299601 legionella

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B 159 A.L. 5 ta’ l-2006 ATT TA’ L-2003 DWAR IS-SA{{A PUBBLIKA (ATT NRU. XIII TA’ l-2003) Regolamenti ta’ l-2006 dwar il-Kontroll tal-Le;jonella BIS-SA{{A tas-seg[tat mog[tija bl-artiklu 26 (i) ta’ l-Att ta’ l- 2003 dwar is-Sa[[a Pubblika, il-Ministru tas-Sa[[a, l-Anzjani u l-Kura fil-Komunità g[amel dawn ir-regolamenti li ;ejjin>– 1. It-titolu ta’ dawn ir-regolamenti hu Regolamenti ta’ l-2006 dwar il-Kontroll tal-Le;jonella. 2. F’dawn ir-regolamenti, kemm-il darba r-rabta tal-kliem ma te[tie;x xort’o[ra>– “l-Att” tfisser Att dwar is-Sa[[a Pubblika< “bioçida” tfisser a;ent fi]iku jew kimiku kapaçi li joqtol mikro-organi]mi, inklu]a l-Le;jonella< cooling tower’ tfisser apparat li l-u]u prinçipali tieg[u hu li jkessa[ l-ilma b’kuntatt dirett bejn dak l-ilma u kurrent ta’ arja< “fond” tinkludi kull fond mhux domestiku u]at g[al jew f’konnessjoni mal-;estjoni ta’ negozju jew kummerç (kemm bi qlieg[ kemm mhux) u g[andu jinkludi kull façilità g[all-kura tas- sa[[a u skola< “funtana ta’ l-ilma” tfisser kull g[amla ta’ ilma li tkun tinsab f’]ona msemmija< heterotrophic colony count” tfisser kalkolu ta’ l-g[add ta’ unitajiet vijabbli ta’ batterji g[al kull millilitru ta’ ilma mag[mul bl-u]u tal-metodu tal-pour plate, spread plate jew membrane filter test (mag[rufin ukoll b[ala total bacterial count, total plate count jew viable bacterial count test)< “ilma” tfisser ilma provdut mis-sistema prinçipali ta’ distribuzjoni ta’ l-ilma jew ilma provdut minn provditur ta’ l-ilma Titolu. Tifsir. Suppliment tal-Gazzetta tal-Gvern ta’ Malta, Nru. 17,863, 10 ta’ Jannar, 2006 Taqsima B ––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––

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Page 1: 299601 Legionella

B 159

A.L. 5 ta’ l-2006

ATT TA’ L-2003 DWAR IS-SA{{A PUBBLIKA(ATT NRU. XIII TA’ l-2003)

Regolamenti ta’ l-2006 dwar il-Kontroll tal-Le;jonella

BIS-SA{{A tas-seg[tat mog[tija bl-artiklu 26 (i) ta’ l-Att ta’ l-2003 dwar is-Sa[[a Pubblika, il-Ministru tas-Sa[[a, l-Anzjani u l-Kurafil-Komunità g[amel dawn ir-regolamenti li ;ejjin>–

1. It-titolu ta’ dawn ir-regolamenti hu Regolamenti ta’ l-2006dwar il-Kontroll tal-Le;jonella.

2. F’dawn ir-regolamenti, kemm-il darba r-rabta tal-kliem mate[tie;x xort’o[ra>–

“l-Att” tfisser Att dwar is-Sa[[a Pubblika<

“bioçida” tfisser a;ent fi]iku jew kimiku kapaçi li joqtolmikro-organi]mi, inklu]a l-Le;jonella<

“cooling tower’ tfisser apparat li l-u]u prinçipali tieg[u hu lijkessa[ l-ilma b’kuntatt dirett bejn dak l-ilma u kurrent ta’ arja<

“fond” tinkludi kull fond mhux domestiku u]at g[al jewf’konnessjoni mal-;estjoni ta’ negozju jew kummerç (kemm biqlieg[ kemm mhux) u g[andu jinkludi kull façilità g[all-kura tas-sa[[a u skola<

“funtana ta’ l-ilma” tfisser kull g[amla ta’ ilma li tkun tinsabf’]ona msemmija<

“heterotrophic colony count” tfisser kalkolu ta’ l-g[add ta’unitajiet vijabbli ta’ batterji g[al kull millilitru ta’ ilma mag[mulbl-u]u tal-metodu tal-pour plate, spread plate jew membrane filtertest (mag[rufin ukoll b[ala total bacterial count, total plate countjew viable bacterial count test)<

“ilma” tfisser ilma provdut mis-sistema prinçipali ta’distribuzjoni ta’ l-ilma jew ilma provdut minn provditur ta’ l-ilma

Titolu.

Tifsir.

Suppliment tal-Gazzetta tal-Gvern ta’ Malta, Nru. 17,863, 10 ta’ Jannar, 2006Taqsima B

––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––

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privat awtorizzat jew permezz ta’ provista ta’ l-ilma approvata mis-Suprintendent jew mill-awtoritajiet kompetenti rilevanti<

“is-Suprintendent” tfisser is-Suprintendent tas-Sa[[aPubblika<

“kondensatur evaporattiv” tfisser apparat li l-g[an prinçipalitieg[u hu li jkessa[ likwidu billi jg[addi dak il-likwidu minn ;osistema li tbiddel is-s[ana li hi nnifisha ti;i mkess[a b’kuntatt litag[mel ma’ ilma li jkun g[addej minn kurrent ta’ arja<

“kurrent” tfisser raxx ta’ ilma li jo[ro; mis-sistema tal-[ru;ta’ l-arja tas-sistema tal-cooling tower<

“laboratorju akkreditat” tfisser laboratorju li jie[u sehem fiskema esterna ta’ valutazzjoni kwalitattiva biex ti;i i]olata il-le;jonella mill-ilma u l-interpretazzjoni tar-ri]ultati ssir minnmikrobiologu li jkollu esperjenza<

“le;jonella” tfisser batterju tat-tip Legionella<

“linji gwida” tfisser il-European Guidelines for Control andPrevention of Travel Associated Legionnaire’s Disease mag[mulamill-European Working Group for Legionella Infections (EWGLI)u approvati mill-Committee for the Epidemiological Surveillanceand Control of Communicable Diseases fil-Komunita, mwaqqafbid-Deçi]joni 2119#98#KE tal-Parlament Ewropew u tal-Kunsill<

“persuna responsabbli” tinkludi lill-persuna li tkunproprjetarja, tmexxi jew tikkontrolla s-sistemi tal-cooling tower,jew il-kondensaturi evaporattivi, jew sistemi ta’ ilma s[un u kiesa[,jew funtani ta’ l-ilma jew g[add minn dawn is-sistemi fl-istessfond<

“sentinel taps” tfisser, f’sistema ta’ ilma s[un, l-ewwel u l-a[[ar vitien fuq sistema ta’ çirkolazzjoni mill-;did. G[al sistemita’ l-ilma kiesa[ (jew sistemi ta’ ilma s[un li ma jiççirkolawx mill-;did), il-vitien l-aktar viçini jew il bog[od mit-tank tal-[a]na. L-g[a]la ta’ sentinel taps tista tinkludi wkoll vitien li huma kunsidratili jirrappre]entaw riskju partikolari<

“sistema li tbiddel is-s[ana” tfisser apparat biex jittrasferixxis-s[ana minn bejn likwidi li ma jkunux f’kuntatt dirett ma’ xulxin<

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“sistema ta’ ilma kiesa[” tfisser l-istallazjoni ta’ impjant,kanen u aççessorji fejn l-ilma kiesa[ ikun ma[]un, mqassam usussegwentament mbattal<

“sistema ta’ ilma s[un” tfisser provvista ta’ ilma fil-kanen,inklu] kull thermostatic mixing valve, li jkun disinjat biexjissupplixxi ilma b’temperatura ta’ bejn it-30oC u s-60oC<

“sistemi ta’ cooling tower” jinkludu>-

(a) cooling tower, jew g[add ta’ cooling towersmqabbdin flimkien li ju]aw l-istess çirkolazzjoni mill-;didta’ l-ilma< u

(b) kull makkinarju li jintu]a biex jopera l-coolingtowers< u

(ç) kull tank, kanna, valvola, pompa jew sistema ta’kontrolli assoçjati<

“spa pool” tinkludi banju jew pool ]g[ira fejn l-ilma s[unji;i çirkolat mill-;did u kontinwament, minn ;o ;ettijiet b’veloçitaqawwija [afna jew bl-injezzjoni ta’ arja biex tqanqal l-ilma<

“tiddisinfetta” tfisser li tag[mel proçess ma[sub biex joqtoljew ine[[i mikro-organi]mi pato;eniçi<

“tnaddaf” tfisser biex te[les milli jidher çaflis, rag[wa, [ama(inklu]i l-alga u l-fungi), sadid, tartru, [mie;, u kull depo]itu jewakkumulu ta’ impuritajiet jew materjal barrani ie[or<

“uffiçjal awtorizzat” tfisser kull persuna kwalifikata kif imissli tkun awtorizzata mis-Suprintendent biex taqdi funzjonijiet ta[tdawn ir-regolamenti u tinkludi kull uffiçjal nominat<

“]ona msemmija” tfisser kull proprjetà jew parti minnproprjetà li l-membri tal-pubbliku jew x’u[ud minnhom ikollhomaççess g[alihom, kemm jekk bi [las kemm jekk mhux.

3. (1) L-installazzjoni ta’ sistema tal-cooling tower u ta’kondensatur evaporattiv f’bini ;did g[all-kura tas-sa[[a jew skejjel huprojbijt.

Installazjoni ta’sistemi ta’ coolingtower ukondensaturevaporattiv ;odda.

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(2) L-installazjoni ta’ sistema ;dida ta’ cooling tower jewta’ kondensatur evaporattiv f’postijiet o[ra g[andu ji;i ristrett g[al dawkil-ka]ijiet biss fejn ebda sistema o[ra ta’ tkessi[ niexef m’hiex possibblib[ala alternattiva.

4. (1) Fi stadju ta’ installazjoni ta’ sistema ta’ cooling towerjew kondensatur evaporattiv, g[andha ssir spezzjoni minn persunikompetenti sabiex il-cooling tower u l-kondensatur evaporattiv ikunuta’ riskju minimu g[as-sa[[a ta’ l-okkupanti ta’ dak il-fond u tal-membrital-pubbliku.

(2) Is-sistemi ta’ tkessie[ g[andhom ji;u disinjati u mibnijinhekk li jnaqqsu mir-rilaxx tal-kurrent u jg[inu biex l-apparat ikun sigur,jitnaddaf b’mod regolari u ji;i disinfettat.

5. Il-cooling tower jew l-kondensatur evaporattiv g[andhomikunu jinsabu f’po]izzjoni ta’ l-inqas [ames metri bog[od mill-aperturimnejn tid[ol l-arja u tiççirkola, twieqi miftu[in u ]oni okkupati, bankinimnejn jg[addi l-pubbliku, ]oni tat-traffiku, ]oni fejn jista’ jid[ol il-pubbliku, mnejn to[ro; l-arja mill-kçejjen, sistemi li j[addmu l-arjajew ]oni o[ra fejn in-nutrijenti li ji;u min dawn is-sistemi jistg[u jag[tulok g[at-tkabbir tal-le;jonella.

6. Il-provista ta’ l-ilma kostitwit g[andha ti;i provduta jew mis-sistema prinçipali ta’ distribuzzjoni ta’ l-ilma jew minn distributur ta’l-ilma awtorizzat jew minn provista ta’ l-ilma approvata mis-Suprintendent.

7. (1) L-ilma ma[mu; mill-cooling towers u minn kondensaturievaporattivi g[andu jiskula g[al ;o d-drena;; pubbliku skond ma huwaapprovat mill-awtoritajiet kompetenti rispettivi.

(2) Il-konçentrazjoni ta’ kimika fl-ilma ma[mu; g[andhatkun fil-limiti stabbiliti mill-awtoritiajiet kompetenti rispettivi.

8. (1) Cooling towers u kondensaturi evaporattivi g[andhomji;u awtorizzati, approvati u çertifikati minn in;inier kompetenti li jkolluwarrant skond l-Att dwar il-professjoni ta’ l-In;iniera, qabel ma dawnjintu]aw, sabiex ji;i ]gurat li dawn joperaw sew u b’mod sigur.

(2) Is-sistema kollha ta’ l-arja kondizzjonata ma g[andu jkunfiha ebda skart u [mie; ;ej mill-kostruzzjoni, u g[andha ti;i mnaddfaqabel ma tibda ta[dem.

Disinn ukostruzzjoni ta’sistema ta’ coolingtower u kondensaturevaporattiv.

Il-po]izzjoni ta’cooling towers ukondensaturievaporattivi.

Il-provista ta’ l-ilma.

Kif jiskula l-ilma.

Approvazzjoni uoperazzjoni.

Kap. 321.

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(3) G[andhom jittie[du prekawzjonijiet biex ji;u kontrollatir-riskji matul l-awtorizzazzjoni, startjar u t[addim normali tas-sistemaskond il-linji gwida.

9. (1) Il-persuna responsabbli g[andha d-dmir li ti]gura li>

(a) kull sistema ta’ cooling tower jew kondensaturevaporattiv li jintu]aw issirilhom manutenzjoni u ji;u ttestjati skondil-linji gwida<

(b) l-ilma tas-sistema tal-cooling tower jew tal-kondensaturevaporattiv ikun mi]mum f’kundizzjoni nadifa<

(ç) l-ilma tas-sistema tal-cooling tower jew tal-kondensaturevaporattiv ikun trattat kontinwament<

(i) b’xi wie[ed jew aktar mill-bioidi biex jikkontrollab’mod effettiv it-tkabbir ta’ mikro-organi]mi, inklu]a l-le;jonella< u

(ii) b’kimiçi jew a;enti o[ra biex titnaqqas il-formazzjoni tal-;ebla, korru]joni u t[ammi;<

(d) bio-dispersiv kompattibli mal-kloru ji;i mi]jud ma’ l-ilma li jiççirkola mill-;did tas-sistema tal-cooling tower jew tal-kondensatur evaporattiv, u li s-sistema ti;i mbag[ad disinfettata,mnaddfa u ter;a ti;i disinfettata mil-;did<

(i) immedjatament qabel ma ti;i startjata wara l-awtorizzazzjoni, jew f’kull perjodu li tieqaf ta[dem li jdumaktar minn xahar< u

(ii) f’intervalli ta’ mhux aktar minn sitt xhur.

(e) is-sistema tal-cooling tower jew il-kondensaturevaporattiv ti;i spezzjonata skond il-linji gwida u Skeda 1<

(f) ta’ l-inqas darba fix-xahar, jittie[ed kampjun ta’ l-ilmali jiççirkola mill-;did tas-sistema tal-cooling tower u l-kondensaturevaporattiv f’laboratorju akkreditat biex ji;i ttestjat l-g[add tal-kolonji eterotrofiçi u ta’ l-inqas darba kull sitt xhur g[al le;jonella<

(;) g[andu jittie[ed kampun ta’ l-ilma qabel ma tit[allatid-do]a tal-bioçida skond il-linji gwida.

Manutenzzjoni utestjar ta’ coolingtowers u

Il-kwalità u u kifji;i trattat.

Kondensaturievaporattivi.

Disinfettar, tindif udisinfettar mil-;did.

Spezzjonijiet uttestjar ta’ rutina.

Frekwenza ta’kampjunimikrobiologiçi.

Te[id ta’ kampjunita’ l-ilma.

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10. (1) Il-persuna responsabbli g[andha ti]gura li l-azzjonijietwara l-monitora;; mikrobiolo;iku tal-cooling towers u l-kondensaturievaporattivi jkunu skond il-proçeduri indikati fi Skeda 2 li tinsab ma’dawn ir-regolamenti.

(2) Il-persuna responsabbli g[andha tinformaimmedjatament lis-Suprintendent b’kull sitwazzjoni li hemm provdutdwarha fi Skeda 2 li tinsab ma’ dawn ir-regolamenti.

(3) Il-persuna responsabbli g[andha tag[mel kullmonitora;; u tie[u kull azzjoni korrettiva kif jista’ ji;i ordnat mis-Suprintendent.

(4) Is-Suprintendent jista’ jitlob kull sistema jew partiminnha jing[alqu sakemm l-azzjonijiet kollha me[tie;a b[ala rimedjujkunu saru mill-persuna responsabbli u sakemm ir-ri]ultati tal-kampjunimikrobolo;içi ta’ sistema jkunu re;g[u lura g[al-livelli aççettati urakkomandati skond ma hemm indikat fi Skeda 2 li tinsab ma’ dawn ir-regolamenti.

11. (1) Il-persuna responsabbli g[andha ti]gura li>

(a) kemm-il darba s-sistema ma ting[alaqx jew ma titbattalxmill-ilma jew xort’o[ra ma tintu]ax, kull sistema ta’ l-ilma s[un ukiesa[ li dik il-persuna responsabbli jkollha, tkun timmani;;a jewtikkontrolla, g[andha tin]amm u ti;i ttestjata bil-mod stabbilitb’dawn ir-regolamenti u skond il-linji gwida<

(b) is-sistema ta’ l-ilma s[un u kiesa[ ti;i disinfettata jewbis-s[ana jew bil-klorinazzjoni u mnaddfa immedjatament qabelma tkun se ti;i startjata g[all-ewwel darba wara li tkun ;ietawtorizzata, jew mag[luqa g[al perjodu ta’ aktar minn xahar<

(ç) is-sistema ta’ l-ilma s[un u kiesa[ tkun disinfettata b’xiwie[ed jew aktar minn dawn il-metodi li ;ejjin>

(i) mill-inqas darba fix-xahar bis-s[ana jewklorinazzjoni< jew

(ii) kontinwament b’livell ta’ klorinazzjoni baxx uawtomatiku< jew

(iii) kontinwament bi trattament ta’ dawl ultra-vjolett<jew

(iv) metodu approvat fil-linji gwida.

Livelli ta’ azzjoniwara monitora;;mikrobiolo;iku ta’sistemi ta’ coolingtower ukondensaturievaporativi.

Manutenzjoni uttestjar ta’ sistemita’ l-ilma s[un ukiesa[.

Proçeduri ta’startjar.

Disinfettar ta’rutina.

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(d) is-sistema ta’ ilma s[un u kiesa[ g[andha ti;ispezzjonata u ssirilha manutenzjoni skond id-direttivi ma[ru;inmag[hom u skond id-direttivi msemmija f’Skeda 1 u 3<

(e) meta bioçidi jkunu qeg[din jintu]aw fit-trattament ta’sistemi ta’ l-ilma, dawn g[andhom ji;u kontrollati bir-reqqa uverifikati mill-inqas darba fil-;img[a jew skond ma ji;i indikat sabiex ji;i ]gurat li jkunu qeg[din joperaw korrettament<

(f) ta’ l-inqas darba kull sitt xhur g[andu jittie[ed kampjunta’ ilma mis-sistema ta’ l-ilma s[un u kiesa[ u dan jintbag[atf’laboratorju akkreditat g[al ittestjar u rapportar tal-le;jonella.

12. (1) Il-persuna reponsabbli g[andha ti]gura li l-azzjonijietwara l-monitora;; mikrobiolo;iku tas-sistemi ta’ l-ilma s[un u kiesa[ikunu skond il-proçeduri li hemm fi Skeda 4 li tinsab ma’ dawn ir-regolamenti.

(2) Il-persuna responsabbli g[andha minnufih tinforma lis-Suprintendent bis-sitwazzjoni li hemm provdut dwarha fi Skeda 4 litinsab ma’ dawn ir-regolamenti.

(3) Il-persuna responsabbli g[andha tag[mel kullmonitora;; ie[or u tie[u kull azzjoni rimedjali o[ra kif tista’ tkun ordnatamis-Suprintendent.

(4) Is-Suprintendent jista’ je[tie; li s-sistemi jew parti mis-sistemi jing[alqu sakemm ikunu ttie’du l-azzjonijiet rimedjali kollhamill-peruna responsabbli u sakemm ir-ri]ultati tal-kampjunimikrobiolo;içi jkunu ;ew lura g[al-livelli aççettabli kif inhumarakkomandati fi Skeda 4 li tinsab ma’ dawn ir-regolamenti.

13. (1) Il-persuna responsabbli g[andha d-dmir ti]gura li>

(a) kull funtana ta’ l-ilma li taqa’ ta[t ir-responsabbiltàtag[ha tin]amm u ti;i ttestjata skond il-linji gwida u Skeda 1<

(b) jittie[du kampjuni ta’ l-ilma mill-funtana>

(i) ta’ l-inqas darba fix-xahar bil-g[an li ji;i stabbilitl-g[add tal-kolonji eterotrofiçi< u

(ii) ta’ l-inqas darba kull sitt xhur bil-g[an li jinkixful-batterji tal-le;jonella.

Testjar uspezzjonijiet ta’rutina.

Trattamenti bioçidi.

Il-frekwenza ta’kampjunimikrobiolo;içi.

Livelli ta’ azzjoniwara monitora;;mikrobiolo;iku.

Manutenzjoni uttestjar ta’ funtanita’ l-ilma.

Te[id ta’ kampjunimikrobiolo;içi.

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(2) Il-persuna responsabbli g[andha minnufih tinforma lis-Suprintendent bis-sitwazjoni li hemm provdut dwarha fi Skeda 2 li tinsabma’ dawn ir-regolamenti.

(3) Is-Suprintendent jista’ je[tie; lill-persuna responsabblili tag[mel testijiet u manutenzjoni ta’ funtani ta’ l-ilma skond maSuprintendent jista’ jqis li jkun me[tie;.

14. (1) Il-persuna responsabbli g[andha d-dmir li ti]gura li kullspa pool u kull tip ie[or ta’ sistema ta’ l-ilma li taqa’ ta[t ir-responsabbiltà tieg[u, g[anda tin]amm u ti;i ttestjata skond il-linji gwidau fi Skeda 1.

(2) Spa pools li jkunu g[all-wiri fi [wienet ta’ bejg[ bl-imnut jew f’xi esibizzjoni g[andhom ji;u trattati b[al li kieku dawnkienu qeg[din fil-fatt jintu]aw.

15. (1) Il-persuna responsabbli g[andha>

(a) tag[mel evalwazzjoni ta’ riskju biex ji;i identifikat uevalwat ir-riskju ta’ esposizzjoni g[all-batterji tal-le;jonella minnattivitajiet ta’ xog[ol u sistemi ta’ l-ilma fil-fond li jkollha ta[t ir-responsabbilta tag[ha skond kif dawn huma identifikati fil-linjigwida< u

(b) tidentifika kull mi]ura neçessarja ta’ prekawzjoni lig[andha tittie[ed< u

(ç) tirrevedi l-evalwazzjoni ta’ riskju jew ta’ kull sena jewkull meta s-sitwazzjoni tinbidel jew meta g[al xi ra;uni jew o[ral-evalwazzjoni ori;inali tista’ ma tkunx aktar valida< u

(d) i]]omm dokumentazzjoni kompleta ta’ l-evalwazzjonita’ riskju.

(2) Meta l-evalwazzjoni ta’ riskju turi li x’aktarx se jkunhemm riskju li ma jkunx jista’ ji;i eliminat, il-persuna responsabblig[andha tadotta pjan skema li jispeçifika l-mi]uri li g[andhom jittie[dubiex ji;i mnaqqas ir-riskju ta’ espo]izzjoni.

(3) Hi persuna kompetenti indipendenti li g[andha ta’ l-inqas darba kull sentejn tag[mel l-awditjar ta’ l-evalwazzjoni ta’ riskjuu tat-t[addim tal-mi]uri ta’ kontroll.

Manutenzjoni uttestjar ta’ sistemio[ra ta’ riskju.

Evalwazzjoni ta’riskju.

Mi]uri ta’ kontroll.

Avvi] biex issirspezzjoni, testijietjew manutenzjonita’ funtani ta’ l-ilma.

Awditjar estern.

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(4) Kull record dwar il-manutenzjoni u l-evalwazzjoni ta’riskju g[andu jin]amm g[al perjodu ta’ mhux inqas minn [ames snin.

16. (1) Jekk tfaqqa’ marda tal-le;jonella jew ikun hemmsuspett li din tkun faqqg[et, il-persuna responsabbli g[andha tg[arrafb’dan lis-Suprintendent minnufih.

(2) Fl-eventwalità jew fuq suspett li tkun faqqg[et il-mardatal-le;jonella, il-persuna responsabbli g[andha timplementa kullstruzzjoni li s-Suprintendent jista’ jirrikmanda.

17. (1) Ikun id-dmir tas-Suprintendent li jinvestiga kull ka] jewsuspett tal-marda tal-le;jonella f’kull fond u li jara li jittiehdu kampjuniu ssir analizi ta’ kampjuni me[tie;a biex ji;i investigat dak il-kaz jewsuspett ta’ ka].

(2) L-ispejje] kollha li jsiru g[all-elevazzjoni, trasport,preparazzjoni u anali]i ta’ kampjuni f’ka] ta’ l-ewwel investigazzjonita’ ka] jew suspett ta’ ka] tal-marda tal-le;jonella g[andhom ji;;arbumis-Suprintendent.

(3) Jekk ir-ri]ultati ta’ l-ewwel kampjuni jindikaw il-pre]enza ta’ l-ispeçi tal-le;jonella, jew l-investigazzjoni isse[[ fi ]mienerba’ u g[oxrin xahar minn l-ewwel ka] jew ka] suspett av]at, l-ispejje]ta’ kampjuni ta’ prosegwiment jew ta’ l-ewwel kampjuni, skond il-ka],g[andhom ji;;arbu mill-persuna responsabbli>

I]da l-persuna responsabbli mill-fond g[andha tiffirma apriori d-dikjarazzjoni hawn annessa b[ala Skeda 5 ma’ dawn ir-regolamenti fejn ji;i konfermat li tkun qieg[da taççetta li t[allas l-ispejje] kollha dovuti lis-Suprintendent.

(4) Kull min jonqos milli jikkonforma ru[u mad-disposizzjonijiet tas-subregolament (3) ta’ dan ir-regolament ikun [atita’ reat u l-qorti, minbarra li tinfli;;i l-piena, g[andha tobbliga lit-talij[allas l-ispejje] dovuti.

18. (1) Fil-ka] li l-persuna responsabbli tonqos milli ssegwi l-istruzzjonijiet imsemmija fir-regolamenti preçedenti, jew jekk is-Suprintendent jara li r-riskju ta’ infezzjoni bil-le;jonella f’dak il-fondpartikolari jkun sinifikanti, huwa jista jordna li dak il-fond, parti mill-fond jew xi sistema relatata ma’ l-ilma, g[andhom jing[alquimmedjatament sakemm ji;i kontrollat ir-riskju ta’ xi infezzjoni.

Pjan ta’ azzjonif’ka] li tfaqqa’marda.

Dmirijiet tas-Suprintendent.

Investigazzjonijietta’ prosegwiment.

G[eluq tal-fond.

Page 10: 299601 Legionella

B 168

(2) Is-Suprintendent g[andu jo[ro; avvi] ta’ infurzar lill-persuna responsabbli u dan g[andu jkun fil-forma speçifikata fi Skeda6 li tinsab ma’ dawn ir-regolamenti, jew f’kull forma modifikata o[raskond ma s-Suprintendent jista’ jqis li jkun adatt fiç-çirkostanzipartikolari.

(3) :aladarba l-fond, parti mill-fond jew xi sistema relatatama’ l-ilma jkunu ;ew mag[luqin b’avvi] ta’ infurzar ma[ru; mis-Suprintendent, l-istess avvi] ta’ infurzar jista’ ji;i biss revokat ;aladarbajkun ;ie konfermat mis-Suprintendent li r-riskju ta’ xi infezzjoni jkun;ie kkontrollat.

(4) Kull min jonqos milli jikkonforma ru[u ma’ l-avvi] ta’infurzar ma[ru; ta[t is-subregolament (2) ta’ dan ir-regolament, ikun[ati ta’ reat ta[t l-Att.

19. Kull min jikser xi disposizzjoni ta’ dawn ir-regolamenti ikun[ati ta’ reat ta[t l-Att.

Avvi] ta’ infurzar.

Nuqqas ta’konformità ma’ l-avvi] ta’ infurzar.

Reati.

Page 11: 299601 Legionella

B 169

SKEDA 1 FREKWENZI TA’ SPEZZJONI RAKKOMANDATI GĦALL-EVALWAZZJONI TA’ RISKJU

LISTA TA’ KONTROLLI 1: INSTALLAZJONIJIET GĦAT-TKESSIĦ TA’ L-ILMA

SISTEMA/SERVIZZI INKARIGU FREKWENZA

Cooling tower u kondensaturi evaporattivi

Monitoraġġ tal-kwalità ta’ l-ilma, l-użu ta’ l-ilma u l-użu ta’ bioċida/kimika biex tiġi evalwata u żgurata l-effettività tar-reġim tat-trattament ta’ l-ilma, inklużi l-parametri ewlenin kimiċi u mikrobioloġiċi u osservazzjonijiet tal-kondizjoni interna ta’ l-għadira, pack u ilma

Kull sitt xhur

Funzjoni ta’ kontroll ċentrali, kalibrazzjoni tas-sensor konduttiv, funzjoni ta’ blowdown, uniformità fid-distribuzzjoni ta’ l-ilma, il-kundizzjoni ta’ sprays/troughs, eliminators, pack, għadira, immersion heaters, fann u apparat li-jtaffi l-ħoss

Kull xahar sa tlett xhur, skond ir-riskju

Tindif u disinfettar ta’ cooling towers/kondensaturi evaporattivi, make up tanks u sistemi assoċjati, inklużi l-uċuħ mxarrba kollha, hekk li titnehħa l-ġebla kollha fejn dan ikun meħtieġ. Il-packs għandhom jiġu maqlugħa u mnaddfa meta dan ikun prattikabli

Kull sitt xhur

Page 12: 299601 Legionella

B 170

LISTA TA’ KONTROLLI 2: SERVIZZI TA’ ILMA SĦUN U KIESAĦ

SERVIZZI

INKARIGU FREKWENZA

Servizzi ta’ ilma sħun Agħmel mezz li l-kampjuni jittieħdu mil-heaters ta’ l-ilma sħun, biex tiġi osservata l-kondizzjoni ta’ l-ilma mid-drain.

Kull sitt xhur

Ivverifika t-temperaturi tal-flow u irritorn fil-calorifiers

Kuljum

Ivverifika t-temperatura sa minuta biex tara jekk tkunx laħqet il-50oC fis-sentinal taps

Kull gimgħa

Ivverifika viżwalment l-uċuħ interni tal-water heaters għal-ġebla u l-ħama.

Kull sena

Ivverifika l-vitien rappreżentattivi għat-temperatura bħalma hu indikat hawn qabel fuq bażi ta’ rotazzjoni

Kull xahar

Servizzi ta’ ilma kiesaħ

Ivverifika t-temperatura ta’ l-ilma fit-tank il bogħod mill-balla u innota it-temperatura massima reġistrata minn termometri fissi għat-temperaturi massimi/minimi meta dawn ikunu mwaħħla

Kull sitt xhur

Nota: Jista’ jkun li din it-temperatura ma tinlaħaqx f’Malta matul ix-xhur tas-sajf

Ivverifika li t-temperatura tkun anqas minn 20oC wara s-sentinal taps jinfetħu għal żewg minuti

Kull ġimgħa

Spezzjona viżwalment it-tankijiet ta’ l-ilma kiesaħ u għamel xogħol rimedjali meta dan ikun meħtieġ

Kull sitt xhur

Ivverifika l-vitien rapreżentattivi għat-temperatura bhalma hu indikat hawn qabel fuq bażi ta’ rotazzjoni

Kull xahar

Mnejn joħroġ l-ilma tad-doxxa

Żarma, nadaf u neħħi il-ġebla mnejn joħroġ l-ilma tad-doxxa u manek

Kull tlett xhur, jew qabel jekk ikun hekk meħtieġ

Żbokki li ma tantx jintużaw

Ifflaxxja sew u itfa fid-drain

Kull ġimgħa

Page 13: 299601 Legionella

B 171

LISTA TA’ KONTROLLI 3: SISTEMI OĦRA TA’ RISKJU

SISTEMA/SERVIZZ

INKARIGU FREKWENZA

Spray humidifiers, air washers u wet scrubbers

Naddaf u iddisinfetta spray humidifiers/air washers u make up tanks inklużi l-uċuħ kollha mxarrba, u titneħħa l-ġebla fejn ikun meħtieġ

Kull sitt xhur

Ikkonferma l-operazzjoni tat-trattament ta’ l-ilma mhux kimiku (jekk preżenti)

Kull ġimgħa

Water softeners Nadaf u iddisinfetta reżina u tankijiet ta’ ilma salmastru – ivverifika mal-manifattur x’tip ta’ kimika tista’ tintuża biex jiġi disinfettat il-qigħ tar-reżina

Kif ikun rakkomandatt mill-manifattur

Doxxox ta’ emerġenza u sprays għat-tbaħbiħ ta’ l-għajnejn

Ifflaxxja sew u itfa fid-drain Kull sitt xhur jew aktar frekwenti jekk ikun hekk rakkomandat mill-manifattur

Sistemi ta’ bexxiexa u romblu ta’ manka

Meta tkun preżenti għal testijiet ta’ bexxiexa u romblu ta’ manka żgura ruħek li jkun hemm riskju minimu ta’ esposjizzjoni għall-aerosols

Kull tlett xhur

Sistemi li jkessħu torn u għodda ta’ makkinarju

Naddaf u iddisinfetta is-sistemi ta’ ħażna u ta’ distribuzzjoni

Kull sitt xhur

Banjijiet spa Ivverifika il-filtri – filtri tar-ramel għandhom jiġu backwashed ta’ kuljum

Kuljum

Ivverifika t-trattament ta’ l-ilma – pools għandhom jiġu trattati kontinwament b’bioċida ossidanti

Tlett darbiet kuljum

Naddaf u iddisinfetta s-sistema kollha

Kull ġimgħa

Sistemi ta’ tbexxix fl-ortikultura

Naddaf u iddisinfetta il-pajpijiet ta’ distribuzzjoni, spray heads u make up tanks, inklużi l-uċuħ mxarrba kollha, u neħħi l-ġebla fejn ikun neħtieġ

Kull sena

Funtani u apparat ieħor ta’ l-ilma (partikolarment fuq ġewwa)

Naddaf u iddisinfetta kull għadira, spray heads u make up tanks, inklużi l-uċuħ mxarrba kollha, u neħħi l-ġebla fejn ikun meħtieġ

Kull ġimgħa

Page 14: 299601 Legionella

B 172

SKE

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Page 15: 299601 Legionella

B 173

SKE

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ma

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ifier

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mill

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eta

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Mod

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w

ater

he

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, u

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n 20

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n ko

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em

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Page 16: 299601 Legionella

B 174

SKE

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, bi

l-leġ

jone

lla.

Id-d

isin

fetta

r ta

s-si

stem

a għ

andu

jiġi

kun

sidr

at, iżd

a w

koll

il-m

iżur

i ta

’ ko

ntro

ll għ

andh

om

jiġu

rived

uti

u ss

ir ev

alw

azzj

oni

tar-

riskj

u bi

ex t

iġi

iden

tifik

ata

kull

azzj

oni

rimed

jali

oħra

li ti

sta’

tkun

meħ

tieġa

.

War

a li

jittieħd

u il-

kam

pjun

i m

ill-ġ

did

u jiġ

i ko

nfer

mat

li

l-għa

dd

ikun

l-is

tess

, is

-Sup

rinte

nden

t għ

andu

jiġ

i in

form

at b

il-m

iktu

b fi

żmie

n 24

siegħa

min

n m

eta

jirċi

evi r

-rap

port

tal-l

abor

ator

ju, k

if uk

oll

kopj

i tar

-riż

ulta

ti ta

l-lab

orat

orju

flim

kien

mal

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uri t

a’ k

ontro

ll li

l-pe

rsun

a re

spon

sabb

li tk

un q

egħd

a tieħu

bie

x tir

rimed

ja s-

sitw

azzj

oni.

>10,

000

Il-ka

mpj

uni t

as-s

iste

ma

għan

dhom

jerġ

għu

jittieħd

u u

imm

edja

tam

ent i

l-m

iżur

i ta’

kon

troll

jiġu

rived

uti b

iex

tiġi i

dent

ifika

ta l-

azzj

oni r

imed

jali,

ki

f uko

ll il-

poss

ibilt

à ta

’ dis

infe

ttar t

as-s

iste

ma.

Ġal

adar

ba r-

riżul

tati

mik

robi

oloġ

iċi j

indi

kaw

daw

k il-

livel

li ta

’għa

dd

ta’

batte

rji,

il-pe

rsun

a re

spon

sabb

li għ

andh

a fi żm

ien

24 s

iegħ

a li

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evi

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ppor

t ta

l-lab

orat

orju

, tin

form

a lis

-Sup

rinte

nden

t bi

lli

ċċem

pillu

, u b

il-m

iktu

b fi żm

ien

48 s

iegħ

a, u

dak

ir-r

appo

rt għ

andu

jin

klud

i ko

pji

tar-

riżul

tati

tal-l

abor

ator

ju f

limki

en m

al-m

iżur

i ta

’ ko

ntro

ll li

jkun

u qe

għdi

n jit

tieħd

u bi

ex is

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azzj

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iġi r

imed

jata

.

1 det

erm

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skon

d IS

O 1

1731

(19)

Page 17: 299601 Legionella

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SKEDA 5

DIKJARAZZJONI TA’ KONFERMA TA’ ĦLAS DOVUT LIS-SUPRINTENDENT TAS-SAĦĦA PUBBLIKA

Suprintendent tas-Saħħa Pubblika

Diviżjoni tas-Saħħa

Jien, hawn taħt fil-kapaċità tiegħi ta’ ..........................(kariga) ta’ ........................................... (isem

tal-fond) hawn niddikjara li nħallas, fi żmien xaħar minn meta nirċivi l-fattura, l-ispejjeż kollha li

d-Diviżjoni tas-Saħħa tagħmel biex tieħu ..........(għadd) kampjuni, tittrasporthom, tippreparhom u

tanalizzhom, wara li dawn ġew miġburin mill- .................................................. (isem tal-fond) fi-

............................(data meta jittieħdu il-kampjuni) bħala parti mill-investigazzjoni ta’ każ jew

każ suspett tal-marda tal-Leġjonella.

_______________________________

(Firma)

Isem u Kunjom :

F’isem :

Numru tal-Karta ta’ Identità :

Data tat-Twelid :

Post tat-Twelid :

Isem u Kunjom tal-Ġenituri :

Indirizz ta’ Residenza :

Indirizz fejn tintbgħat il-Fattura :

Numru tal-VAT :

Data :

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SKEDA 6

AWTORITÀ TAS-SAĦĦA

AVVIŻ TA’ INFURZAR (Skond ir-regolament 18(2) tar-Regolamenti ta’ 2005 dwar il-Kontroll tal-Leġjonella)

Data: ...............................................

Lil: ...............................................

...............................................

...............................................

1. Wara li saru investigazzjonijiet mis-Suprintendent tas-Saħħa Pubblika, instab li r-

riskju ta’ infezzjoni mill marda tal-leġjonella huwa wieħed sinifikanti fi

....................................................

........................................................................................................................................................

........................................................................................................................................................

2. Ir-riskju ta’ infezzjoni mill marda tal-leġjonella għandu x’jaqsam ma’

...........................

...............................................................................................................................................................

.................................................................................................................................................

3. Mingħajr preċudizzju għad-dritt li għandu s-Suprintendent li jieħu azzjoni skond id-

disposizzjonijoet tar-Regolamenti ta’ l-2005 dwar il-Kontroll tal-Leġjonella, qed tiġi mitlub li

tagħlaq IMMEDJATAMANT il- .....................................................................................................

sakemm tiġi informat xort’ oħra.

__________________________________

Suprintendent tas-Saħħa Pubblika

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L.N. 5 of 2006

PUBLIC HEALTH ACT, 2003(ACT NO. XIII of 2003)

Control of Legionella Regulations, 2006

IN exercise of the powers conferred by article 26 (i) of the PublicHealth Act, 2003, the Minister of Health, the Elderly and CommunityCare has made the following regulations>-

1. The title of these regulations is the Control of LegionellaRegulations, 2006.

2. In these regulations, unless the context otherwise requires>-

“accredited laboratory” means a laboratory which takes partin an external quality assessment scheme for the isolation oflegionella from water and where the interpretation of any resultsis carried out by an experienced microbiologist<

“the Act” means the Public Health Act<

“authorised officer” means any duly qualified personauthorised by the Superintendent to carry out any functions underthese regulations and includes any nominated officer<

“biocide” means a physical or chemical agent capable ofkilling micro-organisms, including Legionella<

“clean” means to render free from visible sludge, foam, slime(including algae and fungi), rust, scale, dirt, and any deposit oraccumulation of impurities or other foreign material<

“cold water system” means an installation of plant, pipes andfittings in which cold water is stored, distributed and subsequentlydischarged<

“cooling tower systems” includes>-

(a) a cooling tower, or a number of interconnectedcooling towers that use the same recirculating water< and

(b) any machinery that is used to operate any suchtower< and

Title.

Definitions.

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(c) any associated tanks, pipes, valves, pumps orcontrols<

“cooling tower” means a device whose main purpose is tocool water by direct contact between that water and a stream ofair<

“designated area” means any premises or part thereof to whichthe public or a section of the public has access, whether on paymentor otherwise<

“disinfect” means to carry out a process which is intended tokill or remove pathogenic micro-organisms<

“drift” means the water aerosol which emerges from theairflow outlet of a cooling system<

“evaporative condenser” means a device whose main purposeis to cool a fluid by passing that fluid through a heat exchangerwhich is itself cooled by the contact of water passing through astream of air<

“guidelines” means the European Guidelines for Control andPrevention of Travel Associated Legionnaires’ Disease producedby the European Working Group for Legionella Infections(EWGLI) and endorsed by the Committee for the EpidemiologicalSurveillance and Control of Communicable Diseases in theCommunity, instituted by Decision 2119#98#EC of the EuropeanParliament and the Council<

“heat exchanger” means a device for transferring heat betweenfluids which are not in direct contact with one another<

“heterotrophic colony count” means an estimate of the numberof viable units of bacteria per millilitre of water made using thepour plate, spread plate or membrane filter test (also known as thetotal bacterial count, total plate count or viable bacterial count test)method<

“legionella” means bacteria belonging to the genus Legionella<

“premises” includes all non-domestic premises used for or inconnection with the carrying on of a trade or business (whether forprofit or not) and should include any healthcare facility and schools<

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“responsible person” includes the person who owns, managesor controls the cooling tower systems, or evaporative condensers,or hot and cold water systems, or water fountains or a number ofthese systems in the same premises<

“sentinel taps”, in relation to a hot water system, means thefirst and last taps on a recirculating system. For cold water systems(or non-recirculating hot water systems), the nearest and furthesttaps from the storage tank. The choice of sentinel taps may alsoinclude taps which are considered to represent a particular risk<

“spa pool” includes a bath or a small pool where warm wateris constantly recirculated, through high velocity jets or with theinjection of air to agitate the water<

“the Superintendent” means the Superintendent of PublicHealth.

“warm water system” means a piped water supply, includingany thermostatic mixing valve, which is designed to supply waterat a temperature of between 30oC and 60oC<

“water” means water supplied through the main waterdistribution system or water supplied by an authorised private watersupplier or through a water supply approved by the Superintendentor by the relevant competent authorities<

“water fountain” means any water feature located in adesignated area.

3. (1) Cooling tower systems and evaporative condensersare prohibited to be newly installed on healthcare facilities andschools.

(2) Installation of new cooling tower system or evaporativecondenser on any other premises should be restricted to those casesonly where no other suitable dry cooling facility is possible as analternative.

4. (1) At the stage of installation of cooling tower system or anevaporative condenser, inspection shall be carried out by competentpersons so that the cooling tower and evaporative condenser poseminimal health risk to occupants of the premises and members of thepublic.

(2) Cooling systems shall be designed and constructed so asto minimise the release of drift and to aid safe operation, regular cleaningand disinfection.

Installation of newcooling towersystems andevaporativecondensers.

Design andconstruction ofcooling towersystem andevaporativecondenser.

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5. The cooling tower or evaporative condenser shall be locatedat least five metres away from air circulating and ventilating inlets,open windows and occupied areas, pedestrian thorough fares, trafficareas, areas of public access, exhaust discharge from kitchens, airhandling systems or other areas where nutrients conveyed from thesesystems could assist in the growth of legionella.

6. Make-up water shall be supplied either through the maindistribution system or by an authorised water supplier or through a watersupply approved by the Superintendent.

7. (1) Effluent water from cooling towers and evaporativecondensers shall be discharged into the public sewers as approved bythe respective competent authorities.

(2) The concentration of chemicals in the effluent shall bewithin the limits established by the respective competent authorities.

8. (1) Cooling towers and evaporative condensers shall becommissioned, approved and certified by a competent warrantedengineer in terms of the Engineering Profession Act before use to ensurethat they operate correctly and safely.

(2) The entire air-conditioning system shall be clear of anyconstruction debris and dirt, and cleaned before operation starts.

(3) Precautions shall be taken to control the risks duringcommissioning, start up and during the normal operation of the systemas per guidelines.

9. (1) It shall be the duty of the responsible person to ensurethat>

(a) any cooling tower system or evaporative condenser inuse is maintained and tested in accordance with the guidelines<

(b) the water of the cooling tower system or evaporativecondenser is maintained in a clean condition<

(c) the water of the cooling tower system or evaporativecondenser is continuously treated with>

i. one or more biocides to effectively control the growthof micro-organisms, including Legionella< and

ii. chemicals or other agents to minimise scaleformation, corrosion and fouling<

Location of coolingtowers andevaporativecondensers.

Source of water.

Discharge of water.

Commissioning andoperation.

Cap. 321.

Maintenance andtesting of coolingtower systems andevaporativecondensers.

Water quality andtreatment.

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(d) a chlorine-compatible bio-dispersant is added to therecirculating water of the cooling tower system or evaporativecondenser, and that the system is then disinfected, cleaned and re-disinfected>

i. immediately prior to initial start up followingcommissioning, or any shut down period of greater than onemonth< and

ii. at intervals not exceeding six months<

(e) the cooling tower system or the evaporative condenserare inspected in accordance with the guidelines and Schedule 1<

(f) at least once every month take a sample of the recirculatingwater of the cooling tower system and the evaporative condenserto an accredited laboratory for testing for heterotrophic colonycount and once every six months for legionella<

(g) a water sample shall be taken before the dosing of biocideand in accordance with the guidelines.

10. (1) The responsible person must ensure that the actionsfollowing microbiological monitoring of cooling towers and evaporativecondensers is in accordance with the procedures laid down in Schedule2 to these regulations.

(2) The responsible person shall immediately inform theSuperintended of any situation provided for in Schedule 2 of theseregulations.

(3) The responsible person shall carry out any furthermonitoring and remedial actions as may be directed by theSuperintendent.

(4) The Superintendent may require the systems or partthereof to be shutdown until all necessary remedial actions have beentaken by the responsible person and until microbiological samplingresults of any system would have returned within the recommendedacceptable levels as indicated in Schedule 2 to these regulations.

11. (1) The responsible person shall ensure that>

(a) unless the system is shut down or drained of water or isotherwise not in use, any hot and cold water system that theresponsible person owns, manages or controls is maintained and

Disinfection,cleaning and re-disinfection.

Routine inspectionsand testing.

Microbiologicalsampling frequency.

Water sampling.

Action levelsfollowingmicrobiologicalmonitoring ofcooling towersystems andevaporativecondensers.

Maintenance of hotand cold watersystems.

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tested in the manner set out in these regulations and according tothe guidelines<

(b) the hot and cold water system is disinfected by heat orchlorination and cleaned immediately prior to initial start upfollowing commissioning, or any shut down period of greater thanone month<

(c) the hot and cold water system is disinfected by one ormore of the following methods>

i. at least once each month by heat or chlorination< or

ii. continuously by means of automatic low levelchlorination< or

iii. continuously by means of ultra-violet lighttreatment< or

iv. a method approved in the guidelines<

(d) the hot and cold water system is inspected and that thehot and cold water systems are maintained at all times in accordancewith the guidelines and Schedule 1 and 3<

(e) when biocides are used to treat water systems, they aremeticulously controlled and checked at least weekly or as otherwiseindicated to ensure that it is operating correctly<

(f) at least once every six months a sample of the waterfrom the hot and cold water system is taken and delivered to anaccredited laboratory for testing and reporting on Legionella.

12. (1) The responsible person must ensure that the actionsfollowing microbiological monitoring of hot and cold water systemsare in accordance with the procedures laid down in Schedule 4 of theseregulations.

(2) The responsible person shall immediately inform theSuperintended of the situation provided for in Schedule 4 of theseregulations.

(3) The responsible person shall carry out any furthermonitoring and remedial actions as may be directed by theSuperintendent.

Start up procedures.

Routinedisinfection.

Routine inspectionsand testing.

Biocide treatments.

Microbiologicalsampling frequency.

Action levelsfollowingmicrobiologicalmonitoring.

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(4) The Superintendent may require the systems or partthereof to be shut down until all necessary remedial actions have beentaken by the responsible person and until microbiological samplingresults have returned within the recommended acceptable levels inSchedule 4 of these regulations.

13. (1) It shall be the duty of the responsible person to ensurethat>

(a) any water fountain under his responsibility ismaintained and tested in accordance with the guidelines andSchedule 1<

(b) water in a water fountain is sampled>

i. at least once a month for the purpose of determiningthe heterotrophic colony counts< and

ii. at least once every six months for the purpose ofdetecting legionella bacteria.

(2) The responsible person shall immediately inform theSuperintendent of the situation provided for in Schedule 2 of theseregulations.

(3) The Superintendent may require the responsible personto carry out tests and maintenance of water fountains as he may deemnecessary.

14. (1) It shall be the duty of the responsible person to ensurethat any spa pool and any other type of water system under hisresponsibility is maintained and tested in accordance with the guidelinesand Schedule 1.

(2) Spa pools on display in retail outlets or exhibitions shallbe treated in the same manner as if they were being used.

15. (1) The responsible person shall>

(a) carry out a risk assessment to identify and assess the riskof exposure to legionella bacteria from work activities and the watersystems on the premises under his control as identified in theguidelines< and

Maintenance andtesting of waterfountains.

Microbiologicalsampling.

Notice to carry outinspection, test ormaintenance ofwater fountains.

Maintenance andtesting of other risksystems.

Risk assessment.

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(b) identify any necessary precautionary measures whichmay need to be adopted< and

(c) review the assessment either annually or when thesituation changes or when the original assessment may no longerbe valid< and

(d) keep a fully documented record of the risk assessment.

(2) When the risk assessment reveals that there is aforeseeable risk which cannot be eliminated, the responsible personshall adopt a scheme specifying the measures to be taken to minimisethe risk of exposure.

(3) The risk assessment and operation of the controlmeasures shall be audited by an independent competent person at leastevery two years.

(4) All maintenance and risk assessment records shall beretained for at least five years.

16. (1) The responsible person shall inform the Superintendentof an outbreak of legionnaire’s disease or if it is suspected to haveoccurred.

(2) In the event or on the suspicion of an outbreak oflegionnaires’ disease, the responsible person shall implement allinstructions which may be issued by the Superintendent.

17. (1) It shall be the duty of the Superintendent to investigateany case or suspected case of Legionnaires’ disease at any premisesand to cause the sampling and analysis of any samples required toinvestigate such case or suspected case.

(2) The expenses incurred for the elevation, transportation,preparation and analysis of samples in case of initial investigation of acase or suspected case of legionnaire’ disease shall be encumbered bythe Superintendent.

(3) If the results of the initial samples indicate the presenceof Legionella species, or if the investigation is within 24 months of thefirst notified case or suspected case, the expenses of follow-up samplesor initial samples, as the case may be, shall be encumbered by theresponsible person>

Control measures.

External audit.

Action plan for anoutbreak.

Duties of theSuperintendent.

Initialinvestigations.

Follow-upinvestigations.

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B 185

Provided that the responsible person of the premises shall sign apriori the declaration attached as Schedule 5 to these regulationsconfirming his acceptance to pay any fees due to the Superintendent.

(4) Any person who fails to comply with sub-regulation (3)of this regulation shall be guilty of an offence and the court, besidesawarding punishment, shall oblige the accused to pay the due fees.

18. (1) In the event that the responsible person fails to followthe instructions referred to in the preceding regulations, or theSuperintendent considers that the risk of infection with legionella fromthat particular premises is significant, he may order that the premises,part of the premises or any water related system, be immediately closeduntil the risk of infection is controlled.

(2) The Superintendent shall issue an enforcement notice tothe responsible person and shall be in the form specified in Schedule 6to these regulations, or in any other modified form as the Superintendentmay deem appropriate in the particular circumstances may deem.

(3) Once the premises, part of the premises or any waterrelated system has been closed by an enforcement notice issued by theSuperintendent, same enforcement notice may be lifted only after it isconfirmed by the Superintendent that the risk of infection has beencontrolled.

(4) Any person who fails to comply with the enforcementnotice issued under sub regulation (2) of this regulation shall be guiltyof an offence under the Act.

19. Any person who contravenes any of the provisions of theseregulations shall be guilty of an offence under the Act.

Closure of premises.

Enforcement notice.

Failure to complywith theenforcement notice.

Offences.

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SCHEDULE 1

RECOMMENDED INSPECTION FREQUENCIES FOR RISK SYSTEMS

CHECKLIST 1: COOLING WATER INSTALLATIONS

SYSTEM/SERVICES TASK FREQUENCY

Cooling towers and evaporative condensers

Monitor water quality, water use and biocide/chemical use to assess and ensure effectiveness of water treatment regime, including key chemical and microbiological parameters and observations of internal condition of pond, pack and water

6 monthly

Central control function, conductivity sensor calibration, blow down function, uniformity of water distribution, condition of sprays/troughs, eliminators, pack, pond, immersion heater, fan and sound attenuators

Monthly to 3 monthly, according to risk

Clean and disinfect cooling towers/evaporative condensers, make up tanks and associated systems, including all wetted surfaces, descaling as necessary. Packs should be removed and cleaned where practicable.

6 monthly

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CHECKLIST 2: HOT AND COLD WATER SERVICES

SERVICE TASK FREQUENCY

Warm water services Arrange for samples to be taken from hot water heaters, in order to note condition of drain water

6 monthly

Check temperatures in flow and return at calorifiers

Daily

Check temperature up to 1 minute to see if it has reached 50oC in the sentinel taps

Weekly

Visual check on internal surfaces of water heaters for scale and sludge

Annually

Check representative taps for temperature as above on a rotational basis

Monthly

Cold water services Check tank water temperature remote from ball valve and mains temperature at ball valve. Note maximum temperatures recorded by fixed max/min thermometers where fitted

6 monthly

Note: This temperature may not be reached during the summer months in Malta

Check that temperature is below 20oC after running the water for up to 2 minutes in sentinel taps

Weekly

Visually inspect cold water storage tanks and carry out remedial work where necessary

6 monthly

Check representative taps for temperature as above on a rotational basis

Monthly

Shower heads Dismantle, clean and descale shower heads and hoses

Quarterly, or as necessary, whichever comes first

Little used outlets Flush through and purge to drain

Weekly

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_______________________________________________________________________________________________________________________Ippubblikat mid-Dipartiment ta’ l-Informazzjoni (doi.gov.mt) — Valletta — Published by the Department of Information (doi.gov.mt) — Valletta

Mitbug[ fl-Istamperija tal-Gvern — Printed at the Government Printing PressPrezz72ç – Price 72c