Pool Safety Compliance Report

• Document No.

• Conducted on

  Date
• Location
  Address

• Prepared by

• Others present:

CPR signage:

• Is there a warning notice (CPR Chart) erected?

  Yes

  No

  N/A

• Is the sign in a prominent position in the immediate vicinity of the swimming pool?

  Yes

  No

  N/A

• Is the sign legible from 3 metres?

  Yes

  No

  N/A

• Is the sign clearly legible?

  Yes

  No

  N/A

• Does the signage contain:

• The words:<br>"YOUNG CHILDREN SHOULD BE SUPERVISED WHEN USING THIS SWIMMING POOL", and<br>"POOL GATES MUST BE KEPT CLOSED AT ALL TIMES", and<br>"KEEP ARTICLES, OBJECTS AND STRUCTURES AT LEAST 900MM CLEAR OF THE POOL FENCE AT ALL TIMES"

  Yes

  No

  N/A

• Details of resuscitation techniques for infants, children and adults?

  Yes

  No

  N/A

• Drawings with key words in bold print?

  Yes

  No

  N/A

• A statement that formal instruction in resuscitation is essential?

  Yes

  No

  N/A

• Is there a simple flow sequence for CPR?

  Yes

  No

  N/A

• The name of organisation that published the sign?

  Yes

  No

  N/A

Barrier - General

• Does the barrier separate the pool from any residential building or place adjoining the premises?

  Yes

  No

  N/A

• Note: Residential building is defined by the Act:
  
  "residential building means a building (such as a dwelling-house, residential flat building or boarding-house) that is solely or principally used for residential purposes, and includes any structure (such as a garage or shed) that is ancillary to any such building, but does not include:
  (a) a building that merely forms part of a complex of buildings (such as a school or recreational centre) that is principally used for non-residential purposes, or
  (b) a moveable dwelling, or
  (b1) tourist and visitor accommodation, or
  (c) a shed that is ancillary to a swimming pool and the primary purpose of which is to store equipment that is used in connection with the swimming pool (but not a shed of a kind prescribed by the regulations), or
  (d) a building or structure of a kind prescribed by the regulations."

• WINDOWS opening into pool area restricted?<br><br>If sill is <1800 from ground, window must be either:<br>covered by bars or metal screen. Openings in bars or screen must not be >100mm and must require the use of a tool to remove<br>OR<br>Fixed so it cannot be opened any more than 100mm without the use of a tool

  Yes

  No

  N/A

• Is the barrier a permanent structure?

  Yes

  No

  N/A

• Is the barrier in a good state of repair as an effective and safe child-resistant barrier?

  Yes

  No

  N/A

• No features or objects that would reduce the height of the barrier to be located within 500mm of the barrier.

  Yes

  No

  N/A

• Features diagram

  

Pool Barrier Fencing - Measurements

• Is finished ground level a permanent stable surface?

  Yes

  No

  N/A

• Is the height of fence from top of fence to finished ground >1200mm (for non-boundary fence)?

  Yes

  No

  N/A

• Is the width of all vertical gaps <100mm?

  Yes

  No

  N/A

• Is the gap between bottom of barrier and finished ground level no greater then 100mm?

  Yes

  No

  N/A

Pool Barrier Fencing <1800mm - NCZs

• 3D NCZ DIAGRAM

  

• NCZ1 clear?<br>NCZ1 is measured vertically on outside face of barrier.<br>No handholds or footholds, or objects or plants that will facilitate climbing in NCZ.<br>No projections or indentations with horizontal surface >10mm.

  Yes

  No

  N/A

• NCZ2 clear?<br>NCZ2 is a quadrant measured the outside of the barrier created by 900mm radius down from the top of NCZ1.<br>No handholds or footholds, or objects or plants that will facilitate climbing in NCZ.<br><br>Note: NCZ2 is always immediately adjacent to NCZ1 on all barriers

  Yes

  No

  N/A

• NCZ3 clear?<br>NCZ3 is a quadrant on the outside of barrier created by a 900mm radius UP from the top of the barrier<br>No handholds or footholds, or objects or plants that will facilitate climbing<br><br>Note: If the top of NCZ1 is below the top of the barrier, NCZ3 extends vertically down to the top of NCZ1.<br>Note: NCZ3 does not apply to any item or component on, or that is part of, the barrier. NCZ3 is applicable only to the space created by the quadrant.

  Yes

  No

  N/A

• NCZ4 clear?<br>NCZ4 is a 900mm high by 300mm deep rectangular space on the inside of the barrier, aligning with NCZ1.<br>No handholds or footholds, or objects or plants that will facilitate climbing in the NCZ.<br><br>Note: Only applies where barrier has vertical openings 10mm - 100mm in width.<br><br>

  Yes

  No

  N/A

Boundary Pool Barrier

• NCZ5 diagram

  

• No less than 1800mm, measured from inside the pool area?

  Yes

  No

  N/A

• NCZ5 clear?<br>NCZ5 is a quadrant of 900mm radius, measured down from the top of the inside of the boundary pool barrier<br>No handholds or footholds, or objects or plants that will facilitate climbing in NCZ.

  Yes

  No

  N/A

• Where internal pool barrier intersects into NCZ5, the top of internal barrier must: <br><br>- be less than 50mm and intersect at angle between 45 and 13 degrees,<br><br>OR<br><br>- continue at >1800mm for at least 900mm.

  Yes

  No

  N/A

Gates

• Is the gate kept securely closed?

  Yes

  No

  N/A

• Does gate swing away from pool area?

  Yes

  No

  N/A

• Does gate swing freely through its entire arc of operation? (i.e. cannot be wedged open)

  Yes

  No

  N/A

• Full arc of operation clear of any building or doorway?

  Yes

  No

  N/A

• Confirm overall height >1200mm (on outside of pool area)?

  Yes

  No

  N/A

• NCZs clear?

  Yes

  No

  N/A

• NCZ1?

  Yes

  No

  N/A

• NCZ2?

  Yes

  No

  N/A

• NCZ3?

  Yes

  No

  N/A

• NCZ4?

  Yes

  No

  N/A

• Maximum 100mm under closed gate?

  Yes

  No

  N/A

• Vertical spaces no more than 100mm?

  Yes

  No

  N/A

• Self-closing device closes he gate from any position, with a stationary start, without the application of a manual force and operates the latch?<br> latch<br>2. From approximately half-open<br>3. From fully open position<br>4. Apply 25kg weight to gate whilst open for 30 seconds. Remove weight and let gate close under own propulsion.

  Yes

  No

  N/A

• From gate resting on latch position?

  Yes

  No

  N/A

• From partially open postions?

  Yes

  No

  N/A

• From fully open position?

  Yes

  No

  N/A

• From any position after a 25kg weight has been placed on the top rail or component, 100mm from the outer edge of the locking stile of the gate for 30 seconds and then removed?

  Yes

  No

  Not Tested

• Lift gate upwards and pull downwards with a force of 250N.<br>The above movement of the gate must not:<br>1. Release the latch<br>2. unhinge the gate<br>3. increase gap under gate to >100mm

  Passed

  Failed

  N/A

• Was a force gauge used to measure force applied?

  Yes

  No

  N/A

• Latch shall not be able to:<br>1. be inadvertently adjusted during operation<br>2. Locked in the 'open' position<br>3. adjusted without use of tools

  Compliant

  Not Compliant

  N/A

• Release point for latch?<br>Either:<br>- No less than 1500mm from finished ground level,<br>OR<br>- On inside and protected by 450mm shield, so no gaps >10mm present.

  Yes

  No

  N/A

Strength and Rigidity

• Conduct strength and rigidity checks to vertical openings - apply 150N. 105mm diameter metal cone should not be able to pass through opening.

  Yes

  No

  N/A

• Was a forge gauge or similar measuring device used?

  Yes

  No

  N/A

• Conduct strength and rigidity checks to posts and footings - apply 330N of force at 1200mm height - no damage or loosening?

  Yes

  No

  N/A

• Was a forge gauge or similar measuring device used?

  Yes

  No

  N/A

• Conduct strength and rigidity to rails/horizontals - apply 330N of force - no deformation or breakage?

  Yes

  No

  N/A

• Was a forge gauge or similar measuring device used?

  Yes

  No

  N/A

• I have taken photographs of any non-compliance in the relevant sections.

• Take photographs showing the general condition of the barrier here

  Media

• Sketch if required

  Drawing

• Additional Comments

• Is there a significant risk to public safety?

  Safe

  At Risk

  N/A

• Section 23A(1) of the Act allows the Council to carry out some or all of the requirements of a direction it has given if the Council considers that the requirements of the direction need to be carried out urgently as there is a significant risk to public safety.

• What is the nature of the risk to public safety?

• Is the safety of a person at risk?

  Safe

  At Risk

  N/A

• If Council considers that the safety of a person is at risk if the requirements of a direction were not carried out as soon as possible, it may serve the direction without notice. See section 23(6) of the Act.

• What is the nature of the risk?