Title Page

  • Site conducted

  • Group

  • Business name

  • Manager/proprietor

  • Telephone number

  • Email address

  • Premises address
  • Conducted on

  • Prepared by

  • INSTRUCTIONS
    1. Answer the questions below by selecting the most appropriate response.
    2. Add photos and notes as necessary evidences
    3. To add a corrective measure, click ""Add Action"", provide a description, assign to a member, set priority, and due date
    4. Complete the audit by providing a digital signature

Pool Barrier

  • 1 Fence damaged or compromised

  • 2 Pool gate self closes from all open positions

  • 3 No climbable objects within 1m of fence

  • 4 No spaces >100mm under or between fence

  • 5 Pool barrier complies with AS 1926.1-1993

Pool Surface

  • 6 Smooth, good condition and free from damage

  • 7 Clean and free from algae

  • 8 No visible scum line to promote biofilm growth

Pool Concourse

  • 9 Non-slip and free from trip hazards

  • 10 Depth markings compliant with Code (contrasting colour, ≤7.5m apart, ≥90mm height, vertical and horizontal)

Lighting

  • 11 Pool body and concourse illuminated min. 30 lux

  • 12 Signage to indicate use after dark

Signage

  • No lifeguard on duty sign min 100mm font (spas excluded)

  • 14 First aid sign complies with AS 1319

  • 15 Resuscitation notice

  • 16 Pool rules

First Aid Facility

  • 17 Resuscitation notice

  • 18 Hand wash basin with running water

  • 19 One GPO outlet with electricity supply

  • 20 Storage for first aid supplies and equipment

  • 21 Washable flooring

First Aid Equipment

  • 22 First aid kit

  • 23 Two pillows and blankets

  • 24 Pocket mask and disposable gloves

  • 25 Stretcher

Rescue Equipment

  • 26 Type of equipment (reaching pole, rescue tube, life jacket, throwing rope or bag)

  • 27 Clearly visible and readily accessible

Pool Chemistry

    28 Temperature
  • 29 Free Chlorine 2ppm unstabilised 3ppm stabilised measurement (1ppm lower complies when water temperature <26°C)

  • undefined

  • 30 Cyanuric acid 20-100 mg/L measurement

  • undefined

  • 31 pH 7.2-7.8 measurement

  • undefined

  • 32 Alkalinity 60-200 mg/L measurement

  • undefined

  • 33 Calcium hardness 50-400 mg/L measurement

  • undefined

  • Water Balance Calculations

  • Calculation
  • Table extracted from Royal Life Saving Society Safe pool operations for group 2, 3 and 4 pools in Western Australia course manual dated January 2015

    Water balance calculation 1.PNG
  • Calcium hardness factor

  • Total alkalinity factor

  • pH

  • Sum of above three parameters

  • Table extracted from Royal Life Saving Society Safe pool operations for group 2, 3 and 4 pools in Western Australia course manual dated January 2015

    Water balance calculation 2.PNG
  • 34 Water clear and free of turbidity

  • 35 Brand of pool test kit

  • 36 Type of pool test kit

Documentation

  • 37 Logbook up to date

  • 38 Measurements recorded twice daily

  • 39 Personnel qualifications sighted

  • 40 Operations manual up to date

Miscellaneous

  • 41 Pool closed when electric pool cleaner operates

  • 42 Top up water added pre disinfection

  • Other comments

  • Please attend to any outstanding items by the due date. For enquiries contact the officer on the number below.

  • Reinspection date

  • I have read and I understand the contents of this assessment. Proprietor/staff name and signature

  • Officer name and signature

  • Officer contact number

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.