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

  • 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)

  • Authorised Officer Signature

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.