Duke University Aquatics Facilities Walk Through Checklist

• Date and Time

  Date

• Facility

• Prepared by

• Location
  Address

• INSTRUCTIONS
  
  1. Answer "✔", "✖" or "N/A" on the questions provided below.
  2. Add Photos in "Image" and Comments in "Note" for the items required.
  3. Add a Corrective Measure by tapping "Action", then provide a description, assign to a member, set priority, and due date.
  4. Complete the audit by providing a digital signature.
  5. Share your report by exporting as PDF, Word, Excel or Web Link.

Safety Equipment

• Backboard: Head restraints in good working order

  ✔

  ✖

  N/A

• Backboard: Straps all in good working order

  ✔

  ✖

  N/A

• Backboard: Overall condition of the boards

  ✔

  ✖

  N/A

• Tubes: Good working order/all parts attached

  ✔

  ✖

  N/A

• Hip Packs: Gloves

  ✔

  ✖

  N/A

• Hip Packs: Mask

  ✔

  ✖

  N/A

• Trauma Kit: BVM

  ✔

  ✖

  N/A

• Trauma Kit: Pocket Mask

  ✔

  ✖

  N/A

• Trauma Kit: Gloves

  ✔

  ✖

  N/A

• First Aid Kit: Supplied and Ready

  ✔

  ✖

  N/A

• Emergency Phone: Good working order

  ✔

  ✖

  N/A

• Oxygen Tank: Full

  ✔

  ✖

  N/A

• Pool Floors

  ✔

  ✖

  N/A

• Pool Gutters

  ✔

  ✖

  N/A

• Pool Bottom

  ✔

  ✖

  N/A

• Pool Drains

  ✔

  ✖

  N/A

• Equipment Storage

  ✔

  ✖

  N/A

• Overall Cleanliness

  ✔

  ✖

  N/A

• Guard Checks

  ✔

  ✖

  N/A

• Chemical Checks

  ✔

  ✖

  N/A

Completion

• Inspector Sign Off

  Sign