Swimming Pool/Jacuzzi Sanitation Inspection Sheet

Physical Parameters

Item Result Remarks
Water Clarity
Pool Surround Cleanliness
Water Temperature (°C)
Drain Covers Intact

Chemical Parameters

Item Result Remarks
Free Chlorine (ppm)
Combined Chlorine (ppm)
pH Level
Total Alkalinity (ppm)
Calcium Hardness (ppm)
Cyanuric Acid (ppm)

Safety & Equipment

Item Pass/Fail Remarks
Lifebuoy / Safety Equipment Present
First Aid Kit Available
Signage in Place