Pool Safety Fence Inspection Checklist Form
Complete this checklist to document the inspection and condition of a pool safety fence, including all safety and compliance criteria.
Inspection Date
*
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Inspector Name
*
First Name
Last Name
Location of Pool
*
Overall Condition of Fence
*
Excellent
Good
Fair
Poor
Gate Functionality
*
Self-closing and self-latching
Operates with assistance
Does not close or latch properly
Latch/Lock Performance
*
Secure and functional
Requires adjustment
Broken or missing
Barrier Integrity Checklist (select all that apply)
*
No gaps or holes greater than 100 mm
Fence height meets legal requirements
No climbable objects near fence
No loose or missing panels
Other
Warning Signage Present and Legible?
*
Yes
No
Surrounding Area Hazards (select all that apply)
Tripping hazards
Obstructions to access
Potential climbing aids
No hazards observed
Other
Maintenance Observations
Corrective Actions Taken or Recommended
Final Inspection Outcome
*
Pass
Fail
Conditional Pass (pending corrections)
Additional Comments
Submit Inspection
Should be Empty: