• Document No.

  • Audit Type

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Contact

Inspection Details

  • File Number:

  • Date / Time of inspection:

  • Type of Inspection:

  • Pool Registered?

  • Type of Pool:

  • Age of Pool:

  • Address:
  • Contact / Person interviewed (Owner or Tennant):

  • Contact Number:

  • Property sketch:


  • Pool isolated from dwelling?

  • Fence Height (1.2m minimum):

  • Boundary fence height:

  • Construction material:

  • Condition of fence/s:

  • Horizontal members - 900mm & 1000/1100mm minimum (panels/steps/hinges):

  • Vertical members - 100mm max:

  • Bottom clearance from ground - 100mm max:

  • One metre clearance between pool and fence (advisory)

  • Fence obstruction/s - within 900mm arc outside fence:

  • Fence obstruction/s - within 300mm inside open fence:

  • Cyclone wire - 1.8m min


  • Height - 1.2m min:

  • Self closing:

  • Self latching:

  • Gate opening away from pool:

  • Gate release mechanism - 1.5m min A.G Level:

  • Or inside gate - 1.2m A.G.L to top of gate or hand hole:

  • 150mm below top of gate or away from hand hole:

  • 450mm shield radius from latch and top of fence:

  • 10mm maximum gaps:


  • Warning sign (including resuscitation chart):

  • Access to pool via dwellings/outbuilding/s:

  • Child Safe window/s - 1.2m; 100mm:

  • Fixed grille/s:

  • Door/s: 1.5m lock:

  • Proximity of Verandah/Deck/Balcony:

  • Water Quality maintained:

  • Spa lid latched, closed and locked:


  • Pool Compliant:

  • Re-Inspection required:

  • Re-Inspection Time:

  • Inspection completed by:

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.