Commercial Site Visit

• Conducted on

  Date

• Prepared by

• Location
  Address

• Property Name

• Account Number

• Property Address
  Address

• Property Contact(s)

Contact

• Name

• Phone Number

• Email

Equipment

• Pump Information

Pump

• Brand

  Pentair

  Hayward

  Jandy

  Other

• Brand

• Model

• Horse Power

• Is the pump basket clean?

  Yes

  No

  N/A

• Is the pump leaking or noisy?

  Yes

  No

• Describe issue

• Notes

• Filter Information

Filter

• Brand

  Pentair

  Hayward

  Jandy

  Other

• Brand

• Model

• Type

  Sand

  Diatomaceous Earth

  Cartridge

• Size

• Is the filter leaking or damaged?

  Yes

  No

• Describe issue

• Are any valves leaking or damaged?

  Yes

  No

• Describe issue

• Notes

• Heater Information

Heater

• Brand

  Pentair

  Hayward

  Jandy

  Other

• Brand

• Model

• Size

• Is the heater leaking or noisy?

  Yes

  No

• Describe issue

• Notes

• Controller Information

Controller

• Brand

• Model

• Is the controller damaged or not functioning?

  Yes

  No

• Describe issue

• Notes

• Pool Cleaner Information

Pool Cleaner

• Brand

• Model

• Is the cleaner damaged or not functioning?

  Yes

  No

• Describe issue

• Notes

• Chemical Feeder Information

Chemical Feeder

• Brand

• Model

• Is the feeder damaged or not functioning?

  Yes

  No

• Describe issue

• Notes

• Are pressure and vacuum gauges installed and operational?

  Yes

  No

• Is a flowmeter installed and operational?

  Yes

  No

• Are any chemicals stored near equipment?

  Yes

  No

• Texas Code
  http://texreg.sos.state.tx.us/public/readtac$ext.ViewTAC?tac_view=5&ti=25&pt=1&ch=265&sch=L&rl=Y

Deck and Water

• Is a DPD Test Kit available and stored properly?

  Yes

  No

• Is granular chlorine (shock) or a non-chlorine oxidizer on site?

  Yes

  No

• Pool/Spa Evaluation

Body of Water

• Type

  Pool

  Spa

  Pool and Spa

• Pool Name

• Spa Name

• Volume (gallons)

• Is the water level at the middle of the skimmer or tile?

  Yes

  No

  N/A

• Are the skimmer (weir gate and lid) in good condition?

  Yes

  No

  N/A

• Are the depth markers in good condition?

  Yes

  No

  N/A

• Are the expansion joints and coping in good condition?

  Yes

  No

  N/A

• Do all ladders and handrails appear secure and in good condition?

  Yes

  No

  N/A

• Are the main drain and pool or spa bottom clearly visible?

  Yes

  No

  N/A

• Texas Code requires visibility from the deepest part of pool/spa (Section 265.203(c))

• Are VGB 2008 approved main drain/equalizer covers in place?

  Yes

  No

  N/A

• Are “No Diving” markers in place and in good condition?

  Yes

  No

  N/A

• Are there accessible means of pool or spa entry, such as a lift or ramp?

  Yes

  No

  N/A

• Are there any dirty or broken tiles?

  Yes

  No

• Is there dirt or debris in the pool or spa?

  Yes

  No

• Does the pool or spa surfacehave any cracks, stains, or damage?

  Yes

  No

• Are there any large cracks in the deck?

  Yes

  No

• Does the water have a chloramine odor?

  Yes

  No

• Is there visible algae?

  Yes

  No

• Free Available Chlorine

• Pool Min.: 1.0ppm
  Spa Min.: 2.0ppm
  Both Max.: 8.0ppm
  

• Total Available Chlorine

• Pool Min.: 1.0ppm
  Spa Min.: 2.0ppm
  Both Max.: 8.0ppm
  

• Combined Chlorine

• TAC-FAC=Combined
  No Combined Chlorine allowed in water

• pH

• Min.: 7.0
  Max.: 7.8

• Total Alkalinity

• Is there any debris or standing water on the deck?

  Yes

  No

• Is furniture in good condition?

  Yes

  No

  N/A

• Are the appropriate safety signs in place?

  Yes

  No

  N/A

• Is a non-telescopic pole with body hook in place?

  Yes

  No

  N/A

• Is a life-ring with rope attached available?

  Yes

  No

  N/A

• Do gates open away from pool/spa and are self-closing and self-latching/locking?

  Yes

  No

  N/A

• Is an emergency phone available?

  Yes

  No

  N/A

• Does the property have a CPO certified Team Member?

  Yes

  No

  N/A

• Are daily records kept?

  Yes

  No

  N/A

• Are all Material Safety Data Sheets (MSDS) available?

  Yes

  No

  N/A

• Is a 15-minute spa timer installed?

  Yes

  No

  N/A

• Is an emergency shut-off switch installed?

  Yes

  No

  N/A

• Is a Safety Vacuum Release System (SVRS) installed?

  Yes

  No

  N/A

• Texas Code
  http://texreg.sos.state.tx.us/public/readtac$ext.ViewTAC?tac_view=5&ti=25&pt=1&ch=265&sch=L&rl=Y

• 

• Does the property need a Leslie’s CAE to visit?<br>

  Yes

  No

• Expected Follow-Up Date

  Date

• Follow-Up Notes

• Thank you for your business!

  Sign

• This free evaluation was completed as a customer service only. Leslie‘s Poolmart Inc. does not certify nor warrant the condition of the pool or the pool equipment. It is the responsibility of the pool operator or owner to maintain the pool according to federal, state, and local regulations and health code standards.