Title Page
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Conducted on:
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Conducted by:
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Select "Swimming Pool" from UNIT NUMBER
Pool
LOG
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Doser Indicated pH Value
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Doser Indicated Cl2 Value (mg/l)
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Doser Indicated Temp (C)
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Pool Water Level
- Overflowing
- Low
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Has Supervisor been informed of Low Level ?
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Pool Room Indicated Air Temperature (C)
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Has Supervisor been informed of Room Temperature ?
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• Pool Actual Water Temperature (C)
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Has Supervisor been informed of Pool Temperature ?
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• Pool Water Clarity
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Has Supervisor been informed ?
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Has Supervisor been informed of Clarity ?
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Obtain water sample from Pool
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Is sample FREE Chlorine Level between 1.0 & 3.0 ?
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Has Supervisor been informed of value ?
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Record sample TOTAL Chlorine level
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Record sample COMBINED Chlorine Level
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Has Supervisor been informed of value ?
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• Is pH between 7.2 and 7.8 ?
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Has Supervisor been informed of value ?
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Is Indicated/Actual Cl2 differential greater than 0.3 ?
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Has Supervisor been informed of value ?
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Has Reception been informed of Pool Temperature & recorded on signing-in book ?
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Have all Indicated & actual results been recorded on dated/initialled Test Sheet ?
Notes and Sign Off
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Any further remedial actions performed or required ?
Sign Off
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I confirm data entries are True & Correct and Supervisor has been made aware of any issues that may affect the safe operation of the Pool