Daily Pool Record Sheet

Print
Today's Date
    Time
A.M. / P.M.
  Time
A.M. / P.M.
* Total Alkalinity
s .7(7)
Between 80 - 120ppm Cyanuric Acid
s .7(11)
Less than 60ppm
   
Emergency Phone
1/2 hr before opening
s. 8, 16(2)
Satisfactory   OR   Unsatisfactory Ground Fault Interrupter
1/2 hr before opening
s. 8, 16(2)
Satisfactory   OR   Unsatisfactory
Make-up Water
20L per bather per day
s. 8
  Water Meter Readings
s. 7(12)
Pre-fill Post-fill
   
Pool Bi-hourly Water Tests
  1/2 hr before opening Time
a.m. / p.m.
Time
a.m. / p.m.
Time
a.m. / p.m.
Time
a.m. / p.m.
Time
a.m. / p.m.
Time
a.m. / p.m.
Time
a.m. /p .m.
Time
a.m. / p.m.
Time
a.m. / p.m.
Time
a.m. / p.m.
Time
a.m. / p.m.
Free available Chlorine (FAC)
Min 0.5ppm - unstabilized Cl
Min 1.0ppm - stabilized Cl
s. 7(10), 8
                       
Total Chlorine (TC)/Bromine
s. 7(10), 8
                       
Combined Chlorine (CC)
TC - FAC = CC
* Maximum 0.2ppm
                       
pH
Between 7.2 - 7.8
s. 7(10), 8
                       
* Water Clarity
Black disc clearly visible
from 9m away
s. 7(4)
                       
* ORP Reading
* Minimum 700mV
s. 7(9)(10)
                       
# Bathers
s.8
                      Total
 
Pool Outlet Covers Operator Information
Conditions at the Time of Inspection Actions Taken First Name Last Name
       
Signature
 
Record of Emergencies (i.e. rescues, pool fouling), rescue equipment breakdown, backwashing, chemicals added, cleaning s. 8
 

Health Protection and Promotion Act - R.R.O. 1990, Reg. 565, Public Pools

Note: Niagara Region strongly recommends also recording the * values above.


Page Feedback Did you find what you were looking for today?