Information

  • Document No.

  • Date and Time of Handover

  • Pool Technician

  • Customer Name

  • Customer Address

Pool size & surface

  • Surface of the pool

  • Pool size-volume of water

  • Notes-

Pool Pump

  • Make

  • Model

  • Age

  • Notes

  • Add media

Chlorinator

  • Make

  • Model

  • Age

  • Notes

  • Add media

Cell

  • Make

  • Model

  • Age

  • Notes

  • Add media

Filter

  • Make

  • Model

  • Age

  • Notes

  • Add media

Fence

  • Make

  • Gate

  • Age

  • Notes

  • Add media

Maintenance Equipment

  • Pool Pole Onsite?

  • Notes

  • Add media

  • Leaf Rake Onsite?

  • Notes

  • Add media

  • Vacuum Head Onsite?

  • Notes

  • Add media

  • Large Brush Onsite?

  • Notes

  • Add media

  • Algae Brush Onsite?

  • Notes

  • Add media

  • Hose Onsite?

  • Notes

  • Add media

  • Skimmer Basket Onsite?

  • Notes

  • Pump Basket Onsite?

  • Notes

  • Add media

  • Latch Assembly Onsite?

  • Replacement cost

  • Notes

  • Pool Cleaner Onsite?

  • Replacement estimate

  • Notes

  • Add media

  • Resuscitation Sign Onsite?

  • Notes

  • Add media

  • Pool Gate Self latching and closing

  • Notes

  • Add media

  • Light Onsite?

  • Estimate replacement / repair

  • Notes

  • Main Drain Onsite?

  • Replacement cost

  • Notes

  • Add media

Pool Certificate

  • Pool Certification Checked?

  • Follow-Up Action Required?

Purchaser/authorising agent

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.