Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • DA Number

  • Address
  • Building Company undertaking works?

  • Inspect internal pool barrier. Photograph the areas.

  • Inspect the gate check latch and location height. Is this compliant?

  • Photograph of gate(s) & latch(es)

  • Photograph to include tape measure indicating latch height

  • Barrier - Min -1200mm height, 100mm max openings, 900mm NCZ

  • Photograph to show tape measure indicating pool barrier height

  • Barrier - Free of climbable surfaces within the NCZ

  • Boundary - Min 1800mm height. Are rails compliant if any? 900 NCZ

  • Photograph of Boundary Barrier

  • Photograph of boundary barrier to show tape measure indicating height.

  • Intersecting Barriers - Internal barrier into boundary barrier ≤ 50mm wide or 900mm long

  • Barrier - dwelling (openings, sills, ledges)

  • Photo of barrier in relation to dwelling openings (if relevant)

  • Is the pool/spa within a building enclosure?

  • Are doors to the indoor pool compliant with Child resistant door set requirements?

  • In ground skimmer - Skimmer box hole 280mm<width> 150mm ≥ 200mm or ≤ 150mm; ≥ 100mm separation to pool wall; 2nd outlet point ≥600mm

  • Above ground - Skimmer basket hole ≥ 200mm deep; pool wall extending ≥75mm above skimmer; 2nd outlet point ≥600mm

  • Without skimmer box - Minimum 2 outlet points ≥600mm apart / compliant cover

  • CPR signage?

  • Photograph of CPR signage

  • Is the pool and spa barrier compliant with approved plans?

  • is an amendment or variation to the DA required?

  • Signature

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