Pool and Spa Inspection Report
Date
*
-
Month
-
Day
Year
Date
Technician's Name
*
CUSTOMER INFORMATION
Customer Name
*
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
LOCATION ADDRESS
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
POOL INFORMATION
LENGTH
WIDTH
DIAMETER
DEEP END DEPTH
SHALLOW END DEPTH
WATER QUALITY
WATER CLARITY
*
Please Select
CLEAR
HAZY
CLOUDY
ALGAE
GREEN
WATER LEVEL
*
Please Select
NORMAL
LOW
HIGH
CHEMICAL LEVELS
*
Rows
CL
PH
TA
CAL.
CYA
SALT
PPM
FILTER PRESSURE
*
RATE OF FLOW
SALT OUTPUT LEVEL
WATER QUALITY NOTES
File Upload
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
DECK AREA
*
Rows
CONDITION
NOTES
SAFETY STENCIL (PUBLIC POOLS)
PASS
FAIL
WILL NEED ATTENTION AFTER SEASON
N/A
DEPTH STENCIL (PUBLIC POOLS)
PASS
FAIL
WILL NEED ATTENTION AFTER SEASON
N/A
FENCE (48" MIN. HEIGHT)
PASS
FAIL
WILL NEED ATTENTION AFTER SEASON
N/A
GATE (OPEN OUTWARD FROM THE POOL, SELF-LATCHING, SELF-CLOSING)
PASS
FAIL
WILL NEED ATTENTION AFTER SEASON
N/A
DECK (NON-SLIPPERY, FREE OF HAZZARD)
PASS
FAIL
WILL NEED ATTENTION AFTER SEASON
N/A
DECK AREA NOTES
File Upload
Browse Files
Drag and drop files here
Choose a file
Cancel
of
POOL/SPA
*
Rows
CONDITION
NOTES
REQUEST QUOTE
COVER
PASS
FAIL
WILL NEED ATTENTION AFTER SEASON
N/A
HOSE BIB/FILL LINE
PASS
FAIL
WILL NEED ATTENTION AFTER SEASON
N/A
TILE/DEPTH TILE
PASS
FAIL
WILL NEED ATTENTION AFTER SEASON
N/A
LINE ON STEPS/BENCHES/SLOPE BREAK
PASS
FAIL
WILL NEED ATTENTION AFTER SEASON
N/A
COPING
PASS
FAIL
WILL NEED ATTENTION AFTER SEASON
N/A
EXPANSION JOINT
PASS
FAIL
WILL NEED ATTENTION AFTER SEASON
N/A
PLASTER/FINISH/LINER
PASS
FAIL
WILL NEED ATTENTION AFTER SEASON
N/A
LADDERS/HANDRAILS
PASS
FAIL
WILL NEED ATTENTION AFTER SEASON
N/A
LIGHTS
PASS
FAIL
WILL NEED ATTENTION AFTER SEASON
N/A
SKIMMERS
PASS
FAIL
WILL NEED ATTENTION AFTER SEASON
N/A
RETURNS
PASS
FAIL
WILL NEED ATTENTION AFTER SEASON
N/A
VACUUM LINE
PASS
FAIL
WILL NEED ATTENTION AFTER SEASON
N/A
DRAINS
PASS
FAIL
WILL NEED ATTENTION AFTER SEASON
N/A
PLUMBING
PASS
FAIL
WILL NEED ATTENTION AFTER SEASON
N/A
DISCHARGE/WASTE LINE/AREA
PASS
FAIL
WILL NEED ATTENTION AFTER SEASON
N/A
POOL/SPA NOTES
File Upload
Browse Files
Drag and drop files here
Choose a file
Cancel
of
FILTRATION EQUIPMENT
*
Rows
CONDITION
NOTES
REQUEST QUOTE
FILTRATION SYSTEM
PASS
FAIL
WILL NEED ATTENTION AFTER SEASON
N/A
PUMP MOTOR
PASS
FAIL
WILL NEED ATTENTION AFTER SEASON
N/A
HEATER
PASS
FAIL
WILL NEED ATTENTION AFTER SEASON
N/A
CHEMICAL FEEDER
PASS
FAIL
WILL NEED ATTENTION AFTER SEASON
N/A
CARTRIDGE CLEANING VAT
PASS
FAIL
WILL NEED ATTENTION AFTER SEASON
N/A
SPARE SET OF CARTRIDGES
PASS
FAIL
WILL NEED ATTENTION AFTER SEASON
N/A
MAINTENANCE EQUIPMENT
Rows
CONDITION
NOTES
PREPLACEMENT COST
APPROVE REPLACEMENT
VACUUM HEAD
PASS
FAIL
WILL NEED ATTENTION AFTER SEASON
N/A
VACUUM HOSE
PASS
FAIL
WILL NEED ATTENTION AFTER SEASON
N/A
TELESCOPIC POLE
PASS
FAIL
WILL NEED ATTENTION AFTER SEASON
N/A
SKIMMER NET
PASS
FAIL
WILL NEED ATTENTION AFTER SEASON
N/A
THERMOMETER
PASS
FAIL
WILL NEED ATTENTION AFTER SEASON
N/A
EQUIPMENT NOTES
File Upload
Browse Files
Drag and drop files here
Choose a file
Cancel
of
FILTER ROOM
Rows
CONDITION
NOTES
VENTILATION
PASS
FAIL
WILL NEED ATTENTION AFTER SEASON
N/A
FLOOR DRAINAGE
PASS
FAIL
WILL NEED ATTENTION AFTER SEASON
N/A
DOOR LOCK
PASS
FAIL
WILL NEED ATTENTION AFTER SEASON
N/A
LIGHT
PASS
FAIL
WILL NEED ATTENTION AFTER SEASON
N/A
CLEAN/ORGANIZED
PASS
FAIL
WILL NEED ATTENTION AFTER SEASON
N/A
FILTER ROOM NOTES
File Upload
Browse Files
Drag and drop files here
Choose a file
Cancel
of
PUBLIC AND RENTAL POOLS SIGNAGE
Rows
CONDITION
NOTE
REPLACEMENT COST
APPROVE REPLACEMENT
COMPANY CONTACT INFO
PASS
FAIL
WILL NEED ATTENTION AFTER SEASON
N/A
911 INSTRUCTIONS
PASS
FAIL
WILL NEED ATTENTION AFTER SEASON
N/A
'AUTHORIZED PERSONNEL ONLY' SIGN FOR FILTER ROOM
PASS
FAIL
WILL NEED ATTENTION AFTER SEASON
N/A
PUMP EMERGENCY SHUT-OFF SWITCH LOCATION SIGN
PASS
FAIL
WILL NEED ATTENTION AFTER SEASON
N/A
PUMP EMERGENCY SHUT-OFF SWITCH LABEL
PASS
FAIL
WILL NEED ATTENTION AFTER SEASON
N/A
'NO DIVING' SIGN
PASS
FAIL
WILL NEED ATTENTION AFTER SEASON
N/A
'NO LIFEGUARD ON DUTY' SIGN
PASS
FAIL
WILL NEED ATTENTION AFTER SEASON
N/A
FIRST AID LOCATION SIGNAGE
PASS
FAIL
WILL NEED ATTENTION AFTER SEASON
N/A
POOL RULES
PASS
FAIL
WILL NEED ATTENTION AFTER SEASON
N/A
POOL HOURS (PUBLIC POOL)
PASS
FAIL
WILL NEED ATTENTION AFTER SEASON
N/A
POOL SIGNAGE NOTE
File Upload
Browse Files
Drag and drop files here
Choose a file
Cancel
of
PUBLIC AND RENTAL POOLS SAFETY EQUIPMENT:
Rows
CONDITION
NOTES
REPLACEMENT COST
APPROVE REPLACEMENT
FIRST AID KIT STATION
PASS
FAIL
WILL NEED ATTENTION AFTER SEASON
N/A
18'-24' DIAMETER RING BUOY WITH 50' ROPE
PASS
FAIL
WILL NEED ATTENTION AFTER SEASON
N/A
12'-15' POLE WITH SHEPHERD'S HOOK
PASS
FAIL
WILL NEED ATTENTION AFTER SEASON
N/A
BACKBOARD WITH AT LEAST 3 STRAPS (PUBLIC POOLS)
PASS
FAIL
WILL NEED ATTENTION AFTER SEASON
N/A
1 RESCUE TUBE PER LIFEGUARD ON DUTY (PUBLIC POOLS)
PASS
FAIL
WILL NEED ATTENTION AFTER SEASON
N/A
SAFETY LINE WITH FLOATS 1'-2' BEFORE SLOPE BREAK (PUBLIC POOLS)
PASS
FAIL
WILL NEED ATTENTION AFTER SEASON
N/A
2 EMERGENCY BLANKETS (PUBLIC POOLS)
PASS
FAIL
WILL NEED ATTENTION AFTER SEASON
N/A
BLOODBORNE PATHOGEN KIT (PUBLLIC POOLS)
PASS
FAIL
WILL NEED ATTENTION AFTER SEASON
N/A
TEST KIT (PUBLIC POOLS)
PASS
FAIL
WILL NEED ATTENTION AFTER SEASON
N/A
PPE (PUBLIC POOLS)
PASS
FAIL
WILL NEED ATTENTION AFTER SEASON
N/A
OTHER PUBLIC POOL REQUIREMENTS
Rows
CONDITION
NOTE
REQUEST QUOTE
LIFEGUARD STAND
PASS
FAIL
WILL NEED ATTENTION AFTER SEASON
N/A
TELEPHONE THAT CAN SEND AND RECEIVE CALLS
PASS
FAIL
WILL NEED ATTENTION AFTER SEASON
N/A
ACCESSIBLE BATHROOMS
PASS
FAIL
WILL NEED ATTENTION AFTER SEASON
N/A
PERMITS
PASS
FAIL
WILL NEED ATTENTION AFTER SEASON
N/A
SAFETY EQUIPMENT AND OTHER REQUIREMENTS NOTES
File Upload
Browse Files
Drag and drop files here
Choose a file
Cancel
of
TECHNICIAN'S SIGNATURE
*
CUSTOMER SIGNATURE
Submit
Should be Empty: