Title Page

  • Title

  • Conducted on

  • Client / Site

  • Location
  • Prepared by

  • Pool Inspection Cost

  • Paid by:

Building Data

Building Data

  • House

  • Approximate Building Age

  • Style

  • Pool/Spa

  • Approximate Pool Age

  • Main Entrance Faces

  • Weather Condition

  • Temperature

  • Ground Cover

Pool/Spa Comments

Pool / Spa Remarks

Scope Of The Inspection

  • This is a visual inspection of the listed items only; it is not a warranty, guarantee, or certification of the pool/spa or its equipment. This pool/spa report is a visual inspection and operational test of the above ground equipment only. Inspection of pool/spa surfaces for leaks or concealed pool/spa components are not within the scope of this inspection.

    Marsite and plaster coatings are considered cosmetic and discoloration is typical. Marsite tends to discolor and pit over time.

    The pool was not drained for the inspection. It is not possible to check the filtering system for its efficiency or if leaking is occurring. If you have concerns as to the functioning capabilities or life expectancy of the pool components, it is recommended that a pool specialist perform the needed inspection.

Pool Safety Tips

  • Fence the pool and install self-closing and self-latching gates that are out of reach of children.

    Secure all doors and windows leading to the pool area.

    Keep rescue equipment by the pool.

    Place tables and chairs away from the fence to prevent children from climbing into the pool area.

    Keep a telephone by the pool so you don’t have to leave children unattended while answering a telephone inside the house.

    Do not use flotation devices as substitutes for supervision.

    Keep toys away from the pool. A young child playing could accidentally fall into the water.

Swimming Pool/Spa

    Pool
  • Pool Name

Pool Type

  • Type

  • Structure Material

  • Other

  • Condition

  • Add media

Pool Area

  • Area around pool

  • Other

  • Condition

  • Add media

  • Diving Board

  • Fencing

  • Height

  • Gates (operators) appear operational

Pool Surface/Liner

  • Water Clarity

  • Visible cracks or damage

  • Area beneath diving board

Heater

  • Heater

  • Energy Source

  • Other

  • Gas on

  • Operated

Filter (s)

  • Type

  • Other

  • Operated

  • Rusting

  • Bonding Wire

  • Leaks Observed

Electrical

  • GFCI Present

  • Operates

  • Pool Lights

  • Operates

General Comments

  • Recommend Pool Specialist Examine

  • Pool:

  • Spa
  • Spa Name

Spa Type

  • Type

  • Structure Material

  • Other

Spa Area

  • Area around spa

  • Other

  • Condition

  • Add media

  • Fencing

  • Height

  • Service door (operators) appear operational

Spa Liner

  • Water Clarity

  • Visible cracks or damage

Heater

  • Heater

  • Energy Source

  • Other

  • Gas on

  • Operated

Filter (s)

  • Type

  • Other

  • Operated

  • Rusting

  • Bonding Wire

  • Leaks Observed

Electrical

  • GFCI Present

  • Operates

  • Spa Lights

  • Operates

General Comments

  • Recommend Spa Specialist Examine

  • Spa:

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.