Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Date

Spa area

  • Is the spa area clean & tudy

  • Spa water clean & running

  • Spa basket clean & free from debris

  • Spa temp

  • Spa jets working

  • Room heating working

  • Fresh air fan working

Spa 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:

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