Facilities Checklist

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Pool Area

• 1.1. Palisades in good condition

  Yes

  No

  N/A

• 1.2. Pool gate close automatically

  Yes

  No

  N/A

• 1.3. Pump house clean

  Yes

  No

  N/A

• 1.4. Pump house door locked

  Yes

  No

  N/A

Kiddies Play Ground

• 2.1. Planks and poles in good condition

  Yes

  No

  N/A

• 2.2. Roofs in good condition

  Yes

  No

  N/A

• 2.3. Wooden swings in good condition

  Yes

  No

  N/A

• 2.4. Tyre swings in good condition

  Yes

  No

  N/A

• 2.5. Swing hinges in good condition

  Yes

  No

  N/A

• 2.6. Swing drum chain in good condition

  Yes

  No

  N/A

• 2.7. Climbing ropes in good condition

  Yes

  No

  N/A

• 2.8. Signage in good condition

  Yes

  No

  N/A

• 2.9. Efficient sand to cover playground

  Yes

  No

  N/A

Maintenance Container

• 3.1. Tools & Equipment packed away

  Yes

  No

  N/A

• 3.2. Maintenance container clean

  Yes

  No

  N/A

• 3.3. Lighting in good condition

  Yes

  No

  N/A

• Add signature

  Sign