Title Page

  • Person carrying out test

  • Select "Swimming Pool" from UNIT NUMBER

  • Conducted on

  • Have all actions been resolved from previous inspection?

  • Detail of actions not resolved and reasons why

Swimming Pool

LOG

  • • Water Temperature (C)

  • Air Temperature (C)

  • • Water Clarity

  • MORNING test should be done from POOL water ONLY

  • Chlorine FREE (DPD1) Level should be between 1.0 (min) and 3.0 (max)

  • Chlorine TOTAL (DPD3)

  • Chlorine COMBINED Level should be less than 1.0

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

  • Are manual test results and dosing units within (vary by 0.5 either way)

  • Check flow through sampling system is correct, glass beads moving to clean sensor

  • Recalibrate Dosing Unit and check box when complete

  • •Filter Pressure Inlet

  • Filter Pressure Outlet

  • • Bather Load (add total number of swimmers since last test)

  • Backwash Completed?

Spa

  • • Water Temperature (C)

  • • Air Temperature (C)

  • • Water Clarity

  • MORNING test should be taken from SPA water ONLY

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

  • Chlorine TOTAL (DPD3)

  • Chlorine COMBINED Level should be less than 1.0

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

  • Are manual test results and dosing units within (vary by 0.5 either way)

  • Check flow through sampling system is correct, glass beads moving to clean sensor

  • Recalibrate Dosing Unit and check box when complete

  • Alkalinity only required in MORNING test

  • Total Alkalinity - Level should be between 80 - 120 mg/l

  • •Filter Pressure Inlet

  • Filter Pressure Outlet

  • • Bather Load (add total number of swimmers since last test)

  • Backwash Completed?

Comments and Sign Off

Sign Off

  • Add signature

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.