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Orange City Council - Public Pool/Spa Assessment Report
Orange City Council - Public Pool/Spa Assessment Report
Greg Perry

Orange City Council - Public Pool/spa Assessment Report Checklist

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Audit

Business Details

Proprietor/Company

ABN/ACN

Email Address

Postal Address

Contact Number

Person Interviewed

Inspection Type
  • Routine
  • Complaint
  • Reinspection
General Information
Number of Outdoor Pools
  • 1
  • 2
  • 3
Number of Indoor Pools
  • 1
  • 2
  • 3
Number of Spas
  • 1
  • 2
  • 3

Heterotrophic Plate Testing?

UV Treatment?

Are procedures up-to-date and readily available?

Amenities in a clean and sanitary condition?

Testing Criteria
POOL 1

Name

Time of Testing
Estimated Bather Load
  • 0 - 10
  • 10 - 20
  • 20 - 30
  • 30 - 40
  • 40 +

Observations: Notes - Odour, Clarity, Colour, Cleaning of Surrounds/Wastewater Drainage.

Add media

Water Temperature

Free Chlorine: Indoor MIN 2.0mg/L, Outdoor MIN 1mg/L, Cyanuric MIN 3mg/L. +1 where pH >7.6.

Re-Test Required?

Free Chlorine Re-Test

Total Chlorine: MAX 10mg/L

Re-Test Required?

Total Chlorine Re-Test

Combined Chlorine - MAX 1mg/L

pH: MIN 7.0, MAX 7.8.

Re-Test Required?

pH Re-Test

Total Alkalinity: MIN 80mg/L, MAX 200mg/L

Calcium Hardness

Bromine (Spas if applicable): MIN 4.5mg/L, MAX 9mg/L

Re-Test Required?

Bromine Re-Test

Cyanuric Acid: MAX 50mg/L

POOL 2

Name

Time of Testing
Estimated Bather Load
  • 0 - 10
  • 10 - 20
  • 20 - 30
  • 30 - 40
  • 40 +

Observations - Odour, Clarity, Colour, Cleaning of Surrounds/Wastewater Drainage.

Add media

Water Temperature

Free Chlorine: Indoor MIN 2.0mg/L, Outdoor MIN 1mg/L, Cyanuric MIN 3mg/L. +1 where pH >7.6.

Re-Test Required?

Free Chlorine Re-Test

Total Chlorine: MAX 10mg/L

Re-Test Required?

Total Chlorine Re-Test

Combined Chlorine - MAX 1mg/L

pH: MIN 7.0, MAX 7.8.

Re-Test Required?

pH Re-Test

Total Alkalinity: MIN 80mg/L, MAX 200mg/L

Calcium Hardness

Bromine (Spas if applicable): MIN 4.5mg/L, MAX 9mg/L

Re-Test Required?

Bromine Re-Test

Cyanuric Acid: MAX 50mg/L

POOL 3

Name

Time of Testing
Estimated Bather Load
  • 0 - 10
  • 10 - 20
  • 20 - 30
  • 30 - 40
  • 40 +

Observations - Odour, Clarity, Colour, Cleaning of Surrounds/Wastewater Drainage.

Add media

Water Temperature

Free Chlorine: Indoor MIN 2.0mg/L, Outdoor MIN 1mg/L, Cyanuric MIN 3mg/L. +1 where pH >7.6.

Re-Test Required?

Free Chlorine Re-Test

Total Chlorine: MAX 10mg/L

Re-Test Required?

Total Chlorine Re-Test

Combined Chlorine - MAX 1mg/L

pH: MIN 7.0, MAX 7.8.

Re-Test Required?

pH Re-Test

Total Alkalinity: MIN 80mg/L, MAX 200mg/L

Calcium Hardness

Bromine (Spas if applicable): MIN 4.5mg/L, MAX 9mg/L

Re-Test Required?

Bromine Re-Test

Cyanuric Acid: MAX 50mg/L

POOL 4

Name

Time of Testing
Estimated Bather Load
  • 0 - 10
  • 10 - 20
  • 20 - 30
  • 30 - 40
  • 40 +

Observations - Odour, Clarity, Colour, Cleaning of Surrounds/Wastewater Drainage.

Add media

Water Temperature

Free Chlorine: Indoor MIN 2.0mg/L, Outdoor MIN 1mg/L, Cyanuric MIN 3mg/L. +1 where pH >7.6.

Re-Test Required?

Free Chlorine Re-Test

Total Chlorine: MAX 10mg/L

Re-Test Required?

Total Chlorine Re-Test

Combined Chlorine - MAX 1mg/L

pH: MIN 7.0, MAX 7.8.

Re-Test Required?

pH Re-Test

Total Alkalinity: MIN 80mg/L, MAX 200mg/L

Calcium Hardness

Bromine (Spas if applicable): MIN 4.5mg/L, MAX 9mg/L

Re-Test Required?

Bromine Re-Test

Cyanuric Acid: MAX 50mg/L

Notes & Signatures

General Notes

Add media
Officer Name
  • Lindsay Hall
  • Alicia Peters
  • Greg Perry
  • Donna Sims
Officer's Signature

Owner/Manager Name

Owner/Manager Signature
Orange City Council - Public Pool/Spa Assessment Report
Greg Perry

Orange City Council - Public Pool/Spa Assessment Report

Use this Digital Checklist
Download as PDF
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.

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