Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

OPERATOR AND BUSINESS DETAILS

  • Business Name

  • Business Address
  • Postal Address

  • Approval Number

  • Approval Holders Name

  • Manager on Site

  • Contact Number

  • Email Address

  • Preferred Method of Service: Mail / Email / Post

AUDIT DETAILS

  • Audit time & date

  • Type of Audit

BUSINESS TYPE

  • Business Type

  • Pool
  • Pool type

  • Required chemical parameters: Free Cl min 1.5mg/l ppm pH 7.2 to 7.8

  • Required chemical parameters: > 26 deg C Free Cl min 2.0 mg/l ppm pH 7.2 to 7.8

  • Required chemical parameters: Free Cl min 1.5mg/l ppm pH 7.2 to 7.8

  • Required chemical parameters: >26 deg C Free Cl min 3mg/l ppm pH 7.2 to 7.8

  • Required chemical parameters: 35-37 deg C ideal, 40 deg C max Free Cl min 3mg/l ppm pH 7.2 to 7.8

  • Where a heated spa pool is installed, is a sign prominently displayed at the spa pool stating the following warning: ‘Immersion for periods of longer than 20 minutes in water heated up to 35 degrees Celsius is considered dangerous’.

  • Directions:

  • Timeframe for Compliance:

Pool & Water

  • Are CPR signs clearly visible to patrons?

  • Pool & surrounding areas in good state of repair?

  • Is the water clear and free of organic matter?

  • Pool & surrounding areas in good state of repair?

  • Who checks the pool water inhouse?

  • How often is it checked? 300+ beds to be checked at least 3 times a day 101-299 beds to be checked at least once daily; supervision during peak bathing periods 100 beds or less - daily checks during the months of November to March and outside of these times a min of one/week; minimal daily supervision

  • Directions:

  • Timeframes for Compliance:

  • Which pool shop checks the water?

  • Other:

  • How often is it checked by pool shop

  • Have the pool water chemistry records been sighted?

  • Is there a management policy implemented to prevent persons suffering, or appearing to suffer from an infectious, contagious or offensive disease or skin complaint using the pool?

  • Directions:

  • Timeframe for Compliance:

  • Is there a management policy in place to ensure persons shower before and after using the pool?

  • Directions:

  • Timeframe for Compliance:

  • Is there a response plan in place to adequately attend to faecal contamination incident?

  • Directions:

  • Timeframe for Compliance:

Gates

  • Self latching

  • Is the surrounding area adjacent to the fence free of climbable objects?

  • Is adequate sanitary accommodation available?

Comments

  • Add media

ASSESSING OFFICER DETAILS

  • Name

  • Signature

  • Date

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.