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Public swimming pool and spa inspection form
Public swimming pool and spa inspection form
Geoff Lang

Public Swimming Pool and Spa Inspection Form Checklist

Wagga Wagga Coty Council

Use this Digital Checklist
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Free Public swimming pool and spa inspection form Checklist

Use this Digital Checklist

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Audit

Prop/Director

Email Address

ABN/ACN

Type of Premise

Date of inspection

Log book maintained

Email address

CHLORINE POOLS
Pool 1
Pool size
  • Diving
  • Olympic
  • Training
  • Toddler
  • Zero
  • Slide
  • Spa

Location

Circulation System

Dosing

Auxiliary system
  • 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 2

Pool size

Location

Circulation System

Dosing

Auxiliary
  • 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 3

Pool size

Location

Circulation System

Dosing

Auxiliary
  • 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

BROMINE POOLS & SPA
Pool 1

Pool size

Location

Circulation System

Dosing

Auxiliary
  • 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

Spa

Location

Water temperature (°C)

Free Bromine (mg/L)

Total Bromine (mg/L)

pH range

Total alkalinity (mg/L)

Comments

Premises Inspection Report
1. Pool Surrounds

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)

2. Toilets / change rooms / showers

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)

3. Chemical storage

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

4. Fencing

Refer to local government to follow-up any problems

Chemistry

Risk to public health

Last inspection

Pool operator formal training?

Bacteriological sample taken?

Result?

EHO name

Overall comments

Owner/Prop Signature
EHO/Officer
Public swimming pool and spa inspection form
Geoff Lang

Public swimming pool and spa inspection form

Wagga Wagga Coty Council

Use this Digital Checklist
Download as PDF
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.

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