Title Page
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Site conducted
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Prepared by
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Date & time conducted
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Location (if not in system)
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Premises Name (if not in system)
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Name of water body (if facility has more than one)
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Type of report
- Health Aquatic facility non-compliance report
Checklist
Water quality
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Free Chlorine levels
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The permitted level is:
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The measured level is:
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pH levels
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The permitted level is:
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The measured level is:
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Cyanuric acid levels
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The permitted level is between 20 and 100 milligrams per litre
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The measured level is:
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Water temperature
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The maximum temperature of an aquatic facility is 38 degrees C
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The measured temperature is:
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Water clarity
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Microbiological levels
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Type of organism detected:
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The required control strategy is
Facility non-compliance
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Pool gate latches closed from any point of release
General comments
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Further comments (if applicable)
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This information is provided for your attention and urgent rectification.
It is your responsibility as an aquatic facility operator/manager to ensure the facility complies with all requirements of the Health (Aquatic Facilities) Regulations 2007 and the Code of Practice for the Design, Construction, Operation, Management & Maintenance of Aquatic Facilities. A copy of the Code is available below. -
Authorised Officer Signature