Facility Inspection – Wellness Centers Facility Inspection - Wellness Centers Location*select oneDuncanAuroraLittletonSchlessmanSouthwestInspection Date* MM slash DD slash YYYY Inspection Time* : Hours Minutes AM PM AM/PM Your Name* First Last PoolFail (1), Good (2), Great (3), N/A (does not apply) Main drains visible from pool deck* 1 2 3 n/a Pool clean & Clear of debris* 1 2 3 n/a Pool tile secure* 1 2 3 n/a Pool coping secure* 1 2 3 n/a In Pool depth markings clearly visible* 1 2 3 n/a Main Drain grates secure* 1 2 3 n/a Pool steps secure and safe* 1 2 3 n/a Deck AreaFail (1), Good (2), Great (3), N/A (does not apply) Deck clear of trip hazards* 1 2 3 n/a Deck clean of other debris* 1 2 3 n/a Benches intact and usable* 1 2 3 n/a Deck depth markings clearly visible* 1 2 3 n/a Skimmer lids secure and crack free* 1 2 3 n/a All handrails secure* 1 2 3 n/a Fire extinguishers in "green" range* 1 2 3 n/a Area properly lit* 1 2 3 n/a All access doors securable* 1 2 3 n/a Alarms working* 1 2 3 n/a Lighting* 1 2 3 n/a Rescue EquipmentFail (1), Good (2), Great (3), N/A (does not apply) Rescue Tubes at each LG stand* 1 2 3 n/a Rescue Tubes free from severe cracks* 1 2 3 n/a Rescue Tube straps in good condition* 1 2 3 n/a Backboard in place and in good condition* 1 2 3 n/a Backboard straps in good condition* 1 2 3 n/a Head Immobilizer and straps secure* 1 2 3 n/a Fanny Packs Stocked (mask and gloves)* 1 2 3 n/a Lifejackets sturdy and without torn straps* 1 2 3 n/a LG Stands sturdy and safe* 1 2 3 n/a First Aid kit stocked and organized* 1 2 3 n/a Spa or Warm Water PoolFail (1), Good (2), Great (3), N/A (does not apply) Main drains visible from pool deck* 1 2 3 n/a Pool clean & clear of debris* 1 2 3 n/a Pool tile secure* 1 2 3 n/a Pool coping secure* 1 2 3 n/a Pool ladder secure* 1 2 3 n/a Main drain grates secure* 1 2 3 n/a Suction grates secure* 1 2 3 n/a Play features* 1 2 3 n/a Storage RoomFail (1), Good (2), Great (3), N/A (does not apply) Secure from unwanted entry* 1 2 3 n/a Organized and clean* 1 2 3 n/a Free of any trip hazards* 1 2 3 n/a Properly lit* 1 2 3 n/a Exterior DeckFail (1), Good (2), Great (3), N/A (does not apply) Access doors secure* 1 2 3 n/a Deck free of trip hazards* 1 2 3 n/a Deck boards secure and harm free* 1 2 3 n/a Fence secure* 1 2 3 n/a Pump RoomFail (1), Good (2), Great (3), N/A (does not apply) Doors secure and lockable* 1 2 3 n/a Filter mask, gloves, eye shield and apron present / in good shape* 1 2 3 n/a All chemicals properly labeled* 1 2 3 n/a Vent fan working properly* 1 2 3 n/a No unusual sounds from equipment* 1 2 3 n/a No unusual sights from equipment* 1 2 3 n/a No unusual smells from equipment* 1 2 3 n/a MSDS sheets* 1 2 3 n/a Eye wash working properly* 1 2 3 n/a Notes*Action TakenDo you wish to notify your supervisor of issues?* Yes, I wish to notify my supervisor. No, I do not wish to notify my supervisor.