Ice Machine Testing & Monitoring Log
Use this log to record basic readings and actions for each ice machine or outlet. Keep one page per location. This form helps demonstrate compliance with your facility’s water management plan.
| Date | Machine / Outlet ID | Parameter Checked | Reading | Target Limit | Status (✅ / ⚠️) | Action Taken | Initials |
|---|---|---|---|---|---|---|---|
Weekly Summary Dashboard
| Parameter | Entries Logged |
|---|---|
| Temperature Checks | 0 |
| Disinfectant Tests | 0 |
| Legionella Tests | 0 |
| Filter Pressure Checks | 0 |
| Total Entries | 0 |
| ⚠️ Warnings | 0 |
🗓️ Suggested frequencies:
• Temperature – weekly
• Disinfectant – monthly
• Legionella testing – quarterly
• Filter pressures / change dates – monthly
© Aldevra | Ice Machine Legionella Prevention Log | Designed for healthcare water safety compliance
