Swimming Pool Safety Checklist

• Pool

• Conducted on

  Date

• Pool Operator/Pool Manager

• Location
  Address

Details

• Type of pool

  Residential Use Pool

  Community Pool Use

  Regular Pool

  Wading (kiddy) Pool

  Other

• Describe other:

Safety questions

• Does a 4-foot barrier surround the entire pool?

  Yes

  No

  N/A

• Does the barrier around the pool limit the open area to pool related activities only? (Unrelated ancillary activities within the pool area are: food stands; play areas; picnic tables; barbecues, etc.)

  Yes

  No

  N/A

• Are all gates self-latching?

  Yes

  No

  N/A

• Are all gates are self-closing?

  Yes

  No

  N/A

• Are all gates lockable at 4 and 1/2 feet?

  Yes

  No

  N/A

• Are locks available for all gates?

  Yes

  No

  N/A

• Are keys and locks kept where children cannot reach them?

  Yes

  No

  N/A

• Is the wading (kiddy) pool separated from the main pool by a four-foot barrier?

  Yes

  No

  N/A

• Are pH and chlorine tests kits used to test the water quality regularly?

  Yes

  No

  N/A

• Are pools free of entrapment and disembowelment hazards?

  Yes

  No

  N/A

• Is the pool deck non-slip and free of irregularities and fittings on walkway?

  Yes

  No

  N/A

• Are pool rules posted for community use pools?

  Yes

  No

  N/A

• Are depths marked at the side of the pool for each one-foot change?

  Yes

  No

  N/A

• Is diving from the side of the pool prohibited where pool depths are less than 9 feet deep?

  Yes

  No

  N/A

• Is diving from a diving board prohibited where pool depths are less than 11.5 feet and where the distance to the slope for the shallow end is less than 16 feet?

  Yes

  No

  N/A

• Is a certified lifeguard/designated responsible person on duty whenever children 16 years or younger are within the pool area (community use pools)?

  Yes

  No

  N/A

• Is the required rescue and emergency response equipment situated within the pool area?

  Yes

  No

  N/A

• Is there an emergency action plan in effect including plan implementation training?

  Yes

  No

  N/A

• Are all electrical outlets in the pool area covered and GFCI protected?

  Yes

  No

  N/A

Sign off

• Comments

• Name and Signature

  Sign