Spa Pool Compliance Certificate Inspection

• Audit Title

• NSW Government Swimming Pool Registration No.

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Date of inspection

  Date

• Property Address

• BA/DA/CDC No.

• Type of spa pool

  Select Inground spa pool Above ground spa pool

  • Inground spa pool
  • Above ground spa pool

• Owner Name

• Contact Email Address

• Contact Phone Number:

General Requirements for a spa pool

• Is the spa covered by a child-resistant lockable lid?

  Yes

  No

  N/A

• Is there an appropriate warning sign, including details of resuscitation (CPR) techniques, in the immediate vicinity of the spa pool area and which can be easily read from a distance of 3 metres?

  Yes

  No

  N/A

If the spa pool is enclosed by a pool fence and gate

• Applicable/Not Applicable?

• Off

  On

• Is there a pool fence or other child-resistant barrier separating the pool from your house and adjoining properties and public spaces at all times?

  Yes

  No

  N/A

• Is the outside to the pool fence at least 1200mm high all the way around?

  Yes

  No

  N/A

• If a boundary fence forms part of the pool barrier, is it at least 1800mm high?

  Yes

  No

  N/A

• Is the gap between the bottom of the fence and the ground less than 100mm?

  Yes

  No

  N/A

• Are all vertical or near vertical rails on the fence less than 100mm apart?

  Yes

  No

  N/A

• Is the distance between any potential handholds and footholds on the pool fence and it's associated space at least 900mm apart to inhibit a young child from climbing over it?

  Yes

  No

  N/A

• If using perforated or mesh fencing, are the holes 13mm or less?

  Yes

  No

  N/A

• Is the pool fence well maintained and in a good state of repair as an effective and safe barrier? (e.g. No holes, broken rails)

  Yes

  No

  N/A

• If the wall of the house forms part of the barrier, is the wall without windows, doors or other openings through which a young child could gain access at any time?

  Yes

  No

  N/A

• Does the gate swing freely, close latch by itself from any open position?

  Yes

  No

  N/A

• Is the gate latch working well so that the gate is secure and, once closed, can't be pulled open?

  Yes

  No

  N/A

• Does the gate open outwards, away from the pool?

  Yes

  No

  N/A

• Is the gate latch 1500mm above ground level or, if located inside the gate, 1200mm above ground level and at least 150mm below the top of the gate (if there is no hand hole) and covered by an approved shield?

  Yes

  No

  N/A

• Is the gate propped open?

  Yes

  No

  N/A

• Is there an appropriate warning sign including details of resuscitation (CPR) techniques, in the immediate vicinity of the pool area and which can be easily read?

  Yes

  No

  N/A

• Is the pool fence clear of any objects such as BBQs, trees, rocks, shrubs and deck chairs that could help a small child climb over the fence?

  Yes

  No

  N/A

• Are the pool skimmer box, filter, outlet and cover designed in such a way as to prevent a child becoming trapped?

  Yes

  No

  N/A

• Are pool chemicals kept out of view and reach of young children?

  Yes

  No

  N/A

• Has the owner installed a conductive earthing system bonded to all conductive equipment (e.g. metal rails, diving board, reinforced concrete) in the pool area to prevent electric shock?

  Yes

  No

  N/A

Inspection Results

• SATISFACTORY INSPECTION

  DEFECTIVE INSPECTION

  ISSUE SWIMMING POOL NOTICE

• Re-inspection Required?

• Matters to be rectified

• Photos of Spa Pool at Property

  Media

• Date of re-inspection (if applicable)

Council Officer

• Greg Porter BPB0996

  Kevin Shepstone BPB0997

  John Mion BPB1294

  Jacob Helson BPB1946

  Jera Kubitzky BPB1442

• Add signature

  Sign