ACS | Daily Venue Risk Assesment
Venue
*
Orion Lagoon
Tenterfield
Date
*
/
Day
/
Month
Year
Date
Day
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Manager on Duty
*
School Holidays
*
Yes
No
Public Holiday
*
Yes
No
Weather
*
Please Describe
Venue Bookings
*
Total Number of qualified lifeguards rostered (Including Duty Managers)
*
Based on above Questions, do you have adequate qualified staff rostered?
*
Yes
No
Other
Security Coverage
*
07:00 - 15:00 (Morning)
15:00 - 23:00 (Afternoon)
23:00 - 07:00 (Overnight)
12:00 - 20:00 (Overlay)
Other
Pool Operator Coverage
*
07:00 - 12:00
12:00 - 17:00
05:00 - 13:00
12:00 - 21:30
11:00 - 19:30
Other
Poo Operator Coverage
*
List Pool Operator Shifts
Comments
Emergency Response Equipment Check
Oxy Viva
Oxy Viva Operational
*
Yes
No
Adult Therapy Mask Available
*
Yes
No
Chld Therapy Mask Available
*
Yes
No
Adult BVM Available
*
Yes
No
Child BVM Available
*
Yes
No
Pulse Oximeter operational
*
Yes
No
Oxygen Cylinder Level
*
1st Aid Room
1st Aid Kit fully stocked
*
Yes
No
Items required listed on whiteboard
*
Yes
No
1st Aid room neat and tidy
*
Yes
No
Spinal Board
Spinal Board In correct position
*
Yes
No
In good working order
*
Yes
No
Speed blocks attached
*
Yes
No
Rescue Tubes
Rescue tubes In correct position
*
Yes
No
Rescue Tubes In good working order
*
Yes
No
Wheelchair
Wheelchair In correct position
*
Yes
No
Wheelchair In good working order
*
Yes
No
Hoist / Lift
In correct position
Yes
No
In good working order
Yes
No
Defibrillator
Defibrillator Operational
*
Yes
No
Pool Plant
PPE
*
All items in sealed container and in clean and working order
Spill Kit
*
All items on checklist and in clean and working order
Safety/Eye Wash Shower
*
To be checked each Friday
Date
*
/
Day
/
Month
Year
Date
Chemicals
*
Stored correctly
Signature
*
Submit
Security Coverage
List Security Shifts
Should be Empty: