Results

Pool

Pool

Insert image of sample locations

From which location was the sample taken?

Insert image of sample locations

From which location was the sample taken?

Insert image of sample locations

From which location was the sample taken?

Insert diagram showing sample locations

From which location was the sample taken?

Insert diagram showing sample locations

From which location was the sample taken?

Bather Load

Water Clarity

Photometer Results

Free Chlorine (ppm)

Total Chlorine (ppm)

Combined Chlorine (ppm)

pH

Alkalinity

Calcium Hardness

TDS

Temperature

Insert table of prescribed operating parameters for facility

Are all test results within acceptable operating parameters?

Plant Inspection

Remember to STOP - LOOK, LISTEN & FEEL. Follow the flow of water and look for leaks, valves in the incorrect position or obvious signs of damage. Listen for squealing, grating, changes in pitch or an absence of noise. Feel for airflow and unusual vibrations.

Chlorine (ppm)

pH

Temperature

Pump #1 Discharge Pressure (kpa)

Filter #1 Inlet Pressure (kpa)

Filter #1 Outlet Pressure (kpa)

Pump #2 Discharge Pressure (kpa)

Filter #2 Inlet Pressure (kpa)

Were there any issues requiring attention?

If yes, detail

Filter #2 Outlet Pressure (kpa)

Water Balance Adjustment

Langelier Saturation Index

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Saturation Index

Were chemicals required to be manually added (either directly to the pool or via an inline dosing method) to adjust water chemistry?

Insert dosage table for your facility

Chemical Type

Quantity

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.