Customer Name


Best Contact Phone Number

Email Address

Site Address (if different to address above)

Who will be using the pool the most (i.e. kids)

Access to site (what is the lowest & narrowest entry to site)

Is the property on main water

Special requests

Additional comments

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.