy and will establish a
regime via his Maintenance Manager whereby;

{ Risk Assessments are carried out in accordance with this policy.

{ Safe Systems of Work are implemented in order to reduce the risk of scalding.

{ Provide the necessary funding to implement control measures.

{ Monitor the effectiveness of the policy and any control measures via discussions with Sec-
tion Heads, Line Managers and Technical Officers.

Maintenance Manager

The Maintenance Manager is locally responsible for overseeing the control of Hot Water
Scalding and will ensure:-

{ Risk Assessments and Site Surveys are carried out to ascertain problem areas.

{ Safe Systems of Work via provision of suitable control measures are implemented.

{ A Planned Preventative Maintenance scheme is implemented to ensure control measures
are functional and effective.

{ A recording system on the PPM is established, kept up to date and records kept.

{ To ensure only competent personnel fit, monitor and carry out PPM to control measures.

Technical Officers/Line Managers

{ To assist the Maintenance Manager in the development of Risk Assessments or Site Sur-

{ To assist Maintenance Manager in record keeping for the implementation and PPM of
control measures.

{ To formally report any shortfalls in the Policy, Risk Assessments, site survey's or control
measures to the Maintenance Manager and Health & Safety Officer.


{ Those involved in the fitting, monitoring and PPM measures to be competent and to report
any necessary feedback required to their Line Manager.

{ To report any untoward incident and areas of concern to their Line Manager, Maintenance
Manager and H & S Officer.


This policy will be reviewed:-

{ Every two years or immediately if any untoward incident occurs.

{ When new or alternative ways of controlling Legionellae becomes available, thus allowing
water temperatures to be reduced to acceptable levels at outlet.

Signed ....................................................................................... Director of Estates


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