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#1 Posted : 23 January 2009 11:47:00(UTC)
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Posted By Penfold Can anyone point me in the right direction to answer the question "how hot should hand washing water be without scalding?" I have come across a couple of situations where 'boiling' hot water has come out of a tap. Thanks if you can help
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#2 Posted : 23 January 2009 12:02:00(UTC)
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Posted By Chris Packham Water for skin washing should not exceed 40 deg C. In fact, the ideal temperature is actually 32 deg C. Temperature over 40 deg C causes damage to the lamellar layer in the stratum corneum resulting in a significant reduction in the skin's barrier properties,possibly for several hours. Thus someone who has washed their hands in hot water will be at increased risk of skin damage and chemical uptake into the body for some time afterwards. Chris
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#3 Posted : 23 January 2009 12:03:00(UTC)
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Posted By Chas For legionella purposes HSE recommend 50 degrees C. Where there is a risk of scalding eg in care homes, HSE recommend 44 degrees C although this can vary. Look at the link below. http://www.hse.gov.uk/lau/lacs/79-5.htm
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#4 Posted : 23 January 2009 12:15:00(UTC)
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Posted By Chris Packham Chas Isn't this for water in the pipework? Once it comes out of the tap then the major concern has to be skin safety. This is why I usually recommend a thermostatic mixer valve as close as possible to the basin and just a single tap. Chris
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#5 Posted : 23 January 2009 12:19:00(UTC)
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Posted By Colin Reeves Chris There are two conflicting requirements here. 40 degrees is in the prime range for legionella to multiply. Therefore a tap supplying water at this temperature is liable to contamination, although nice healthy skin!! The only way to avoid either one or the other problem is, as you say, to uses a mixer tap. However, these need to be used regularly to ensure that the water is regularly flushed through the mixer part. Colin
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#6 Posted : 23 January 2009 12:34:00(UTC)
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Posted By Chris Packham Colin Water in the short pipework between mixer tap and faucet will quickly cool to below 40 deg C and thus not be prone to development of legionella. The evidence I have shows this not to be a problem. It is common practice in some other countries, for example. So really we do not have a conflict. Water in the pipework should be kept at a temperature above that at which legionella can develop, but when ejected on to the skin be at the correct temperature for hand washing. Chris
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#7 Posted : 23 January 2009 12:41:00(UTC)
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Posted By Ian Blenkharn And should be capable of delivering suitably warm (or hot - take your pick) water within seconds of activation. Few people will wait more than a few seconds for hot water comes through the tap! As everyone knows, few taps can do this and the temptation is to wash hands immediately and in water that is too cold. Two problems with this. Water in the hot supply pipe rarely heats adequately in the length from the calorifier because flow is inadequate. Secondly, there are problems using many hand wash preparations in water that is too cold. Cleansing can be inadequate in cold water, especialy if handwashing is more a cursory rinse than a more effective wash, and there is published evidence that residues are left on skin in water that is too cold (though it may be that temperature hans an effect on users approach to washing and riunsing).
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#8 Posted : 23 January 2009 13:06:00(UTC)
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Posted By Chris Packham Ian I agree with your comments. However, one way of getting around this is to have a hot water recirculating system. In this way water circulates through the system such that the water temperature at the mixer valve is always hot. You then get virtually instant warm water from the tap. This is done in other countries although I have rarely seen it in the UK. From a dermatological view point cold water is better than too hot. Chris
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#9 Posted : 23 January 2009 13:36:00(UTC)
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Posted By Bob Thompson CMIOSH the hella recommends 45 degrees as a maximum especially for total immersion eg showers baths. in reality we settled at thermostatically controlled water at 43 Degrees you will always get people complaining that this is too cold but you cant please everyone. Bob
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#10 Posted : 23 January 2009 14:44:00(UTC)
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Posted By Penfold Thanks Guy's. Not sure if there is a definitive answer here although you have given me lots to think about. This is for general office use as opposed to domestic/care homes etc. I'll have a look through the links you sent. Thanks again
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#11 Posted : 23 January 2009 15:03:00(UTC)
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Posted By Chas Chris, I think you will find that HSE document L8 recommends 50 degrees C at the outlet within 1 minute of turning on the tap. Whilst this may not be great for the skin it is better for legionella control purposes. Agreed, TMV's are probably the best way for satisfying the potential dilema between scalding and legionella control.
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#12 Posted : 23 January 2009 15:22:00(UTC)
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Posted By Chris Packham Chas I do not always agree with what HSE states. I can demonstrate in the field of occupational skin management several statements they have made that do not accord with scientific evidence. I can demonstrate how COSHH essentials can actually produce a risk assessment that does not accord with the dermatological facts. I prefer to rely upon the scientific evidence that I obtain from toxicologists, dermatologists, etc. on anything relating to skin and the working environment and compare this with my own experience (over 30 years) in this particular aspect of health and safety. So, with respect, I will stick with my policy, as stated. It has never given me a problem up to now. Chris
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#13 Posted : 23 January 2009 16:02:00(UTC)
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Posted By Chris L It's worth remembering that should you ever be up before the beak over such a matter you will need to prove that you either followed the guidance in the ACOP (L8), or be able to prove that your methods were equal to or better than that. I know what I'd prefer. Incidentally it's my opinion (and only that) that where grown adults are also supplied with a cold feed and a plug, they should be more than capable of mixing down the supplied 50C water to a comfortable level. Obviously TMV's are essential for vulnerable groups, but they bring their own maintenance issues & responsibilities. If your building allows, go for a point of use (POU) water heater and you can set it as low as you like. But if you're storing volumes of hot water, than it should be stored at 60C and circulated at 50C unless you have other forms of water treatment (Sliver, UV) and you are confident that they are working.
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#14 Posted : 23 January 2009 16:10:00(UTC)
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Posted By Chris Packham When the first studies were published about the effect of hot water on the skin barrier I was on at visit to Sweden. My colleague there and I then carried out a simple experiment to see if doctors could judge the correct water temperature for hand washing. Not one doctor got it right. The water temperature was always too high! Secondly, maybe at home, but in a working environment I would never countenance plugs. People end up washing in dilute dirt. At the very least the hands should be rinsed in running water. When I am writing of water temperature for hand washing I am referring to the temperature of the water on the skin, not in the pipework. Of course, water in the pipework must be kept at the appropriate high temperature to prevent legionella. There is no problem with this then having water at the optimum temperature emitted from the faucet for the actual washing. Chris
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#15 Posted : 23 January 2009 17:55:00(UTC)
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Posted By Penfold Once again, thanks for the comments. The advice I have given is either a mixer tap, or a plug in basin. Hot water stays between 50 - 55 degrees (kill legionella), and place a hot water sticker next to the hot tap.
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