3M Operations Pool Audit

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Audit Assessment

• Assessment of Audit

  Excellent - 5

  Good - 4

  Acceptable - 3

  Below Acceptable - 2

  Not acceptable - 1

• No. of areas satisfactory, but improvement could be considered

• No. of minor problems, not measurably affecting service or system

• No. of major problems, affecting service, system or legislation

• Summary

Cleaning - Swimming Pools and Surrounding Areas

• Surfaces are free of all stains, ingrained dirt, streaks, smears and build up of lime scale or dry germ

  Yes

  No

  N/A

• Pool areas are free of any persistent odours other than those associated with swimming pool chemicals

  Yes

  No

  N/A

• Blue overshoes are available from a dispenser strategically located

  Yes

  No

  N/A

Receive Chemicals

• Process of receiving chemicals is understood by pool operators (i.e. constant supervision, refusal of shipment where leakages are suspected)

  Yes

  No

  N/A

Chemical Storage & Segregation

• Colour coding and labelling correct

  Yes

  No

  N/A

• Segregation understood and practiced

  Yes

  No

  N/A

Documentation and Forms

• Guidance procedure available and of the correct revision

  Yes

  No

  N/A

• Maintenance Routine at correct revision

  Yes

  No

  N/A

• Maintenance Log at correct revision

  Yes

  No

  N/A

Records – Maintenance, sampling, calibration

• Maintenance Routine complete and up to date

  Yes

  No

  N/A

• Maintenance Log complete and up to date

  Yes

  No

  N/A

• Calibration records up to date

  Yes

  No

  N/A

• Water Balance maintained within correct parameters

  Yes

  No

  N/A

• Pool test trends understood by pool operator

  Yes

  No

  N/A

• All parameters within specification or deviations understood and remedied promptly

  Yes

  No

  N/A

• Water balance tested

  Yes

  No

  N/A

• Water balance maintained within required parameters

  Yes

  No

  N/A

• Respirator maintenance record maintained and up to date

  Yes

  No

  N/A

Responsibilities

• Health, Safety and Environmental responsibilities understood by pool operators

  Yes

  No

  N/A

Swimming pool safety

• No broken tiles on pool surrounds

  Yes

  No

  N/A

• No broken tiles within the pool

  Yes

  No

  N/A

• External phone line connected to an emergency phone

  Yes

  No

  N/A

• First aid box is available, fully stocked, and clearly located

  Yes

  No

  N/A

• Poolside signage clearly displayed and up to date

  Yes

  No

  N/A

• Internal lighting is fully operational

  Yes

  No

  N/A

• Safety hook and buoyancy aids are available and in good condition

  Yes

  No

  N/A

• Fire appliances in plant rooms available and functional, and records up to date

  Yes

  No

  N/A

• Eye wash stations available and up to date

  Yes

  No

  N/A

• Heating pipes in pool area not exposed

  Yes

  No

  N/A

Personal Protective Equipment

• Available

  Yes

  No

  N/A

• Evidence of use

  Yes

  No

  N/A

• Retained in a clean manner inside PPE storage locker

  Yes

  No

  N/A

Dolphin Cleaners

• Maintained in a clean state

  Yes

  No

  N/A

Environmental

• Pool covers are operational

  Yes

  No

  N/A

• Air handling units are fully operational and inlets are clean

  Yes

  No

  N/A

• Pool water and air temperature maintained within correct ranges

  Yes

  No

  N/A

• Pool operates within discharge limits

  Yes

  No

  N/A

• Any excessive discharges to waste are notified to the correct authority

  Yes

  No

  N/A

Emergency Procedures - General

• Overdosing Emergency Procedures available and understood

  Yes

  No

  N/A

• Emergency procedures practiced in last six months – records available

  Yes

  No

  N/A

Proactive Spill Control

• Spill procedures available and understood

  Yes

  No

  N/A

• Bunds available for liquid chemicals (Sodium Hypochlorite, PAC)

  Yes

  No

  N/A

• Bunds clean, no included liquid or contamination, of sound construction

  Yes

  No

  N/A

• Spill kits available, usable and method of use understood by pool operators

  Yes

  No

  N/A

Cryptosporidium, etc, Contingency Plans

• Faecal and blood fowling emergency procedures available and understood

  Yes

  No

  N/A

• Emergency procedures practiced in last six months – records available

  Yes

  No

  N/A

Technical inspections of swimming pools

• There is a written annual inspection schedule identified by the Contract

  Yes

  No

  N/A

• The annual inspection schedule includes the inspection of swimming pools

  Yes

  No

  N/A

• There is a Technical Inspection Checklist for swimming pools

  Yes

  No

  N/A

• Swimming pools are inspected by the Contract according to the annual inspection schedule using the Technical Inspection Checklist for swimming pools

  Yes

  No

  N/A

• Swimming pool inspections are available for review

  Yes

  No

  N/A

• Please add any images relating to this audit.

  Media

• Next audit due date

  Date

• Please sign off this audit to complete.

  Sign