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Title Page
Site conducted
Prepared by
Date & time conducted
Full address (if not in system)
Aquatic Facility Name (if not in system)
Group number
Reason for assessment
Routine Aquatic Facility Assessment
Follow Up Aquatic Facility Assessment
Complaint Aquatic Facility Assessment
Other Aquatic Facility Assessment
Proprietor/manager on site at time of assessment
Checklist
General requirements for all Aquatic Facilities
Facility maintained in good repair, clean, sanitary, free of litter and vermin
Automatic electric cleaner not in use while the aquatic facility is open
Electrical outlets / equipment visually intact
Chemicals are not hand-dosed directly into water body when patrons are in the water
Water chemistry tests satisfactory at time of visit
Water body surface light in colour (not applicable for spas <10m2)
Water depth markers clearly visible, permanent and contrasting in colour, numbers minimum 90mm in height
Water depth markers located at regular intervals around pool and in min/max depth areas (no further than 7.5 metres apart)
Water depth markers provided on both vertical and horizontal surfaces if deck is more than 12.5cm above waterline
Skimmer lids and/or overflow grates in good repair
Concourse & walkways non-slip, drainage to prevent water accumulating / running back to pool
Sanitary facilities clean and in good repair
“No use of facility allowed after dark” sign (needed for daylight use facilities only)
Fencing and security requirements
Gates/doors automatically close and latch from any release point
Gates open away from the water body
Gate latch to be located minimum 1.5 m high, or be on inside of gate, 150 mm below top with minimum gate height 1.2m.
Internal pool fences & gate to be minimum 1.2m high.
Clearance beneath fence not to exceed 100mm.
Clearance between vertical barrier rungs not to exceed 100mm.
Non-climbing zone arc 900 mm from top of fence or climbing point for barriers <1.8 m high.
Where boundary fence forms primary barrier, must be min 1.8m high. Outside can be climbable, though inside 900 mm arc from top must be a non-climbing zone.
Group type facility specific questions
What Groupe type is this facility?
Group 1 Facility - Chemical Testing / First Aid / Rescue Equipment / Signage
Minimum ONE (1) Cl/Br and pH manual test per FOUR (4) HOURS per water body
Approved water test kit used
Water quality test log book maintained and available for review
Technical operator on-site at all times during operation
Lifeguard/s on-site at all times during operation or alternative (refer to Code of Practice)
Operations manual and emergency action plan available for review
Aquatic facility rules sign (recommended, not mandatory)
Rescue equipment in accessible location (e.g. reach pole, throw rope, tube, life jacket)
Separate first aid room or area
First aid room or area clearly signposted (i.e. green sign with white cross)
CPR (resuscitation) notice on display
Hand wash basin with potable water
Communication system
General power outlet
Examination bench
Washable flooring
First aid kit
Resuscitation equipment (oxygen tank and mask)
Spinal board & extrication collars
Pillows & blankets
Pocket CPR mask & disposable gloves
Stretcher
Group 2 Facility - Chemical Testing / First Aid / Rescue Equipment / Signage
Minimum THREE (3) Cl/Br and pH manual test per day per water body
Approved water test kit used
Water quality test log book maintained and available for review
Technical operator not required to be on-site at all times during operation
Lifeguard/s on-site at all times during operation
Operations manual available for review
Aquatic facility rules sign (recommended, not mandatory)
Rescue equipment in accessible location (e.g. reach pole, throw rope, tube, life jacket)
Separate first aid room or area
First aid room or area clearly signposted (i.e. green sign with white cross)
CPR (resuscitation) notice on display
Hand wash basin with potable water
General power outlet
Washable flooring
First aid kit
Pillows & blankets
Pocket CPR mask & disposable gloves
Stretcher
Group 3 Facility - Chemical Testing / First Aid / Rescue Equipment / Signage
Minimum TWO (2) Cl/Br and pH manual test per day per water body
Approved water test kit used
Water quality test log book maintained and available for review
Technical operator not required to be on-site at all times during operation
Lifeguard/s not required to be on-site at all times during operation
Operations manual available for review
Aquatic facility rules sign (recommended, not mandatory)
"No life guard on duty" sign
Rescue equipment in accessible location (e.g. reach pole, throw rope, tube, life jacket)
Separate first aid room or area
First aid room or area clearly signposted (i.e. green sign with white cross)
CPR (resuscitation) notice on display
Hand wash basin with potable water
General power outlet
Washable flooring
First aid kit
Pillows & blankets
Pocket CPR mask & disposable gloves
Stretcher
Group 4 Facility - Chemical Testing / First Aid / Signage
Minimum ONE (1) Cl/Br and pH manual test per day per water body
Approved water test kit used
Water quality test log book maintained and available for review
Technical operator not required to be on-site at all times during operation
Operations manual available for review
Aquatic facility rules sign (recommended, not mandatory)
"No life guard on duty" sign
CPR (resuscitation) notice on display
Additional requirements for spas
Spa safety rules on display
Spa emergency stop switch available and sign-posted
At least two water depth markers are present within 45 cm of water edge
Additional requirements for spray grounds
Spray ground safety rules on display
General comments
Further comments (if applicable)
Further Action
Follow-up assessment fee for unsatisfactory work: Proprietor to be charged relevant fee for this assessment
Further Action
Next Assessment Date (assessment may not be on this day)
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.
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You should independently determine whether the template is suitable for your circumstances.