Fillable POOL SAFETY PLAN FOR COMMERCIAL POOLS Pool Administration/Information (Island Health)

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POOL SAFETY PLAN FOR COMMERCIAL POOLS Pool Administration/Information (Island Health)

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Commercial Pool Safety Plan Template – March 2012 Page
[H:\RECREATIONAL WATER\Forms]
POOL SAFETY PLAN
FOR COMMERCIAL POOLS
Pool Administration/Information
Facility Name:
Facility Address: Phone:
Pool Safety Plan Prepared By:
Date:
Last Reviewed/Updated By: (required to be done at least once per year)
Date:
Table of Contents
Commercial Pool Safety Plan Template – March 2012 Page
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Pool Data Sheets, Engineered Plans and/or Pool Drawings should be included if available.
Location of Pool Data Sheets: (it is recommended that a laminated copy be posted in the filter room)
Location of Engineered Plans and/or Pool Drawings:
Additional Information (if required)
Contact Information
Facility Owner
Name:
Phone Number: Cell Number:
Facility Manager
Name:
Phone Number: Cell Number:
Operator/Maintenance
Name:
Phone Number: Cell Number:
Pool Details (Provide details for each pool in the facility)
Pool Name or
Description
(e.g. main pool, hot tub)
Pool 1:
__________________________________________
Type
Name
Facility/Premises #
Pool 2: N/A
__________________________________________
Type
Name
Facility/Premises #
Date Constructed:
________________________
Indoor Outdoor
Date Constructed:
__________________________
Indoor Outdoor
Bather Load
Surface Area of Pool
Volume
Depth
Min__________
Max__________
Min__________
Max__________
Design Flow Rate
List of Equipment and Amenities
Pool 1 Pool 2
Choose all that apply:
Diving Board(s)
Slides
Ladder(s)
Sauna
Steam Room
Underwater Lighting
Other Features (list):
_____________________
Choose all that apply:
Diving Board(s)
Slides
Ladder(s)
Underwater Lighting
Other Features (list):
_____________________
_____________________
_____________________
Commercial Pool Safety Plan Template – March 2012 Page
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Procedures in the Event of a Serious Injury, Emergency or Incident
Emergency Contact List
(Post next to the telephone or in another visible location if no telephone is available.)
First Responders
Ambulance 911 or ( )
Fire Department
( )
Police
(
)
(
)
Building Contacts Trained in First Aid/Emergency Response/CPR
(if any)
( )
Cell Phone ( )
( )
Cell Phone ( )
Additional Contact Information
Local Hospital
( )
Poison Control
(
)
Public Health Department
( )
Pool Company
( )
Gas Company
( )
( )
Example of an Emergency Phone Script
1. Dial 911 and specify police, ambulance or fire.
2. State who you are along with the address and the phone number you are calling from:
• Hello, I’m ______________
at _________________________________
(name) (facility)
• The address is _______________________________________________
(facility street address)
• The swimming pool phone number is ____________________________
(facility phone number)
3. State the nature of the situation. If there is a fire, advise of chemical storage room location:
___________________________________________________________________
4. Tell them the best way to get to the facility (provide directions):
5. Ask what the estimated time of arrival is.
6. Send ______________________
to meet and direct emergency personnel to scene.
(title of individual)
Identify Location of Pool Emergency Phone or Procedure in the Event There is No Phone at Pool Side:
Commercial Pool Safety Plan Template – March 2012 Page
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Facility Emergency Response (These are only examples and do not cover all possible incidents or actions. Alter as appropriate. Attach
blank copy of Incident Reporting Form and Emergency Site Plan.)
Medical Emergencies
(near drowning/drowning, unconscious, chest
pain, spinal/head injury, broken bones/sprains,
seizures, allergic reactions, etc.)
Facility Procedure
• Call 911
• Provide assistance as necessary
• Record incident on records sheet
•
Prevention
(may include)
• Signage posted and enforced
• Staff training
• Good water quality
• Depth markings visible
• Pool monitored for slips and entrapment
•
Minor Incidents/First Aid Facility Procedure
• Provide assistance as necessary
• Advise patron to see his/her doctor
• Record incident on records sheet
•
Prevention
(may include)
• Signage posted and enforced
• Pool monitored for slips and damage
• First aid kit well stocked
•
Heat-Related Incidents Facility Procedure
• Call 911
• Provide assistance as necessary
• Record incident in records
•
Prevention
(may include)
• Hot tub max 40
O
C
• Signage posted
• Clock functioning
• Sink and shower water max 49
O
C
•
Fecal/Vomit
Facility Procedure
• See attached CDC Response Protocol
• Record incident in records
•
Prevention
(may include)
• Signage posted
•
Blood and Body Fluid Incidents
(in and out of water)
Facility Procedure
•
•
•
• Record incident in records
•
Prevention (may include)
• Signage posted
•
Disease Outbreaks
(rashes, eye or ear infection, fungal infections)
Facility Procedure
• Contact Health Authority
• Advise patron to see his/her doctor
• Record in records
• Check records to identify potential
problems when client used facility and
current conditions
• Apply corrective action as necessary
•
Prevention (may include)
• Signage posted and enforced
• Exclude patrons that are ill
• Minimize contamination to pool
• Provide soap at showers and sinks
• Follow cleaning procedures
• Balance pool chemistry
• Ensure adequate level of disinfectant
•
Entrapment/Suction Incident Facility Procedure
• Shut down recirculation system if
necessary
• Call 911 if necessary
• Close pool
• Determine reason for entrapment
• Apply corrective action
• Record on record sheet
•
Prevention
(may include)
• Inspect pool facility regularly for
entrapment hazards
• Signage
• Ensure proper flow through main drain
• Ensure proper covers on main drain
• Equalizer lines disabled
•
Hostile/Aggressive/Difficult Person Facility Procedure
• Call 911 if necessary
•
Prevention (may include)
• Staff training
• No consuming alcohol or other
intoxicants
Commercial Pool Safety Plan Template – March 2012 Page
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Missing Person Facility Procedure
• Call 911 if necessary
•
• Record on record sheet
•
Prevention
(may include)
• Proper signage
• Parents supervise children
• Evaluate pool and check bottom
Gas Leak
(chlorine, ozone, natural gas, propane, etc.)
Facility Procedure
• Call 911
• Clear the building
•
• Record on record sheet
•
Prevention
(may include)
• Know where and how to shut off gas
• Preventive maintenance and checks
• Monitoring systems
• Staff training
•
Chemical Spill Facility Procedure
•
•
• Call 911 if necessary
• Record on record sheet
•
Prevention
(may include)
• Staff training
• Personal protective equipment present
• Knowledge of chemicals and
interactions
• Proper storage
• Material Safety Data Sheets (MSDS)
present
•
Fire
(complete and attach an evacuation plan and
site plan that includes location of alarms,
exits, extinguishers, etc.)
Facility Procedure
• Call 911
• Inform fire department of chemical
storage and location of store room
• See evacuation procedure below
• Record on record sheet
Prevention
(may include)
• Staff training
• Fire alarms and extinguishers
• Exit signs clearly marked
• Equipment maintained
• Proper chemical storage
•
Natural Disasters
(lightning, flood, earthquake, etc.)
Facility Procedure (area specific)
•
•
•
•
Prevention
(may include)
• Staff training
•
Evacuation Procedures (should include procedures in winter, special needs, age groups, meeting areas, etc. Attach building plan with
evacuation routes.)
Commercial Pool Safety Plan Template – March 2012 Page
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Lifesaving, First Aid, and Supervision
Emergency Equipment Location(s)
Non-conductive reaching assist at least
3.5 m in length with a shepherd’s hook
Throwing ring with rope at least 6 mm
in diameter and length of half the width
of the pool plus 3 m
Minimum of a #2 first aid kit
Personal protective equipment including
pocket mask and gloves
When No Lifeguard on Duty, a Clearly Visible Notice Must be Posted at Each Entrance to the Pool.
NO LIFEGUARD ON DUTY
CHILDREN MUST BE SUPERVISED BY AN ADULT
Pool Rules Location Posted:
• Patrons must not enter the pool with an illness, open sores, bandages, head colds, discharging ears or nose or
infected eyes.
• A cleansing shower must be taken before entering the pool.
• No running, fighting or horseplay
• No contaminating or fouling the pool
• Patrons must immediately report injuries or pool contamination to the operator.
• All children must be supervised by an adult.
• No diving (
Regulation states no diving in water less than 2 m deep, but it is recommended there be no diving in an unsupervised pool.)
•
•
Attach Additional Signs/Rules for the Safe Use of Hot Tubs, Saunas, and Other Features.
Commercial Pool Safety Plan Template – March 2012 Page
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Pool Operations
Pool Operator Qualifications
(training/experience)
When to Close the Pool to Swimmers
• When there is the presence of vomitus or feces
• When minimum disinfection level cannot be maintained
• When water is too cloudy to see the pattern of the main drain
• When the recirculation system is not working
• When there is a power outage
• When superchlorinating or shocking
• When adding chemicals directly to the pool
• When any hazardous situation exists that could negatively impact the health and safety of swimmers (may
require closure of the entire facility e.g. chlorine gas leak)
• When pH or other chemical parameters are out of required range
• When instructed by the Health Officer
Procedures for Opening and Closing Pool at Beginning/End of Day
(attach additional sheet if necessary)
Procedures for Opening and Closing Seasonal Pool at Beginning/End of Season
(attach additional sheet if necessary)
Commercial Pool Safety Plan Template – March 2012 Page
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Pool Water Chemistry Requirements
Parameters Requiring Testing
Minimum Testing
Frequency
Test Results Required
pH 2 x / day Within range of 7.2 – 7.8
Combined Chlorine 2 x / day Less than 1 ppm
Alkalinity 1 x / week Within range of 80 – 120 ppm
Cyanuric Acid 1 x / week Less than 80 ppm
Disinfectant
Water Temp ≤ 30
O
C Water Temp > 30
O
C
Free Available Chlorine or 2 x / day 0.5 ppm or greater 1.5 ppm or greater
Chlorine Cyanurate (stabilized
chlorine)
2 x / day 1.0 ppm or greater 2.0 ppm or greater
Bromine 2 x / day 1.5 ppm or greater 2.5 ppm or greater
Name and Model of Test Kit
(may attach procedures for
testing and calibration)
Name of Reagent
Shelf Life (Months)
Written Procedures in the Event Test Results Fail
Troubleshooting Problem
Product Used to
Correct
General Procedures
(e.g. describe dilutions or use product label)
Disinfectant too high
Disinfectant too low
Combined chlorine too high
pH too high
pH too low
Commercial Pool Safety Plan Template – March 2012 Page
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Written Procedures in the Event Test Results Fail (continued)
Troubleshooting Problem
Product General Procedures
(e.g. describe dilutions or use product label)
Alkalinity too high
Alkalinity too low
Cyanuric acid too high
(if applicable)
Cyanuric acid too low
(if applicable – outdoor pools only)
Water is cloudy
Safe Handling and Storage of Chemicals
Chemicals Used Essential Information, Precautions and Storage Details (follow MSDS)
E.g. Sodium hypochlorite
(i.e. Corrosive, causes severe eye injury, skin burns, respiratory burns. Use protective
gear to handle; do not mix with muriatic acid; chlorinator tank requires containment.)
Procedure for Draining the Pool
Commercial Pool Safety Plan Template – March 2012 Page
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Maintenance of Mechanical Equipment
(Note: This list provides examples and is not intended to be a complete list. Modify as necessary.)
Installation and operating manuals are located _____________________________________
Equipment
What Needs to be Checked Frequency Corrective Procedures (for backwashing, replacing
filter media, adjust flow and rate, etc.)
Filters Backwash gauges
Filter media
Chemical Feeder
• Tubing
• Pump
Pumps
• Hair and lint strainer
• Cavitation, noise
• Leaks
• Losses Prime
Water
Temperature/Heater
• Water temperature too
hot/cold
• Scaling/corrosion
Flow Meter
• Flow Rate too high/low
• Meter corroded
Ventilation
Skimmers/Main
Drain
• Weir function
• Proper % of flow
Ground Fault
Interrupter
Operation and Maintenance Responsibilities Related to Facility
Duties
(i.e. clean deck, test pool chemistry, monitor
and repair equipment, etc.)
Person, Job Title or
Company
Backup Person, Job
Title or Company
Description
Commercial Pool Safety Plan Template – March 2012 Page
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Commercial Pool Safety Plan Template – March 2012 Page
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General Maintenance Checklist
The following are some of the items that should be included in your schedule
(schedule may include a comments section):
Pool basin
Checked for entrapment hazard (gap between 3.5” and 9”)
Check water intakes for possible suction hazards
Check for any safety hazard such as sharp projections
Main drain is secure and in good repair
Checked for signs of deterioration
Skimmer basket cleaned
Handrails, ladders, deck equipment secure
Water level is correct for removal of floating debris
Depth markings clearly visible
Steps are clearly marked in a contrasting colour
Floors are in good condition with non-slip surfaces, free of pooled water, free of ice in freezing conditions
Adequate fencing, doors, gates, alarms to prevent unauthorized entry
Drinking water fountain is operational (clean and good pressure)
First aid kit well stocked
Rescue equipment in good condition and easily accessible
Signage is in place
Shower/sink temperature below 49
O
C
Ground fault circuit interrupter for underwater lights functioning
Backflow prevention devices/air gap are functional
Clock in place and functional
Adequate lighting for pool area
Pool temperature ≤ to 37
O
C
Hot tub temperature ≤ to 40
O
C
Flow meters working properly
Drains secured, not broken
Floating weirs functioning
Pool Cleaning Schedule
Area
Chemical, Cleaner or Other
Products Used
How to Handle Safely/Procedure Cleaning
Frequency
Person or Position
Responsible
(refer to MSDS)
Floors
Change Room
Showers/Washrooms
Halls
Pool Deck
Floor/Deck Drains
Other:
Surfaces
Benches/Lockers
Shower Walls
Toilet Bowls
Sinks/Mirrors
Pool Features
Other:
Pool Basin
Tiles at Water Mark
Skimmer Baskets
Vacuuming
Other:
Supplies
Toilet Paper
Soap
Towels/Bathing Suits
Other:
Other Areas
Commercial Pool Safety Plan Template – March 2012 Page
[H:\RECREATIONAL WATER\Forms]
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POOL SAFETY PLAN FOR COMMERCIAL POOLS Pool AdministrationInformation (Island Health)

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