Information

  • Document No.

  • Date and Time of Handover

  • Pool Technician

  • Customer Name

  • Customer Address

Pool size & surface

  • Surface of the pool

  • Pool size-volume of water

  • Notes-

Pool Pump

  • Make

  • Model

  • Age

  • Notes

  • Add media

Chlorinator

  • Make

  • Model

  • Age

  • Notes

  • Add media

Cell

  • Make

  • Model

  • Age

  • Notes

  • Add media

Filter

  • Make

  • Model

  • Age

  • Notes

  • Add media

Fence

  • Make

  • Gate

  • Age

  • Notes

  • Add media

Water Test Results

  • Chlorine

  • Ideal Chlorine levels 2.00 to 3.00

  • Stabiliser

  • Ideal stabiliser levels are 20 to 90

  • pH

  • Ideal pH level is 7.2 to 7.6

  • Alkalinity

  • Ideal alkalinity range is 60 to 120

  • Salt

  • Ideal salt levels are 4000ppm to 6000ppm

  • Hardness

  • Ideal range 150 to 250

Maintenance Equipment

  • Pool Pole Onsite?

  • Notes

  • Add media

  • Leaf Rake Onsite?

  • Notes

  • Add media

  • Vacuum Head Onsite?

  • Notes

  • Add media

  • Large Brush Onsite?

  • Notes

  • Add media

  • Algae Brush Onsite?

  • Notes

  • Add media

  • Hose Onsite?

  • Notes

  • Add media

  • Skimmer Basket Onsite?

  • Notes

  • Pump Basket Onsite?

  • Notes

  • Add media

  • Latch Assembly Onsite?

  • Replacement cost

  • Notes

  • Pool Cleaner Onsite?

  • Replacement estimate

  • Notes

  • Add media

  • Resuscitation Sign Onsite?

  • Notes

  • Add media

  • Pool Gate Self latching and closing

  • Notes

  • Add media

  • Light Onsite?

  • Estimate replacement / repair

  • Notes

  • Main Drain Onsite?

  • Replacement cost

  • Notes

  • Add media

Pool Certificate

  • Pool Certification Checked?

  • Follow-Up Action Required?

Checklist

  • Vacuum

  • Notes

  • Clean Cells

  • Notes

  • Water Testing

  • Notes

  • Brush

  • Notes

  • Back Wash

  • Notes

  • Filtration and Pool Photo

  • Pool Photo

  • Leaf Rake

  • Notes

  • Clean Filter

  • Notes

  • Handover Bag

  • Notes

  • Empty Basket

  • Notes

  • Backwashing

  • Notes

  • Specimen Bottle

  • Notes

Tenant

  • Is notification required when entering property

  • The Tenant has given a comprehensive report of the condition of the pool and the working of the pool at

  • Tenant Signature and Name

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.