Information
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Document No.
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Audit Type
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Client / Site
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Conducted on
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Prepared by
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Location
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Contact
Inspection Details
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File Number:
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Date / Time of inspection:
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Type of Inspection:
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Pool Registered?
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Type of Pool:
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Age of Pool:
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Address:
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Contact / Person interviewed (Owner or Tennant):
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Contact Number:
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Property sketch:
Fencing
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Pool isolated from dwelling?
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Fence Height (1.2m minimum):
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Boundary fence height:
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Construction material:
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Condition of fence/s:
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Horizontal members - 900mm & 1000/1100mm minimum (panels/steps/hinges):
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Vertical members - 100mm max:
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Bottom clearance from ground - 100mm max:
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One metre clearance between pool and fence (advisory)
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Fence obstruction/s - within 900mm arc outside fence:
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Fence obstruction/s - within 300mm inside open fence:
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Cyclone wire - 1.8m min
Gate/s
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Height - 1.2m min:
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Self closing:
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Self latching:
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Gate opening away from pool:
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Gate release mechanism - 1.5m min A.G Level:
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Or inside gate - 1.2m A.G.L to top of gate or hand hole:
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150mm below top of gate or away from hand hole:
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450mm shield radius from latch and top of fence:
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10mm maximum gaps:
Other
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Warning sign (including resuscitation chart):
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Access to pool via dwellings/outbuilding/s:
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Child Safe window/s - 1.2m; 100mm:
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Fixed grille/s:
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Door/s: 1.5m lock:
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Proximity of Verandah/Deck/Balcony:
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Water Quality maintained:
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Spa lid latched, closed and locked:
Comments/Notes
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Pool Compliant:
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Re-Inspection required:
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Re-Inspection Time:
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Inspection completed by:
