Public swimming pool and spa inspection form

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Time of inspection

  Date

• Person interviewed

• Log book maintained

  Yes

  No

  N/A

• Premises

• Owner

• Email address

CHLORINE POOLS

Pool 1

• Pool size

  Toddler

  25 metre

  50 metre

• Location

  Indoor

  Outdoor

• Water temperature (°C)

• Free Chlorine (mg/L)

• Total Chlorine (mg/L)

• Combined Chlorine (mg/L)

• pH range

• Total alkalinity (mg/L)

• Comments

Pool 2

• Pool size

  Toddler

  25 metre

  50 metre

• Location

  Indoor

  Outdoor

• Water temperature (°C)

• Free Chlorine (mg/L)

• Total Chlorine (mg/L)

• Combined Chlorine (mg/L)

• pH range

• Total alkalinity (mg/L)

• Comments

Pool 3

• Pool size

  Toddler

  25 metre

  50 metre

• Location

  Indoor

  Outdoor

• Water temperature (°C)

• Free Chlorine (mg/L)

• Total Chlorine (mg/L)

• Combined Chlorine (mg/L)

• pH range

• Total alkalinity (mg/L)

• Comments

BROMINE POOLS & SPA

Pool 1

• Pool size

  Toddler

  25 metre

  50 metre

• Location

  Indoor

  Outdoor

• Water temperature (°C)

• Free Bromine (mg/L)

• Total Bromine (mg/L)

• pH range

• Total alkalinity (mg/L)

• Comments

Spa

• Location

  Indoor

  Outdoor

• Water temperature (°C)

• Free Bromine (mg/L)

• Total Bromine (mg/L)

• pH range

• Total alkalinity (mg/L)

• Comments

• Overall comments