Information

  • Inspection Title

  • Jobsite Name

  • Conducted on

  • Prepared by

  • Location
  • Personnel

General

  • Are Fire Extinguishers readily available, regularly inspected, and access not blocked?

  • Are First Aid Kits readily available?

Personal Protective Equipment (PPE)

  • Is appropriate Personal PPE being worn while handling chemicals per the SDS?

  • Is proper footwear (water socks or non-skid shoes) being worn in and around pool areas?

  • Is proper clothing / UV protection worn in the water to protect body temperatures and skin (eg. wet suits, sunscreen, hats, etc)

Housingkeeping, Slips, Trips, and Falls

  • Are working areas kept clear of materials and debris? (No slipping/ tripping hazards)

  • Are all hoses and cords placed out of travel ways?

  • Is all trash, scrap, and debris picked up and properly disposed of?

  • Are materials and equipment stacked safely so as not to create a "struck-by" hazard if they were to topple?

  • Are materials in storage areas stacked neatly and passageways clear?

  • Are pallets in good condition? (No broken pallets that would cause a hazard of dropping materials)

Hazardous Material

  • Are all hazardous materials handled properly?

  • Are flammable chemicals stored properly and separately from other materials?

  • Is there and SDS book onsite?

  • Is there an SDS for all hazardous materials and/or hazardous marerials?

  • Is the location of the SDS's known to all employees?

  • Are eyewash stations installed near hazardous chemicals?

  • Is the eyewash functional and the monthly inspection tag filled out?

Tools, Equipment, and Electrical

  • Do all power tools in the maintenance shop have the proper guards in place?

  • Are all cords and outlets or plugins in good condition?

  • Are all pneumatic lines in good condition?

  • Are power strips being used properly? (For office equipment only)

  • Is all equipment regularly inspected, properly maintained and used safely?

  • Are areas in front of power shut-off switches free of all materials and equipment?

  • Are outlets near water sources (sinks, pools, etc) GFCI protected?

  • Are all openings guarded and pool filter area guarded properly?

  • Are all guards in pool area functional?

Pool Cleaning / Diving Operations

  • Are all dive plans completed before completing any pool cleaning operations?

  • Are pre-dive safety checks completed?

  • Are all medical records on file for pool cleaners?

  • Are all handheld electrical tools / equipment de-energized before being placed into or retrieved from the water?

  • Does a tender have control of the pool cleaner's umbilical at all times?

  • Is the pool cleaner's hose free of kinks and tangles during use?

  • Is the emergency plan for diving pool cleaning related injuries known by all applicable personnel?

  • Have all pool cleaning/diving personnel received annual training? (eg. DPIC, tender, pool cleaner)

Ladder Safety

  • Are all ladders used in good condition?

  • Are ladders labeled and being used properly, or stored properly when not in use?

Employee Behavior

  • Are Employees behaving in a safe manner? (No horse play or blatantly unsafe behavior)

  • Are employees lifting (equipment, feed, dolphins, etc) in a safe manner?

Notes

Signature

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The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.