Public swimming pool and spa inspection

Information

• Trading Name

  Select Acacia Golden Way Motel Ace Caravan Park Ardeanal Motel Barmedman Mineral Pool Cameo Inn Motel Charles Sturt Motel Club Inn Resort Colonial Motor Inn Country Road Motel Holland Park Pool Mayfair Motel Ungarie Swimming Pool

  • Acacia Golden Way Motel
  • Ace Caravan Park
  • Ardeanal Motel
  • Barmedman Mineral Pool
  • Cameo Inn Motel
  • Charles Sturt Motel
  • Club Inn Resort
  • Colonial Motor Inn
  • Country Road Motel
  • Holland Park Pool
  • Mayfair Motel
  • Ungarie Swimming Pool

• Inspection Date

  Date
• Location
  Address

• Inspector

  Guy Marchant

  Peter Wakeling

Log Book Maintenance

• Have records of the following parameters been maintained at the frequency specified?

• Free Chlorine recorded daily

  Yes

  No

  N/A

• Total Chlorine recorded daily

  Yes

  No

  N/A

• Total Bromine recorded daily

  Yes

  No

  N/A

• Combined Chlorine recorded daily

  Yes

  No

  N/A

• pH recorded daily

  Yes

  No

  N/A

• Alkalinity recorded daily

  Yes

  No

  N/A

• Cyanuric acid recorded weekly

  Yes

  No

  N/A

• Have records been kept for the previous 6 months?

  Yes

  No

  N/A

• Comments

CHLORINE POOLS & SPAS

• Chlorine Pool

Pool

• Description

• Pool photo

  Media

• Pool type

  Select Outdoor Indoor

  • Outdoor
  • Indoor

• Disinfectant System

  Select Metered Automatic

  • Metered
  • Automatic

• Bathing load

  Select Light Medium Heavy

  • Light
  • Medium
  • Heavy

• Is the pool clean and free of debris

  Yes

  No

  N/A

• Free Chlorine (mg/L)

• Total Chlorine (mg/L)

• Combined Chlorine (mg/L)

• pH range

• Total Alkalinity (mg/L)

• Cyanurate (mg/L)

• Comments

• Chlorine Spa

Spa

• Description

• Spa photo

  Media

• Spa type

  Select Outdoor Indoor

  • Outdoor
  • Indoor

• Disinfectant System

  Select Metered Automatic

  • Metered
  • Automatic

• Bathing load

  Select Light Medium Heavy

  • Light
  • Medium
  • Heavy

• Is the spa clean and free of debris

  Yes

  No

  N/A

• Free Chlorine (mg/L)

• Total Chlorine (mg/L)

• Combined Chlorine (mg/L)

• pH range

• Total Alkalinity (mg/L)

• Cyanurate (mg/L)

• Comments

BROMINE POOLS & SPAS

• Bromine Pool

Pool

• Description

• Pool photo

  Media

• Pool type

  Select Outdoor Indoor

  • Outdoor
  • Indoor

• Disinfectant System

  Select Metered Automatic

  • Metered
  • Automatic

• Bathing load

  Select Light Medium Heavy

  • Light
  • Medium
  • Heavy

• Is the pool clean and free of debris

  Yes

  No

  N/A

• Total Bromine (mg/L)

• pH range

• Total Alkalinity (mg/L)

• Comments

• Bromine Spa

Spa

• Description

• Pool photo

  Media

• Spa type

  Select Outdoor Indoor

  • Outdoor
  • Indoor

• Disinfectant System

  Select Metered Automatic

  • Metered
  • Automatic

• Bathing load

  Select Light Medium Heavy

  • Light
  • Medium
  • Heavy

• Is the spa clean and free of debris

  Yes

  No

  N/A

• Total Bromine (mg/L)

• pH range

• Total Alkalinity (mg/L)

• Comments

Recommendations

• Result

  Satisfactory

  Unsatisfactory

• Comments

• Re-inspection Required

  Yes

  No

• Re-inspection Period

  7 Days

  14 Days

  21 Days