Pool & Plant Room Questionnaire

Thank you for taking the time to complete this assessment. The more information you can provide us, the more comprehensive support we can provide you.
You will be required to provide various photos when completing this assessment. Photos may include; products, equipment, serial numbers and labels, damage, rust and plant rooms in full view.
- Pictures of pool/s - internal / external skimmer, returns, damage
- Pictures of full view plant room
- Pictures of pumps - will require make, model and pipes
- Pictures of chemical control equipment - will require make, model, damage, rust and serial numbers
- Pictures of primary sanitation equipment - will require make, model, damage, rust and serial numbers
- Pictures of secondary purfication equipment - will require make, model, damage, rust and serial numbers
- Pictures of filtration equipment - will require make, model, damage, rust and serial numbers
- Pictures of cleaning equipment ie robotic - will require make, model, damage, rust and serial numbers
- Pictures of heating equipment - will require make, model, damage, rust and serial numbers
- Pictures of water testing equipment - will require make, model, damage, rust and serial numbers
Estimate time to complete 20-30 minutes per pool. Please call us on 1300 68 79 30 if you require any assistance.
You will be required to complete an assessment per body of water on your property, this may include;
- Pools
- Spas
- Hyrdo Pools
- Water Parks
- Splash Pads
- Water Features
A link will be available at the end of this assessment should you need to complete further assessments on other bodies of water on your property.
Site name*
Person completing assessment*
Phone number
Email*
example@example.com
Office Use
Group Code

Number of trading days per week?*
Days (Note default is 7)
Average trading hours?*

Opening time

AM/PM Option

Until
until
Closing time

AM/PM Option
Peak bather load (max number of bathers during busiest time)?*
Bathers
Peak bather load (total number of bathers per week - opening to closing, per 7 days)?*
Bathers
Peak mix (% infants)*
% (ie. 0-100)
Peak mix (% children)?*
% (ie. 0-100)
Peak mix (% adults)?*
% (ie. 0-100)
Peak bather mix must calculate to 100% totals taken from above.
100%
Upload pictures of the overall plant room (From doorway, all plant equip, floor space, full room shot)*

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Pool chemical controller used?*

NoneColorimetric AnalyserProbe AnalyserOther
Does it have pH control?*
pH control method used?*
Chemical controller brand*
Chemical controller model*
Chemical controller condition*

1

2

3

4

5

1 is Poor, 5 is Excellent
Chemical controller age (aprox.)*
Years
Chemical controller other comments
Upload pictures of chemical controller (front shot, brand plate, mounted position)*

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Cleaner used? (tick as many options as applicable)*

RoboticVacuum/SuctionOther
Cleaner brand*
Cleaner model*
Cleaner condition*

1

2

3

4

5

1 is Poor, 5 is Excellent
Cleaner age*
Years
Cleaner other comments - brief outline of daily/weekly procedure - mechanical and physical.
Upload pictures of cleaner (Cleaning procedure, equipment used)*

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Completed by*

First NameLast Name
How long did this form take to complete? (minutes)
Minutes
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