City Pool Inspection

• Conducted on

  Date

• Prepared by

• Location
  Address

• Water quality appear to be good

  Yes

  No

  N/A

• Drains clear and visible

  Yes

  No

  N/A

• Any algae growth present

  Safe

  At Risk

  N/A

• Pool being supervised 100% of the time it is open

  Yes

  No

  N/A

• Slip trip hazards

  Yes

  No

  N/A

Safety Signs

• No diving sign posted 6' deep or less with 4" lettering

  Yes

  No

  N/A

• Children under 14 years must have an adult signage?

  Yes

  No

  N/A

• CPR illustration diagram posted

  Yes

  No

  N/A

• Emergency sign to call 911 with name and address to pool site posted 4" letters

  Yes

  No

  N/A

• Pool capacity sign posted

  Yes

  No

  N/A

• Keep gate closed or keep door closed sign posted 4" letters

  Yes

  No

  N/A

Safety Equipment

• All signs posted in conspicuous place

  Yes

  No

  N/A

• Life ring min 17" outside diameter

  Yes

  No

  N/A

• Body hook permanently attached 12' min

  Yes

  No

  N/A

• Depth Markers Clearly visible

  Yes

  No

  N/A

• Pool depth markers located on pool deck

  Yes

  No

  N/A

• AED accessible

  Yes

  No

  N/A

• First aid kit full and accessible

  Yes

  No

  N/A

• Transport board near by

  Yes

  No

  N/A

Pool Equipment

• Maintenance records updated

  Yes

  No

  N/A

• No apparent piping breaks or leaks

  Safe

  At Risk

  N/A

• Diving equipment and ladders in safe working order

  Yes

  No

  N/A

• Generally appears to be operating correctly

  Yes

  No

  N/A

• Can not see drains due to dirty water

  Yes

  No

  N/A

• Heavy algae growth

  Safe

  At Risk

  N/A

• Drain covers missing or loose

  Safe

  At Risk

  N/A

• Chlorine levels at a dangerous level high or low

  Safe

  At Risk

  N/A

• Loose or missing underwater light

  Safe

  At Risk

  N/A

• Any safety threat present

  Safe

  At Risk

  N/A

• Missing any safety equipment or signage

  Safe

  At Risk

  N/A

• Fences or blockades damaged or missing

  Safe

  At Risk

  N/A