Aquatic Facility Assessment

• Document No.

• Facility

• Pathway reference

• Proprietor's Name

• Address
  Address

• Business email

• Business telephone

• Date of inspection

  Date

• Officer

• Officer contact number

• Group facility

  Group 1

  Group 2

  Group 3

  Group 4

  Crown exempt

• Health Department approval?

  Yes

  No

• Max Bather Number

Specific group requirements

• Type of facility

  Select Group 1 Group 2 Group 3 Group 4 Crown exempt

  • Group 1
  • Group 2
  • Group 3
  • Group 4
  • Crown exempt

• Operator / Manager on site at all times

  Yes

  No

• All patrons directly supervised

  Yes

  No

• Emergency care personnel on-site at all times

  Yes

  No

• Operations manual and emergency action plan available and accessible on-site

  Yes

  No

• Has it been developed in accordance with guidelines

  Yes

  No

• Is the manual current

  Yes

  No

• Is the pool fenced

  Yes

  No

• When the pool is not in use are there measures in place to deter unauthorised entry of persons

  Yes

  No

• Sanitary facilities clean and in good working order, non slip, well drained

  Yes

  No

• First aid room location adequately signed

  Yes

  No

• First aid facilities

• Separate room or area

  Yes

  No

• GPO outlet

  Yes

  No

• Communication system - phone and emergency number

  Yes

  No

• Hand wash basin with reticulate potable water

  Yes

  No

• Washable flooring

  Yes

  No

• Work bench for preparation and cleaning/sterilisation of items

  Yes

  No

• Storage for first aid supplies & equipment

  Yes

  No

• Examination couch

  Yes

  No

• Resuscitation notice

  Yes

  No

• First aid sign

  Yes

  No

• First aid equipment

• Resuscitation equipment

  Yes

  No

• First aid kit

  Yes

  No

• Stretcher

  Yes

  No

• Spinal board and extrication collars

  Yes

  No

• Pillows and blankets

  Yes

  No

• Pocket mask and disposable gloves

  Yes

  No

• Appropriate rescue equipment available and readily accessible ( eg reaching poles, rescue tubes, life jackets and throwing ropes/bags)

  Yes

  No

• Safety signage that details patron rules and behaviour in a prominent location

  Yes

  No

• Water quality testing every four hours

  Yes

  No

• All patrons directly supervised

  Yes

  No

• Emergency care personnel on-site at all times

  Yes

  No

• Operations manual and emergency management arrangements available and accessible on-site

  Yes

  No

• Has it been developed in accordance with guidelines

  Yes

  No

• Is the manual current and up to date

  Yes

  No

• Is the pool fenced

  Yes

  No

• When the pool is not in use are there measures in place to deter unauthorised entry of persons

  Yes

  No

• Sanitary facilities clean and in good working order, non slip, well drained

  Yes

  No

• First aid room location adequately signed

  Yes

  No

• First aid facilities

• Hand wash basin with reticulate potable water

  Yes

  No

• Washable flooring

  Yes

  No

• Storage for first aid supplies & equipment

  Yes

  No

• GPO outlet

  Yes

  No

• Resuscitation notice

  Yes

  No

• First aid sign

  Yes

  No

• First aid equipment

• First aid kit

  Yes

  No

• Stretcher

  Yes

  No

• 2 x Pillows and blankets

  Yes

  No

• Pocket mask and disposable gloves

  Yes

  No

• Appropriate rescue equipment available and readily accessible ( eg reaching poles, rescue tubes, life jackets and throwing ropes/bags)

  Yes

  No

• Safety signage that details patron rules and behaviour in a prominent location

  Yes

  No

• Water quality testing three times a day

  Yes

  No

• Water testing persons details

• Technical operator contact details

• Emergency care personnel on-site at all times

  Yes

  No

• Is the pool fenced

  Yes

  No

• Does it comply with AS1926.1-1993 (1.2mm high, gaps no more than 100mm)

  Yes

  No

• First aid room location adequately signed

  Yes

  No

• First aid facilities

• Hand wash basin with reticulate potable water

  Yes

  No

• Washable flooring

  Yes

  No

• Storage for first aid supplies & equipment

  Yes

  No

• GPO outlet

  Yes

  No

• Resuscitation notice

  Yes

  No

• First aid sign

  Yes

  No

• First aid equipment

• First aid kit

  Yes

  No

• Stretcher

  Yes

  No

• 2 x Pillows and blankets

  Yes

  No

• Pocket mask and disposable gloves

  Yes

  No

• Appropriate rescue equipment available and readily accessible ( eg reaching poles, rescue tubes, life jackets and throwing ropes/bags)

  Yes

  No

• Safety signage that details patron rules and behaviour in a prominent location

  Yes

  No

• Safety sign - Warning sign at entrance 'No Lifeguard on duty'

  Yes

  No

• Water quality testing twice a day (recommended)

  Yes

  No

• Water testing persons details

• Technical operator contact details

• Operations manual and emergency management arrangements available and accessible on-site

  Yes

  No

• Has it been developed in accordance with guidelines

  Yes

  No

• Is the manual current and up to date

  Yes

  No

• Emergency care personnel on-site at all times

  Yes

  No

• Is the pool fenced

  Yes

  No

• Does it comply with AS1926.1-1993 (1.2mm high, gaps no more than 100mm)

  Yes

  No

• First aid facilities

• Resuscitation notice displayed in a prominent position in the pool area

  Yes

  No

• Safety signage that details patron rules and behaviour in a prominent location

  Yes

  No

• Safety sign - Warning sign at entrance 'No Lifeguard on duty'

  Yes

  No

• Water quality testing once a day

  Yes

  No

• Water testing persons details

• Technical operator contact details

Depth Markings

• Swimming pool

  Yes

  No

• Permanent with minimum height 90 mm

  Yes

  No

• Colour contrast to background and readily visible

  Yes

  No

• Intervals not exceeding 7.5m

  Yes

  No

• Positioned close to designated entry points

  Yes

  No

• Not directly over steps

  Yes

  No

• Inside vertical surface at depths greater than 125mm

  Yes

  No

• Additional pools?

  Yes

  No

• Pool description

• Permanent with minimum height 90 mm

  Yes

  No

• Colour contrast to background and readily visible

  Yes

  No

• Intervals not exceeding 7.5m

  Yes

  No

• Positioned close to designated entry points

  Yes

  No

• Not directly over steps

  Yes

  No

• Inside vertical surface at depths greater than 125mm

  Yes

  No

• Additional pools?

  Yes

  No

• Pool description

• Permanent with minimum height 90 mm

  Yes

  No

• Colour contrast to background and readily visible

  Yes

  No

• Intervals not exceeding 7.5m

  Yes

  No

• Positioned close to designated entry points

  Yes

  No

• Not directly over steps

  Yes

  No

• Inside vertical surface at depths greater than 125mm

  Yes

  No

• Additional pools?

  Yes

  No

• Pool description

• Permanent with minimum height 90 mm

  Yes

  No

• Colour contrast to background and readily visible

  Yes

  No

• Intervals not exceeding 7.5m

  Yes

  No

• Positioned close to designated entry points

  Yes

  No

• Not directly over steps

  Yes

  No

• Inside vertical surface at depths greater than 125mm

  Yes

  No

• Additional pools?

  Yes

  No

• Pool description

• Permanent with minimum height 90 mm

  Yes

  No

• Colour contrast to background and readily visible

  Yes

  No

• Intervals not exceeding 7.5m

  Yes

  No

• Positioned close to designated entry points

  Yes

  No

• Not directly over steps

  Yes

  No

• Inside vertical surface at depths greater than 125mm

  Yes

  No

• Spa pools

  Yes

  No

• Markings clear and legible

  Yes

  No

• Located no more than 450mm from the waters edge

  Yes

  No

• Intervals not exceeding 7.5m

  Yes

  No

• Located evenly around the perimeter

  Yes

  No

• Minimum of 2 depth markings

  Yes

  No

• Additional spa pool?

  Yes

  No

• Pool description

• Markings clear and legible

  Yes

  No

• Located no more than 450mm from the waters edge

  Yes

  No

• Intervals not exceeding 7.5m

  Yes

  No

• Located evenly around the perimeter

  Yes

  No

• Minimum of 2 depth markings

  Yes

  No

• Additional spa pool?

  Yes

  No

• Pool description

• Markings clear and legible

  Yes

  No

• Located no more than 450mm from the waters edge

  Yes

  No

• Intervals not exceeding 7.5m

  Yes

  No

• Located evenly around the perimeter

  Yes

  No

• Minimum of 2 depth markings

  Yes

  No

Water Spray / Playground

• Are there water spray / play ground facilities

  Yes

  No

• Walkways non slip

  Yes

  No

• Is there adequate drainage to prevent water accumulation

  Yes

  No

• Are the pads designed to prevent soil sand or other contamination entering spray pads

  Yes

  No

• Where patrons could carry sand or other debris on their feet, foot showers provided

  Yes

  No

  Not applicable

• Water flow through drains from spray pads under gravity ( no direct suction)

  Yes

  No

• Spray pad drainage incorporates means to remove sand or other material from return water enroute to the treatment system

  Yes

  No

  Not applicable

• All top up water is filtered and treated before it is used / re-used

  Yes

  No

  Not applicable

• Filtration / treatment systems achieve complete water system turnover at least once every 30 minutes

  Yes

  No

  Not applicable

• Warning sign - WARNING RECYCLED WATER IN USE -DO NOT DRINK in prominent position with minimum 100mm letters

  Yes

  No

  Not applicable

• Outdoor water spray / play grounds closed to use during electrical storm periods

  Yes

  No

  Not applicable

• Hose connections readily accessible for cleaning ground pads. Soiled wash / rinse water diverted to waste

  Yes

  No

• Water quality testing carried out at start of each day / before opening

  Yes

  No

• Filtration and treatment equipment kept circulating / operating at all times water spray / play ground is open for use. Commenced at least two hours before first use and continue operating two hours after the last use.

  Yes

  No

• Spray ground treatment tanks regularly drained and cleaned to maintain water quality

  Yes

  No

Water quality

• Water testing records kept and available on site

  Yes

  No

• Pool treated with chlorine or bromine

  chlorine

  bromine

• Free chlorine minimum<br>Not stabilised less than 26 C is 1<br>Not stabilised greater than 26 C is 2<br>Stabilised less than 26 C is 2<br>Stabilised greater than 26 C is 3

  Yes

  No

• pH level 7.2 - 7.8

  Yes

  No

• Free bromine minimum <br>Swimming pool less than 26C is 2<br>Swimming pool greater than 26C is 4<br>Hydrotherapy / spa / wading less than 26C is 4<br>Hydrotherapy / spa / wading greater than 26C is 6

  Yes

  No

• pH level 7.2 - 8.0

  Yes

  No

  N/A

• Temperature not more than 38C

  Yes

  No

• Suitable test kit for water testing

  Yes

  No

• Equipment used

  Lovibond

  Palintest

  other

General Sanitation and Operational Requirements

• Good repair , sound working condition, clean, and free of litter and vermin

  Yes

  No

• Water clean and clear

  Yes

  No

• Are patrons excluded if any of the following apply

  Yes

  No

• Suffering from gastroenteritis or communicable disease

• In an unclean condition

• Wearing unclean clothes

• Under Influence of alcohol or drugs

• A baby / young child not wearing aqua nappy

• Taking animals into aquatic facility

• Follow up action required

  Select No action required Verbal advice given Letter to follow Improvement order Infringement notice Prosecution recommended Closure order

  • No action required
  • Verbal advice given
  • Letter to follow
  • Improvement order
  • Infringement notice
  • Prosecution recommended
  • Closure order

• I have read and understood the contents of this assessment

• Proprietor / staff name

  Sign

• Officer

  Select Tsyr Chiat Chew Tony Portelli Rebecca Duffin Michael Turner Graham Oatey Courtney Spanbroek Ian Watt

  • Tsyr Chiat Chew
  • Tony Portelli
  • Rebecca Duffin
  • Michael Turner
  • Graham Oatey
  • Courtney Spanbroek
  • Ian Watt

• Environmental Health Officer

  Sign