Audit
Prop/Director
ABN/ACN
Type of Premise
Log book maintained
Email address
- Diving
- Olympic
- Training
- Toddler
- Zero
- Slide
- Spa
Location
Circulation System
Dosing
- UV light
- Ozone
- Ionic
- Cyanurate
- Other
- None
Test kit method
Testing frequency
Bathing load (prev. hour)
Clarity
Pool wall
Concourse drainage
Incident response plans / kits
Water temperature (°C)
Free Chlorine (mg/L)
Total Chlorine (mg/L)
Combined Chlorine (mg/L)
pH range
Total alkalinity (mg/L)
Cyanurate (mg/L)
Ozone (mg/L)
Maintenance
Breakpoint practiced
Comments
Pool size
Location
Circulation System
Dosing
- UV light
- Ozone
- Ionic
- Cyanurate
- Other
- None
Test kit method
Testing frequency
Bathing load (prev. hour)
Clarity
Pool wall
Concourse drainage
Incident response plans / kits
Water temperature (°C)
Free Chlorine (mg/L)
Total Chlorine (mg/L)
Combined Chlorine (mg/L)
pH range
Total alkalinity (mg/L)
Cyanurate (mg/L)
Ozone (mg/L)
Maintenance
Breakpoint practiced
Comments
Pool size
Location
Circulation System
Dosing
- UV light
- Ozone
- Ionic
- Cyanurate
- Other
- None
Test kit method
Testing frequency
Bathing load (prev. hour)
Clarity
Pool wall
Concourse drainage
Incident response plans / kits
Water temperature (°C)
Free Chlorine (mg/L)
Total Chlorine (mg/L)
Combined Chlorine (mg/L)
pH range
Total alkalinity (mg/L)
Cyanurate (mg/L)
Ozone (mg/L)
Maintenance
Breakpoint practiced
Comments
Pool size
Location
Circulation System
Dosing
- UV light
- Ozone
- Ionic
- Cyanurate
- Other
- None
Test kit method
Testing frequency
Bathing load (prev. hour)
Clarity
Pool wall
Concourse drainage
Incident response plans / kits
Water temperature (°C)
Free Bromine (mg/L)
Total Bromine (mg/L)
Combined Chlorine (mg/L)
pH range
Total alkalinity (mg/L)
Cyanurate (mg/L)
Ozone (mg/L)
Maintenance
Breakpoint practiced
Comments
Location
Water temperature (°C)
Free Bromine (mg/L)
Total Bromine (mg/L)
pH range
Total alkalinity (mg/L)
Comments
Floor or ground (graded, drained, non-slip, cleaned and in good repair) - Satisfactory
Walls and ceiling (for indoor pools); (tiled, clean and in good repair)
Lighting and ventilation (adequate and operating)
Fittings and fixtures (clean, in good repair and adequate)
Garbage disposal (clean, in good repair and adequate)
Floor (graded, drained, tiled and clean)
Walls and ceiling (tiled - clean and in good repair)
Lighting and ventilation (adequate and operating)
Fittings and fixtures (clean, in good repair and adequate)
Toilet paper, soap and hand drying facilities provided?
Nappy change facilities (clean, in good repair)
Sanitary disposal
Garbage disposal (cleanliness, adequate)
Chemicals (stored in labelled containers)
Location (secured and away from other chemicals)
Pool manger to seek advice from WorkCover about the safe storage of pool chemicals
Refer to local government to follow-up any problems
Chemistry
Risk to public health
Pool operator formal training?
Bacteriological sample taken?
Result?
EHO name
Overall comments
