Title Page

  • Person carrying out test

  • Conducted on

Swimming Pool

LOG

    • Water Temperature (C)
  • What remedial action has taken place?

  • Air Temperature (C)
  • • Water Clarity

  • Describe other

  • What remedial action has taken place?

  • What action has taken place?

  • Chlorine FREE (DPD1) Level should be between 2.0 (min) and 5.0 (max)

  • What action has taken place?

  • Chlorine TOTAL (DPD3)

  • Chlorine COMBINED Level should be less than 1.0

  • What action has taken place?

  • • pH - Level should be between 7.2 (min) and 7.8 (max)

  • What remedial action has taken place?

  • •Filter Pressure Inlet

  • Remedial action taken (details)

  • Filter Pressure Outlet

  • Remedial action taken (detail)

  • • Bather Load

  • Backwash Completed?

Spa

    • Water Temperature (C)
  • What remedial action has taken place?

  • • Air Temperature (C)
  • • Water Clarity

  • Describe other

  • What remedial action has taken place?

  • Chlorine FREE (DPD1) Level should be between 3.0 (min) and 5.0 (max)

  • What remedial action has taken place?

  • Chlorine TOTAL (DPD3)

  • Chlorine COMBINED Level should be less than 1.0

  • What remedial action has taken place?

  • • pH - Level should be between 7.2 (min) and 7.8 (max)

  • Remedial action taken (detail)

  • •Filter Pressure

  • Remedial action taken (details)

  • • Bather Load

  • Backwash Completed?

Comments and Sign Off

Sign Off

  • Comments

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.