Information
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Premises details
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Conducted on
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Prepared by
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Location
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Property details ( Lot DP SP etc)
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Trim Document number
Contact details
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Owner/Manager/Occupier/Agent
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Person interviewed
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Contact number/s
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Email address (if available)
Pool 1
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Pool type
- General use
- Toddler
- Spa
- Olympic
- Water Spray Park
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Circulation type
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Disinfectant type
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Dosing
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Auxiliary System/s
- None
- UV light
- Ozone
- Ionic
- Cyanurate
- Other
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Test kit method
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Testing frequency
- Nil
- Daily
- Twice Daily
- > Twice Daily
- Weekly
- Fortnightly
- Monthly
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Water temperature (degrees C)
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Free Chlorine (mg/L) (Minimum 1.0 for outdoor pool, 3.0 stabilised pool, 2.0 spa ,indoor pool add 1.0 if pH > 7.6 test daily)
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Total Chlorine (maximum 10 mg/L test daily)
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If the pool utilises an ORP system in a chlorinated pool the ORP must be >720 mV in a bromine pool the ORP must be >700mV
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Combined Chlorine (maximum 1.0 mg/L test daily)
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Minimum Bromine level, where used,( minimum 2.25 mg/L outdoor pool 4.5 mg/L indoor pool or spa)
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Maximum Bromine level, where used ( 9.0 mg/L all pools)
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PH level must be between 7.2 and 7.8 (if over 7.6 must increase free chlorine level by 1.0 mg/L)
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Cyanuric acid (outdoor pools only maximum 50 mg/L test weekly)
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Total Alkalinity ( must be between 80 & 200 mg/L tested daily)
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Ozone ( 0 mg/L, if used must not be present in pool water)
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Log Book? (Must have at least 6 months of records)
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Bather load (previous hour)
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Clarity
- Sparkling
- Clear
- Cloudy
- Dirty
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Pool wall cleanliness
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Pool concourse drainage?
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Is Breakpoint Chlorination routinely practiced
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Incident Response Plans / kits?
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Microbiological sample taken
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General Comments
Pool 2
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Pool type
- General use
- Toddler
- Spa
- Olympic
- Water Spray Park
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Circulation type
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Disinfectant type
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Dosing
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Auxiliary System/s
- None
- UV light
- Ozone
- Ionic
- Cyanurate
- Other
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Test kit method
-
Testing frequency
- Nil
- Daily
- Twice Daily
- > Twice Daily
- Weekly
- Fortnightly
- Monthly
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Water temperature (degrees C)
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Free Chlorine (mg/L) (Minimum 1.0 for outdoor pool, 3.0 stabilised pool, 2.0 spa ,indoor pool add 1.0 if pH > 7.6 test daily)
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Total Chlorine (maximum 10 mg/L test daily)
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Combined Chlorine (maximum 1.0 mg/L test daily)
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If the pool utilises an ORP system in a chlorinated pool the ORP must be >720 mV in a bromine pool the ORP must be >700mV
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Minimum Bromine level, where used,( minimum 2.25 mg/L outdoor pool 4.5 mg/L indoor pool or spa)
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Maximum Bromine level, where used ( 9.0 mg/L all pools)
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PH level must be between 7.2 and 7.8 (if over 7.6 must increase free chlorine level by 1.0 mg/L)
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Cyanuric acid (outdoor pools only maximum 50 mg/L test weekly)
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Total Alkalinity ( must be between 80 & 200 mg/L tested daily)
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Ozone ( 0 mg/L, if used must not be present in pool water)
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Log Book? (Must have at least 6 months of records)
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Bather load (previous hour)
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Clarity
- Sparkling
- Clear
- Cloudy
- Dirty
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Pool wall cleanliness
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Pool concourse drainage?
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Is Breakpoint Chlorination routinely practiced
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Incident Response Plans / kits?
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Microbiological sample taken
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General Comments
Pool Surrounds generally
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Floor or ground graded away from pool, drained, non slip, clean and in good repair?
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Walls and ceiling (for indoor pools) clean and good repair?
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Lighting and ventilation ( for indoor pools) adequate and operating effectively?
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Fixtures and fittings clean, in good repair and adequate?
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Garbage disposal, clean, in good repair and adequate?
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Pool and surrounds maintained in good order and repair
Toilets/change rooms/showers where provided
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Floor graded, drained, sealed and clean?
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Walls & ceilings, sealed, clean and good repair?
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Lighting and ventilation, adequate and operating?
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Fixtures and fittings, clean in good repair and adequate?
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Toilet paper, soap and hand drying facilities provided?
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Nappy change facilities provided? Clean and in good repair?
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Sanitary products disposal facility provided?
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Aqua nappies available and pool signposted that they must be worn by toddlers and babies?
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Garbage disposal provided, kept clean and adequate?
Chemical Storage
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Chemicals stored in appropriate labelled containers?
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Location secure and adequate separation of chemicals?
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Material Safety Data Sheets (MSDS) available for all chemicals
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Spill response kit available?
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Storage area adequately ventilated?
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Training
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Pool operator has been provided with formal training
Further Action Required
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Type of follow up required
- none
- warning letter
- improvement notice
- prohibition order
- penalty notice
- other
I have read and understand this report
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Owner/Manager/Employee/Agent Signature
Council officer details
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Officers name
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Officers signature
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Note: Assessment report contains findings from date and time of inspection only.
