Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Date

Pool area

  • Is the pool area clean & tudy

  • Pool water clean & running

  • Pool trough clean & free from debris

  • Pool temp

Pool plant equipment

Pumps

  • Pumps working

  • Pumps free from leaks

  • Pump basket free from debris

Boiler

  • Boiler working

  • Boiler temp set at

  • Boiler temp

  • Boiler surround clear/clean free from water/debris

Exit pathway

  • Pathway clean/clear from debris

Completed by:

  • Name:

  • Position:

  • Signature:

  • Date:

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.