Daily Spa Record Sheet

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Today's Date
Emergency Phone
s. 20(4)
Satisfactory or Unsatisfactory Ground Fault Interrupter
1/2 hr before opening, s. 20(5)
Satisfactory or Unsatisfactory
Spa Tank Drained
s. 21(1)
Yes No O.R.P.
Minimum 700mV, s. 20(3)
1/2 hour before opening Once during the day
Spa Tank Refilled
s. 21(1)
Yes No Water Meter Readings
30L per bather per day, s. 21(c)
Water meter reading Water added
Gravity and Suction Outlet Covers Inspected
At least every 30 days, s. 22(1)
Yes No Emergency Stop Button and Vacuum Release
Inspected At least every 30 days, s. 22(1)
Yes No
Spa Hourly Water Tests
  1/2 hour before opening 5 a.m. 6 a.m. 7 a.m. 8 a.m. 9 a.m. 10 a.m. 11 a.m. 12 p.m. 1 p.m. 2 p.m. 3 p.m.
Free available Chlorine (FAC) / Total Bromine
Between 5-10ppm, s. 20(1)
            
* Total Chlorine (TC)             
* Combined Chlorine (CC)
TC - FAC = CC, Maximum 0.5ppm
            
pH
Between 7.2 - 7.8, s. 20(1)
            
Total Alkalinity
Between 80 - 120ppm, s. 20(1)
            
Temperature
Below 40°C/104°F, s. 20(1)
            
Water Clarity
Main drain clearly visible, s. 20(1)
            
# Bathers
Main drain clearly visible, s. 20(1)
            
  4 p.m. 5 p.m. 6 p.m. 7 p.m. 8 p.m. 9 p.m. 10 p.m. 11 p.m. Chemicals Added (manually added, type and amount) s. 21(1)
Free available Chlorine (FAC) / Total Bromine
Between 5-10ppm, s. 20(1)
          
* Total Chlorine (TC)          Record of Emergencies (rescues, pool fouling, rescue equipment breakdown) s. 21(1)
* Combined Chlorine (CC)
TC - FAC = CC, Maximum 0.5ppm
          
pH
Between 7.2 - 7.8, s. 20(1)
         Cyanurate Stabilizer Concentration < 150ppm s. 22(1)
Total Alkalinity
* Between 80 - 120ppm, s. 20(1)
          
Temperature
Below 40°C/104°F, s. 20(1)
         Operator Information
Water Clarity
Main drain clearly visible, s. 20(1)
         First Name Last Name
# Bathers
Main drain clearly visible, s. 20(1)
         Signature

Health Protection and Promotion Act - O. Reg. 428/05, Public Spas

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


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