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Person Completing Report
*
What was your shift time
*
Did all staff arrive on time as per the roster?
Yes
No
If no, provide details
*
Were there any staffing related issues or challenges?
Yes
No
If yes, provide details
*
Were there any positive staff stories or actions completed that you would like to highlight?
Yes
No
If yes, provide details
*
CO2 Tank Level (in %)
*
Hypo Tank Levels
*
Bicarb (Order when less than 2 bags)
Bicarb (Order when less than 2 bags)
Dry Chlorine (Order when less than 1 bag)
Calcium (Order when less than 2 bags)
Cyanuric Acid (Order when less than 2 bags)
Any plant related issues or actions
*
: Reception / Customer Experience (All clear)
: Reception / Customer Experience (All clear)
Reception / Customer Experience (Issue identified)
Office Areas (All clear)
Office Areas (All clear)
Office Areas (Issue identified)
Male Change Room (All clear)
Male Change Room (All clear)
Male Change Room (Issue identified)
Female Change Room (All clear)
Female Change Room (All clear)
Female Change Room (Issue identified)
Family Change Room (All clear)
Family Change Room (All clear)
Family Change Room (Issue identified)
Dive Pool (All clear)
Dive pool (All clear)
Dive pool (Issue identified)
General Areas - BBQ area, umbrellas (All clear)
General Areas - BBQ area, Umbrellas (All clear)
General Areas - BBQ area, umbrellas (Issue identified)
Boundary Fencing (All clear)
Boundary Fencing (All clear)
Boundary Fencing (Issue identified)
Kiosk (All clear)
Kiosk (All clear)
Kiosk (Issue identified)
Have par levels been completed (All clear)
Have par levels been completed (All clear)
Have par levels been completed (Issue identified)
Have all the bins been emptied (All clear)
Have all the bins been emptied (All clear)
Have all the bins been emptied (Issue identified)
Toddler pool (All clear)
Toddler pool (All clear)
Toddler Pool (Issue identified)
Learn to Swim pool - near club house (all Clear)
Learn to Swim pool - near club (Issue identified)house
Environmental checks (All clear)
Environmental checks (All clear)
Environmental checks (Issue identified)
Café checks (freezer checks and fridge checks ) (All clear)
Café checks (freezer checks and fridge checks ) (All clear)
Café checks (freezer checks and fridge checks ) (Issue identified)
Boiler room checks (All clear)
Boiler room checks (All clear)
Boiler room checks (Issue identified)
Has the plantroom checklists been completed (All clear)
Has the plantroom checklists been completed (All clear)
Has the plantroom checklists been completed (Issue identified)
For any issues identified, please provide details
*
Were there any incidents, injuries or near misses throughout the shift?
Yes
No
Have the relevant reports been completed?
Yes
No
If no, please explain why not?
*
If yes, where have you left the report?
*
Toilet Paper
Toilet Paper
Hand Towel
Hand Soap
Hand Sanitiser
Disinfectant Spray
Blue Chux Wipes
First Aid Supplies (please provide details below)
Money Bags
Deposit Book
Banking Slips
Gym Wipes
Zooper Doopers
Cleaning Sprays
Incident, Injury reports need to be printed
Lifeguard Checklist
Other:
Other Value
*
First Aid Supplies (please specify)
*
First Name
*
Last Name
*
Notes
*
Has your hard copy checklist been completed
*
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