City of Canada Bay Swimming Pool Inspection Report

• Premises

• Application Number

• Address

• Email

• Conducted on

  Date

• Prepared by

• Location
  Address

• Inspection Result

  Satisfactory

  Unsatisfactory

• Trading name

• Owner/Proprietor

• Person interviewed

• ABN

• Phone

• Email

• Emergency contamination plan

  Yes

  No

  N/A

• Frequency of superchlorination

• Frequency of filter backwash

Pool information

Pool 1

• Pool type

• Disinfectant used

  Chlorine

  Bromine

• Location

  Indoor

  Outdoor

• Bathing load (previous hour)

  Low (<20)

  Med (20-50)

  High (>50)

• Temperature °C

• Log book maintained and current

  Yes

  No

  N/A

• Dosing

  Select Continuous Automated Non-automated

  • Continuous
  • Automated
  • Non-automated

• Pool clarity

  Clear

  Murky

• Bromine (if used) (mg/L)

• Free Cl2 (1mg/L)

• Total Cl2 (mg/L)

• Combined Cl2 (mg/L)

• pH (7.0-7.8)

• Alkalinity (80-200mg/L as CaCO3)

• Comments

• Add media

  Media

• Select date

  Date

Pool 2

• Pool type

• Disinfectant used

  Chlorine

  Bromine

• Location

  Indoor

  Outdoor

• Bathing load (previous hour)

  Low (<20)

  Med (20-50)

  High (>50)

• Temperature °C

• Log book maintained and current

  Yes

  No

  N/A

• Dosing

  Select Continuous Automated Non-automated

  • Continuous
  • Automated
  • Non-automated

• Pool clarity

  Clear

  Murky

• Bromine (if used) (mg/L)

• Free Cl2 (mg/L)

• Total Cl2 (mg/L)

• Combined Cl2 (mg/L)

• pH

• Alkalinity (mg/L as CaCO3)

• Cyanurate (if used) (mg/L)

• Comments

• Add media

  Media

• Select date

  Date

Pool 3

• Pool type

• Disinfectant used

  Chlorine

  Bromine

• Location

  Indoor

  Outdoor

• Bathing load (previous hour)

  Low (<20)

  Med (20-50)

  High (>50)

• Temperature °C

• Log book maintained and current

  Yes

  No

  N/A

• Dosing

  Select Continuous Automated Non-automated

  • Continuous
  • Automated
  • Non-automated

• Pool clarity

  Clear

  Murky

• Bromine (if used) (mg/L)

• Free Cl2 (mg/L)

• Total Cl2 (mg/L)

• Combined Cl2 (mg/L)

• pH

• Alkalinity (mg/L as CaCO3)

• Cyanurate (if used) (mg/L)

• Is ORP used

  Yes

  No

  N/A

• If yes ORP Level (at or above 720)

• Comments

• Add media

  Media

• Select date

  Date

Premises inspection

• Pool surrounds

• Amenities

• Chemical storage

Inspection results

• General comments

• Add media

  Media

• Inspection rating

  Satisfactory

  Unsatisfactory

• Further action required

  Nil

  Warning letter

  Improvement order

  Prohibition notice

• Reinspection required

  Yes

  No

• Documents to be submitted to Council

Council details

• Name of officer

  Select Angela Rose P: 9911 6417 Email: angela.rose@canadabay.nsw.gov.au Nerisha James P: 9911 6416 Email: nerisha.james@canadabay.nsw.gov.au Dhanuka Siriwardena P: 9911 6415 Email: dhanuka.siriwardena@canadabay.nsw.gov.au Renae Barnes. P: 9911 6588 Email: renae.barnes@canadabay.nsw.gov.au

  • Angela Rose P: 9911 6417 Email: angela.rose@canadabay.nsw.gov.au
  • Nerisha James P: 9911 6416 Email: nerisha.james@canadabay.nsw.gov.au
  • Dhanuka Siriwardena P: 9911 6415 Email: dhanuka.siriwardena@canadabay.nsw.gov.au
  • Renae Barnes. P: 9911 6588 Email: renae.barnes@canadabay.nsw.gov.au

• Phone: (02) 9911 6555 Fax: (02) 9911 6550 Email: council@canadabay.nsw.gov.au