Title Page
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Person carrying out test
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Have all actions been resolved from previous inspection?
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Detail of actions not resolved and reasons why
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Select "Swimming Pool" from UNIT NUMBER
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Conducted on
Swimming Pool
LOG
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• Water Temperature (C)
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Air Temperature (C)
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• Water Clarity
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Chlorine FREE (DPD1) Level should be between 2.0 (min) and 5.0 (max)
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Chlorine TOTAL (DPD3)
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Chlorine COMBINED Level should be less than 1.0
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• pH - Level should be between 7.2 (min) and 7.8 (max)
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•Filter Pressure Inlet
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Filter Pressure Outlet
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• Bather Load
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Backwash Completed?
Spa
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• Water Temperature (C)
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• Air Temperature (C)
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• Water Clarity
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Chlorine FREE (DPD1) Level should be between 3.0 (min) and 5.0 (max)
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Chlorine TOTAL (DPD3)
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Chlorine COMBINED Level should be less than 1.0
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• pH - Level should be between 7.2 (min) and 7.8 (max)
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•Filter Pressure
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• Bather Load
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Backwash Completed?
Comments and Sign Off
Sign Off
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Comments