Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Date and Time of Inspection

  • Swimming Pool Application Number

  • Business Name

  • Free Chlorine Minimum reading : Outdoor: 1.0 Indoor with temp < 26° c: 1.5 Indoor with temp > 26°c: 2.0

  • Total Chlorine Maximum Reading: Outdoor: 10.0 Indoor with temp < 26° c: 10.0 Indoor with temp > 26°c: 10.0

  • Combined Chlorine (total chlorine - free chlorine) Maximum reading: 1.0 Note: combined chlorine should not exceed half the total chlorine concentration

  • Alkalinity Range: 80-200

  • PH Range: 7.2-7.8

  • Temperature

  • Is there an automatic dosage system in operation?

  • Inspection outcome

  • Final Comments

  • Name and Signature

  • Accreditation Number

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.