Pool Service Card

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Select date

  Date

Water Tests

• Chlorine reading PPM (3-5PPM)

• Salt reading (between 5000 & 5500)

• Ph reading (7.2 - 7.6)

• Total Alkalinity reading (90 - 150)

• Calcium hardness reading (190 - 280)

• Cyanuric acid (Stabiliser) reading (35 - 70)

• Copper reading (.3 - .7)

• Phosphate reading ( <1)

• Any visible signs of algae in the pool or on the pool surface?

  Yes

  No

  N/A

Checklist of On-site Duties

• Pool Vacuumed

  Yes

  No

  N/A

• Cleaned out skimmer(s)

  Yes

  No

  N/A

• Cleaned out pump basket(s)

  Yes

  No

  N/A

• Cleaned or back washed filter

  Yes

  No

  N/A

• Chlorinator cell acid washed

  Yes

  No

  N/A

• Time clock set to correct time and left on "Auto"

  Yes

  No

  N/A

• Chlorinator cell left switched "on"

  Yes

  No

  N/A

• Waterline clean and free of scum

  Yes

  No

  N/A

• Water level checked and topped up if required

  Yes

  No

  N/A

• Is wet end seal leaking on pool pump?

  Yes

  No

  N/A

• CPR sign clearly readable and visible

• Filter shed and pool surrounds clean and rubbish free

• Pool gate(s) in working order and left closed

  Safe

  At Risk

  N/A

• Calling Card left Onsite at conclusion of service?

  Yes

  No

  N/A

• Client Onsite at time Service?

  Yes

  No

  N/A

• If pool has been shock dosed has the client been notified of any waiting period required before swimming

  Yes

  No

  N/A

• Signature

  Sign