Information
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Client / Site
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Address
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Application NO:
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Conducted on
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Prepared by
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NSW Swimming Pool Register:
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Add media
Property Inspected
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Street/Road Number
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Street/Road
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Town
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Locality
- Berthong
- Bethungra
- Burra Creek
- Coolac
- Cootamundra
- Dirnaseer
- Harden
- Jugiong
- Milvale
- Muttama
- Nubba
- Springdale
- Stockinbingal
- Wallendbeen
- Wombat
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Property Category
Pool Details
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Type of Pool
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Pool Constructed
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Pool Photograph
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Pool Sketch (Required)
Pool Safety Checklist (all pools)
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Is a child resistant barrier installed on site separating the pool from the house and the neighbourhood?
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Is the internal pool fence at least 1.2m high and the boundary fencing a minimum of 1800mm high when required?
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Is the gap between the bottom of the fence and the ground and between all vertical fence palings less than 10cm apart?
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Are all horizontal fence rails more than 90cm apart to eliminate footholds which may facilitate climbing?
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Is the pool fence well maintained and in a good state of repair as an effective and safe barrier?
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Is the gate release mechanism 1.5m above the ground level or alternatively, located inside the gate at 1.2m and covered by an approved shield?
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Is the pool fence 1.2m clear of any objects such as BBQ's, trees, rocks etc. that could facilitate climbing over the fence?
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Is the clothes line, BBQ or similar object not directly associated with the pool, located outside of the pool enclosure?
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Are the openings in the walls of the residence or shed which form part of the child resistant barrier adequately secured to prevent entry into the enclosure?
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Is there an appropriate resuscitation sign displayed in the immediate vicinity of the pool area?
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Does the gate close and latch by itself from any open position and does the gate open outwards?
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Other Notes
Exemptions for Doors and Windows (on properties where exemptions apply)
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Are the locking mechanisms (eg. lock, latch, chain etc) installed on doors located at least 1.5m above the ground?
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When locked, does the door have no openings greater than 10.5cm below 1.5m above floor level?
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Windows have the bottom of the lowest opening panel of the window at least 1.2m above the finished floor level when closed?
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Windows have no footholds wider than 10mm between the bottom of the lowest opening panel and at any point within 1.1m?
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Other Notes
Inspection Details
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Inspection Result
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Council Inspection Officer
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Inspection Performed
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NOTE: This is not a "Compliance Certificate" issued under the Swimming Pools Act 1992.