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Hidden Threats: Legionella and
Managing Risk Through PM
Presented by:
• Bob Bittner — SchoolDude
Sr. Manager Partnership Development
• Pete Malone —Brady Trane Service, Inc.
Environment, Health, and Safety Director
• Thomas Embler — Brady Trane Service, Inc.
Water Treatment Team Leader
In partnership with:
For audio, dial 1-866-740-1260 and enter Conference ID: 1103367
Webinar Agenda
 Participant phones are muted.
 Use Chat to ask questions at any time.
 There will be Q&A wrap up at the end.
 Full recording will be available at the end of the
webinar and sent out to everyone.
For audio, dial 1-866-740-1260 and enter Conference ID: 1103367
Professional Development
Webinar Series
 A quarterly webinar series focused on your
professional development needs
 A new featured guest speaker and topic each
quarter
 Extension of SchoolDude University experience
For audio, dial 1-866-740-1260 and enter Conference ID: 1103367
Featured Topic: Legionella and
Managing Risk Through PM
 In this exclusive webinar you will learn:
 What Legionella is and why you should be concerned
 Understanding the risk
 Best practices to mitigate potential risk
 New state regulations
 Where to get help
For audio, dial 1-866-740-1260 and enter Conference ID: 1103367
Featured Speaker – Bob Bittner
SchoolDude | Sr. Manager Partnership Development
 Experience
 35 years of professional maintenance and
operations
 Healthcare, Heavy Manufacturing,
Pharmaceutical R&D, and Public K-12
Education
For audio, dial 1-866-740-1260 and enter Conference ID: 1103367
Legionella Bacteria
 History
 Named after the “American Legion” following an
outbreak in 1976 that caused 34 deaths and 221 to get
sick during their convention in Philadelphia
 What exactly is Legionnaires’ Disease?
 Type of pneumonia (lung infection)
For audio, dial 1-866-740-1260 and enter Conference ID: 1103367
Making news headlines
 August 2015 – 12 deaths in New York City, 120
became sick due to contaminated cooling tower
 August 2015 - Large pharmaceutical plant shut
down after finding Legionella in their cooling tower
 September 2015 -3 Chicago-area schools closed
because of Legionnaires’ disease threat
 October 2015 – Cooling towers at 7 Long Island
school districts test positive for Legionella bacteria
For audio, dial 1-866-740-1260 and enter Conference ID: 1103367
Poll: What is your greatest concern?
 Disease prevention
 The causes of Legionella
 Creating awareness of Legionella
 Getting help
 Prior experiences with outbreaks
 What to do after positive test result?
For audio, dial 1-866-740-1260 and enter Conference ID: 1103367
Featured Speaker – Pete Malone
Brady Trane Service, Inc. | Environment, Health and Safety Director
 Education/Licenses
 BS, Occupational Safety and Health
 AAS, Environment, Health and Safety
 Certificate OSH Management
 Certificate EHS Management
 Certificate Waste Management
 HAZWOPER Technician
 OSHA Outreach Trainer, Construction and General Industry
 NC State Board License # 16447, H1,2,& 3;
 Experience
 Technical Rep and systems maintenance, Brady Trane Service, Inc.
 Technical Rep and systems startup commissioning, McQuay
International
 Central Plant Operations – USF Medical Center, Tampa, Florida
Legionella Overview
 Overview
 Waterborne bacteria
 Must have water
 Is in all surface waters, groundwater, waste waters,
soil and compost
 Conditions for Growth
 Thrives when protected in bio-film (slime)
 Needs iron and l-cysteine (non-essential amino acid)
 Can live inside amoebas and other protozoan
Legionella Overview
 Since its prime growth amplification is in 77°F to
113°F water, it can grow rapidly in HVAC and
tempered water environments.
 Resistant to low levels of Chlorine
 Some rubbers and some plastics promote growth
Recognizing Risk Factors
 Disease causation REQUIRES all:
 Live bacteria
 Amplification of colonies
 Body of contaminated water
 Means for forming respirable droplets (1 – 5 microns into
lower lung) from the water
 Exposure of susceptible host
 Prevent any one of above, and infection will not
occur
Heavy bio films promote growth
Cooling Tower with Poor Maintenance
Dirty Fountain's
Recognizing Risk Factors
 Growth occurs in piping dead legs, tank bottoms,
sumps, on pan surfaces, on splash fill in towers, in
whirlpools, fountains, etc.
 How would you clean an outdoor fountain pool?
 Cleaning a cooling tower
Employer risk
 Workers who must service, repair, or clean the
equipment
 Splashing waters, spraying, pressure washing, using
rotary tube cleaners
 Employers have much information available from OSHA
website - www.osha.gov
 Know the condition of the water with good treatment
program that includes testing
 Test the waters and the biofilm, to have a defensible
testing program
Protecting Employees and Students/Public
 Liability for employees, Students or public
 Defensible program such as outlined in ASHRAE 188
 Chemical water treatment in place and adequately
maintained
 Periodic testing will help protect people and defend your
organization
N 95
Featured Speaker – Thomas Embler
Brady Trane Services Inc. | Team Leader—Water Treatment
 Education/Licenses
 AAS Cape Fear Community College
 BA – UNC-Greensboro
 Association of Water Treatment Technologies
Certifications (AWT)
 Service Training
 Water Treatment Training
 Water Treatment Sales Training
 Experience
 6 Years in Commercial/Industrial Water Treatment
Industry
Developing a Plan
Elements of a Preventive Treatment Plan
 Preventive Maintenance
 Visual inspection
 Tower cleaning
 Water Treatment Program
Elements of a Preventive Treatment Plan
 Biocide Program
 Halogen Oxidizers/Chlorination
 Dispersants
 Non-oxidizers
Testing and Sampling
 Proactive Monitoring
 Sampling Frequency
 Interpreting Test Results
Interpreting your Legionella Test Results
VERY LOW Risk Situation
 Legionella pneumophila SG1 10 CFU/ml
AND/OR
 Legionella pneumophila SV 2-14 & Legionella non-pneumophila species < 100 CFU/ML
Action Steps
 Very low level of health concern – background levels of
Legionella
 Review location of Cooling Tower in relation to susceptible
population
 Review current biocide treatment program
 Schedule regular testing for Legionella in the future
Source: Environmental Safety Technologies
Interpreting your Legionella Test Results
LOW Risk Situation
 Legionella pneumophila SG1 10-99 CFU/ml
AND/OR
 Legionella pneumophila SV 2-14 & Legionella non-pneumophila species 100-999 CFU/ml
Action Steps
 Low level of health concern – Legionella well below the level
associated with outbreaks of Legionnaires’ disease
 Disinfection of the Cooling Tower is generally not recommended
unless located near susceptible populations
 Review current biocide treatment program
 Schedule regular testing for Legionella in the future
Source: Environmental Safety Technologies
Interpreting your Legionella Test Results
MODERATE Risk Situation
 Legionella pneumophila SG1 100-999 CFU/ml
AND/OR
 Legionella pneumophila SV 2-14 & Legionella non-pneumophila species 1,000-4,999 CFU/ml
Action Steps
 Moderate level of health concern – Legionella approaching the level
associated with outbreaks of Legionnaires’ disease
 Disinfection of the Cooling Tower is usually indicated as a precaution
against any further Legionella amplification
 Review current biocide treatment program
 Schedule an immediate re-test for Legionella to determine
effectiveness of disinfection
Source: Environmental Safety Technologies
Interpreting your Legionella Test Results
HIGH Risk Situation
 Legionella pneumophila SG1 1,000-5,000 CFU/ml
AND/OR
 Legionella pneumophila SV 2-14 & Legionella non-pneumophila species 5,000-10,000 CFU/ml
Action Steps
 High level of health concern – Legionella at level associated with
outbreaks of Legionnaires’ disease
 Immediate disinfection of the Cooling Tower is indicated
 Alter the current biocide treatment program
 Schedule an immediate re-test for Legionella to determine
effectiveness of disinfection
Source: Environmental Safety Technologies
Interpreting your Legionella Test Results
VERY HIGH Risk Situation
 Legionella pneumophila SG1 >5,000 CFU/ml
AND/OR
 Legionella pneumophila SV 2-14 & Legionella non-pneumophila species >10,000 CFU/ml
Action Steps
 Significant potential for causing an outbreak of Legionnaires’
disease
 Immediate disinfection of the Cooling Tower is indicated
 Alter the current biocide treatment program
 Schedule an immediate re-test for Legionella to determine
effectiveness of disinfection
Source: Environmental Safety Technologies
Selecting a Chemical Treatment Provider
 Suggested questions to ask:
 What type of biocide program are you treating my tower
with?
 Is my cooling tower being physically cleaned at least
once a year?
 Are we doing any Legionella testing and if so what is the
frequency?
Develop a Strong PM plan
 Inventory all possible sources
 Document in your CMMS
 Efficient tracking of all work done
 Create preventative maintenance tasks required
and schedule ongoing work
 Attach chemical treatment reports for easy review
 Be sure to review all reports before filing
Document in your CMMS
New and Existing State/Local Requirements
 Educate yourself of the requirements in your State
 Cooling tower regulations in New York
 Hospitals regulated in MD & NY
 Alleghany County, PA
 Garland, TX
 New regulations constantly emerging due to
increased awareness
Where can I go for help!
 ASHRAE Standard I88-2015
 Environmental Safety Technologies
 Cooling Technology Institute
 Center for Disease Control
 Your local Brady Trane Franchise Office or trusted
HVAC provider
 Your water treatment provider
On a personal note
 If you or someone you know uses a CPAP machine…
remind them to follow the cleaning procedures and
know the type of water to use in the machine.
Questions?
Exit Poll- Can we help you:
 Maximize your existing SchoolDude investment
 Learn more about SchoolDude solutions
 Schedule Demo
 Request Pricing
 Receive assistance from Brady-Trane
Thank you!
Want to talk to a Dude?
 Call: 1-877-868-3833
 Email: sales@schooldude.com
Brady Trane Services, Inc.
 Pete Malone
 Thomas Embler
 Call: 1-800-849-1915

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Hidden Threats: Legionella and Managing Risk through PM

  • 1. Hidden Threats: Legionella and Managing Risk Through PM Presented by: • Bob Bittner — SchoolDude Sr. Manager Partnership Development • Pete Malone —Brady Trane Service, Inc. Environment, Health, and Safety Director • Thomas Embler — Brady Trane Service, Inc. Water Treatment Team Leader In partnership with: For audio, dial 1-866-740-1260 and enter Conference ID: 1103367
  • 2. Webinar Agenda  Participant phones are muted.  Use Chat to ask questions at any time.  There will be Q&A wrap up at the end.  Full recording will be available at the end of the webinar and sent out to everyone. For audio, dial 1-866-740-1260 and enter Conference ID: 1103367
  • 3. Professional Development Webinar Series  A quarterly webinar series focused on your professional development needs  A new featured guest speaker and topic each quarter  Extension of SchoolDude University experience For audio, dial 1-866-740-1260 and enter Conference ID: 1103367
  • 4. Featured Topic: Legionella and Managing Risk Through PM  In this exclusive webinar you will learn:  What Legionella is and why you should be concerned  Understanding the risk  Best practices to mitigate potential risk  New state regulations  Where to get help For audio, dial 1-866-740-1260 and enter Conference ID: 1103367
  • 5. Featured Speaker – Bob Bittner SchoolDude | Sr. Manager Partnership Development  Experience  35 years of professional maintenance and operations  Healthcare, Heavy Manufacturing, Pharmaceutical R&D, and Public K-12 Education For audio, dial 1-866-740-1260 and enter Conference ID: 1103367
  • 6. Legionella Bacteria  History  Named after the “American Legion” following an outbreak in 1976 that caused 34 deaths and 221 to get sick during their convention in Philadelphia  What exactly is Legionnaires’ Disease?  Type of pneumonia (lung infection) For audio, dial 1-866-740-1260 and enter Conference ID: 1103367
  • 7. Making news headlines  August 2015 – 12 deaths in New York City, 120 became sick due to contaminated cooling tower  August 2015 - Large pharmaceutical plant shut down after finding Legionella in their cooling tower  September 2015 -3 Chicago-area schools closed because of Legionnaires’ disease threat  October 2015 – Cooling towers at 7 Long Island school districts test positive for Legionella bacteria For audio, dial 1-866-740-1260 and enter Conference ID: 1103367
  • 8. Poll: What is your greatest concern?  Disease prevention  The causes of Legionella  Creating awareness of Legionella  Getting help  Prior experiences with outbreaks  What to do after positive test result? For audio, dial 1-866-740-1260 and enter Conference ID: 1103367
  • 9. Featured Speaker – Pete Malone Brady Trane Service, Inc. | Environment, Health and Safety Director  Education/Licenses  BS, Occupational Safety and Health  AAS, Environment, Health and Safety  Certificate OSH Management  Certificate EHS Management  Certificate Waste Management  HAZWOPER Technician  OSHA Outreach Trainer, Construction and General Industry  NC State Board License # 16447, H1,2,& 3;  Experience  Technical Rep and systems maintenance, Brady Trane Service, Inc.  Technical Rep and systems startup commissioning, McQuay International  Central Plant Operations – USF Medical Center, Tampa, Florida
  • 10. Legionella Overview  Overview  Waterborne bacteria  Must have water  Is in all surface waters, groundwater, waste waters, soil and compost  Conditions for Growth  Thrives when protected in bio-film (slime)  Needs iron and l-cysteine (non-essential amino acid)  Can live inside amoebas and other protozoan
  • 11. Legionella Overview  Since its prime growth amplification is in 77°F to 113°F water, it can grow rapidly in HVAC and tempered water environments.  Resistant to low levels of Chlorine  Some rubbers and some plastics promote growth
  • 12. Recognizing Risk Factors  Disease causation REQUIRES all:  Live bacteria  Amplification of colonies  Body of contaminated water  Means for forming respirable droplets (1 – 5 microns into lower lung) from the water  Exposure of susceptible host  Prevent any one of above, and infection will not occur
  • 13. Heavy bio films promote growth
  • 14. Cooling Tower with Poor Maintenance
  • 16. Recognizing Risk Factors  Growth occurs in piping dead legs, tank bottoms, sumps, on pan surfaces, on splash fill in towers, in whirlpools, fountains, etc.  How would you clean an outdoor fountain pool?  Cleaning a cooling tower
  • 17. Employer risk  Workers who must service, repair, or clean the equipment  Splashing waters, spraying, pressure washing, using rotary tube cleaners  Employers have much information available from OSHA website - www.osha.gov  Know the condition of the water with good treatment program that includes testing  Test the waters and the biofilm, to have a defensible testing program
  • 18. Protecting Employees and Students/Public  Liability for employees, Students or public  Defensible program such as outlined in ASHRAE 188  Chemical water treatment in place and adequately maintained  Periodic testing will help protect people and defend your organization
  • 19. N 95
  • 20. Featured Speaker – Thomas Embler Brady Trane Services Inc. | Team Leader—Water Treatment  Education/Licenses  AAS Cape Fear Community College  BA – UNC-Greensboro  Association of Water Treatment Technologies Certifications (AWT)  Service Training  Water Treatment Training  Water Treatment Sales Training  Experience  6 Years in Commercial/Industrial Water Treatment Industry
  • 22. Elements of a Preventive Treatment Plan  Preventive Maintenance  Visual inspection  Tower cleaning  Water Treatment Program
  • 23. Elements of a Preventive Treatment Plan  Biocide Program  Halogen Oxidizers/Chlorination  Dispersants  Non-oxidizers
  • 24. Testing and Sampling  Proactive Monitoring  Sampling Frequency  Interpreting Test Results
  • 25. Interpreting your Legionella Test Results VERY LOW Risk Situation  Legionella pneumophila SG1 10 CFU/ml AND/OR  Legionella pneumophila SV 2-14 & Legionella non-pneumophila species < 100 CFU/ML Action Steps  Very low level of health concern – background levels of Legionella  Review location of Cooling Tower in relation to susceptible population  Review current biocide treatment program  Schedule regular testing for Legionella in the future Source: Environmental Safety Technologies
  • 26. Interpreting your Legionella Test Results LOW Risk Situation  Legionella pneumophila SG1 10-99 CFU/ml AND/OR  Legionella pneumophila SV 2-14 & Legionella non-pneumophila species 100-999 CFU/ml Action Steps  Low level of health concern – Legionella well below the level associated with outbreaks of Legionnaires’ disease  Disinfection of the Cooling Tower is generally not recommended unless located near susceptible populations  Review current biocide treatment program  Schedule regular testing for Legionella in the future Source: Environmental Safety Technologies
  • 27. Interpreting your Legionella Test Results MODERATE Risk Situation  Legionella pneumophila SG1 100-999 CFU/ml AND/OR  Legionella pneumophila SV 2-14 & Legionella non-pneumophila species 1,000-4,999 CFU/ml Action Steps  Moderate level of health concern – Legionella approaching the level associated with outbreaks of Legionnaires’ disease  Disinfection of the Cooling Tower is usually indicated as a precaution against any further Legionella amplification  Review current biocide treatment program  Schedule an immediate re-test for Legionella to determine effectiveness of disinfection Source: Environmental Safety Technologies
  • 28. Interpreting your Legionella Test Results HIGH Risk Situation  Legionella pneumophila SG1 1,000-5,000 CFU/ml AND/OR  Legionella pneumophila SV 2-14 & Legionella non-pneumophila species 5,000-10,000 CFU/ml Action Steps  High level of health concern – Legionella at level associated with outbreaks of Legionnaires’ disease  Immediate disinfection of the Cooling Tower is indicated  Alter the current biocide treatment program  Schedule an immediate re-test for Legionella to determine effectiveness of disinfection Source: Environmental Safety Technologies
  • 29. Interpreting your Legionella Test Results VERY HIGH Risk Situation  Legionella pneumophila SG1 >5,000 CFU/ml AND/OR  Legionella pneumophila SV 2-14 & Legionella non-pneumophila species >10,000 CFU/ml Action Steps  Significant potential for causing an outbreak of Legionnaires’ disease  Immediate disinfection of the Cooling Tower is indicated  Alter the current biocide treatment program  Schedule an immediate re-test for Legionella to determine effectiveness of disinfection Source: Environmental Safety Technologies
  • 30. Selecting a Chemical Treatment Provider  Suggested questions to ask:  What type of biocide program are you treating my tower with?  Is my cooling tower being physically cleaned at least once a year?  Are we doing any Legionella testing and if so what is the frequency?
  • 31. Develop a Strong PM plan  Inventory all possible sources  Document in your CMMS  Efficient tracking of all work done  Create preventative maintenance tasks required and schedule ongoing work  Attach chemical treatment reports for easy review  Be sure to review all reports before filing
  • 33. New and Existing State/Local Requirements  Educate yourself of the requirements in your State  Cooling tower regulations in New York  Hospitals regulated in MD & NY  Alleghany County, PA  Garland, TX  New regulations constantly emerging due to increased awareness
  • 34. Where can I go for help!  ASHRAE Standard I88-2015  Environmental Safety Technologies  Cooling Technology Institute  Center for Disease Control  Your local Brady Trane Franchise Office or trusted HVAC provider  Your water treatment provider
  • 35. On a personal note  If you or someone you know uses a CPAP machine… remind them to follow the cleaning procedures and know the type of water to use in the machine.
  • 37. Exit Poll- Can we help you:  Maximize your existing SchoolDude investment  Learn more about SchoolDude solutions  Schedule Demo  Request Pricing  Receive assistance from Brady-Trane
  • 38. Thank you! Want to talk to a Dude?  Call: 1-877-868-3833  Email: sales@schooldude.com Brady Trane Services, Inc.  Pete Malone  Thomas Embler  Call: 1-800-849-1915

Notes de l'éditeur

  1. Next one for Q3: will we announce soon!
  2. 1 - http://www.cnn.com/2015/08/20/health/new-york-legionnaires-disease/ 2 - http://www.ibtimes.com/legionnaires-disease-glaxosmithklines-north-carolina-plant-closed-after-bacteria-2049567 3 - http://www.cnn.com/2015/09/23/health/legionnaires-disease-schools-closed/ 4 - http://abc7ny.com/news/cooling-towers-at-7-long-island-school-districts-test-positive-for-legionella-bacteria/1021250/
  3. Switch to Poll
  4. -List of continuous tasks and procedures -Breakdown of cost, money saved -Projected hours and time spent on preventative tasks
  5. Western PA: http://www.achd.net/infectd/pubs/pdf/2014_FINAL_Legionella_Guidelines_for_Western_PA.pdf
  6. Seed Questions: - If I have no plan in place, where would you recommend beginning or getting started?
  7. Switch to Poll