Pool Barrier Audit - Inspection Sheet

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• What is the Pool Barrier Audit (PBA) number?

  Yes

  No

  N/A

• General photos of the safety barrier

  Media

Type of Swimming Pool/ Spa

• What type of swimming pool/ spa is installed at the property?

  Above ground swimming pool

  Inground swimming pool

  Above ground spa

  Inground spa

Type of Safety Barrier & Boundary Fencing

• What type safety barrier has been installed?

  Select Steel tube Glass Timber Paling Timber Picket Color bond Combination

  • Steel tube
  • Glass
  • Timber Paling
  • Timber Picket
  • Color bond
  • Combination

• What type of boundary fence is being used as part of the safety barrier?

  Color bond

  Timber Paling

  Brick

Australian Standard

• What Australian Standard was the safety barrier installed under?

  AS1926.1-1993 ( On 8 April 1991 - before 1 May 2010)

  AS1926.1-2007 ( Aftre 1 May 2010)

Barriers, Walls, Fences & Screens

• Is the barrier height 1200mm (min) from approach side of barrier?

  Yes

  No

  N/A

• Is the ground clearance 100mm (max) gap to under side of safety barrier?

  Yes

  No

  N/A

• Is there a stabilized ground surface adjacent to the safety barrier - No loose sand, pebbles, chip bark?

  Yes

  No

  N/A

• Is the safety barrier in sound and ridged state?<br>(Consider strength & rigidity)

  Yes

  No

  N/A

• Is the 1200mm non-climb able zone (NCZ) - (pre May 2010) clear of any climbable objects?

  Yes

  No

  N/A

• Is the 900mm non-climb able zone (NCZ) - (post May 2010) clear of any climbable objects?

  Yes

  No

  N/A

• Is the internal 300mm non-climb able zone (NCZ) clear of any climbable objects?

  Yes

  No

  N/A

• Is the safety barrier clear of any finger/ footholds?

  Yes

  No

  N/A

• Does the perforated material forming part of the safety barrier have apertures 13mm or less?

  Yes

  No

  N/A

• Is the gap between the safety barrier and the side/ rear boundary fence a 100mm or less?

  Yes

  No

  N/A

Gates & Latches

• Does the gate swing in an outward direction?

  Yes

  No

  N/A

• Does the gate self close and self latch from any open position?

  Yes

  No

  N/A

• Is the gate latch height above 1500mm from ground level on the approach side?

  Yes

  No

  N/A

• Are the gate hinges and springs non-climbable? <br>(required spacing of hinges are 900mm apart and 1100mm to the top of the upper hinge.)

  Yes

  No

  N/A

• Is the gate latch shielded?

  Yes

  No

  N/A

• Is the shielded gate latch located 150mm below the top of the gate?

  Yes

  No

  N/A

• Does the gate have a maximum gap of 10mm between gate and gate post?

  Yes

  No

  N/A

• Is the gap under gate 100mm or less?

  Yes

  No

  N/A

Doors from the dwelling and outbuildings

• Are there any doors opening out directly into the swimming pool/ spa area?

  Yes

  No

  N/A

• Are the doors opening directly into the swimming pool/ spa area self close and self latch?

  Yes

  No

  N/A

• Is the latching device located 1500mm or higher above floor level?

  Yes

  No

  N/A

Windows

• Are the windows restricted permanently to 100mm max?

  Yes

  No

  N/A

• Are the fly screens made of metal mesh and permanently fixed?

  Yes

  No

  N/A

Boundary Safety Barrier Fencing

• Is the boundary fencing 1800mm or higher both sides?

  Yes

  No

  N/A

• Is the intersection of the safety barrier and boundary fence protected 900mm outside NCZ?

  Yes

  No

  N/A

• Is the intersection of the safety barrier and boundary fence protected 1200mm outside NCZ?

  Yes

  No

  N/A

Retaining Walls & Balconies

• Is the retaining wall above the pool/ spa level?

  Yes

  No

  N/A

• Is the retaining wall below the pool/ spa level?

  Yes

  No

  N/A

Inspection Result

• Is swimming pool/ spa safety barrier maintained?

  Yes

  No

  N/A

Has a Compliance Latter been requested?

• Has the owner requested a compliance letter for this inspection?

  Yes

  No

  N/A

Safety Barrier Advisory Notice Notice Items

• Items that require attention:

Inspection Officers Signature

• Inspectors Signature

  Sign

• Select date

  Date