Title Page

  • Person carrying out test

  • Have all actions been resolved from previous inspection?

  • Detail of actions not resolved and reasons why

  • Select "Swimming Pool" from UNIT NUMBER

  • Conducted on

Swimming Pool

LOG

  • • Water Temperature (C)

  • Air Temperature (C)

  • • Water Clarity

  • Chlorine FREE (DPD1) Level should be between 2.0 (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)

  • •Filter Pressure Inlet

  • Filter Pressure Outlet

  • • Bather Load

  • Backwash Completed?

Spa

  • • Water Temperature (C)

  • • Air Temperature (C)

  • • Water Clarity

  • 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)

  • •Filter Pressure

  • • Bather Load

  • Backwash Completed?

Comments and Sign Off

Sign Off

  • Comments

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