The Health Technical Memorandum HTM 04-01 (2016) ‘Safe water in healthcare premises’ requires that refresher training be provided to those persons appointed to devise strategies, develop procedures, carry out control measures and undertake associated maintenance and monitoring. It is also an essential requirement of HTM 04-01 (2016) that staff have an overall appreciation of the practices affecting water hygiene and safety and can interpret guidance and perform their tasks in a safe and technically competent manner.

This course goes beyond the traditional ‘Legionella’ and ‘Pseudomonas’ Responsible Persons training. It approaches the subject of water safety and hygiene from a holistic perspective incorporating physical, chemical and microbiological risks associated with water distribution systems within healthcare buildings and the role of the water safety group and water safety plans.

Is this course for you?

Health Technical Memorandum 00 recommends all personnel employed in the design, operation and maintenance of engineering services, including maintenance personnel and operators, should receive adequate, documented training.

As with all refresher training, this course builds on your previous training experience and updates you with recent changes in the field and current case studies. It assumes prior knowledge.


Attendees will be informed of any updates to legislative, regulatory, mandatory and guidance documents pertaining to water hygiene and safety in healthcare buildings and will discuss management and control measures to mitigate the risks associated with microbiological, chemical and physical issues of the water distribution systems, outlets and associated equipment.


By the end of this course attendees will be able to :

  • State the requirements of legislation and regulations for water distribution systems and explain the significant changes to and the mandatory requirements of best practice guidance including HTM 04-01 (2016)
  • State the prominent waterborne pathogens – occurrence, ecology and transmission routes and the consequence of contamination of the water systems from these and discuss other water safety issues including chemical and physical contamination
  • Describe the ways in which water distribution systems, cooling towers, outlets, components and associated equipment can become contaminated and methods of preventing contamination.
  • State the responsibilities of individuals to prevent contamination of the water distribution system and outlets and assist in ensuring control measures in place are effective Identifying appropriate personal hygiene, cleanliness of equipment, tools, materials and storage.
  • Identify methods of on-line and off-line disinfection of water systems and calculate appropriate quantities for disinfection with pH correction.
  • Describe methods of sampling and appropriate aseptic techniques.
  • Describe the function, role and responsibilities of the ‘Duty Holder’ and ‘Responsible Person’ (ACoP L8), the professional support structure in HTM 00 and how it can be applied to support water safety and understand the value and application of a ‘permit to work’ system to water safety management.
  • Explain risk assessment, maintenance of log books and records in relation to compliance with regulations identify the elements of a suitable and sufficient risk assessment, risk minimisation scheme and action plan.
  • Explain the role and responsibilities of the Water Safety Group.
  • List the essential elements of a Water Safety Plan.

Eastwood Park, Falfield, was formerly the NHS national training centre for healthcare engineering and now, as an independent company, we are the leading provider of technical healthcare engineering training in the UK.      

City & Guilds

This course has City & Guilds accredited programme status.


Classrooms image


Classrooms are available for theory learning and group exercises (close to training laboratories when practice activities are included).


  • What refresher training will I need?

  • How do I find out your course availability?