SUPERVISOR FORM – INVENTORY

SUPERVISOR FORM – FOLLOW UP

SUPERVISOR FORM – CHEMICALS

Pool Name*
Date*
MM slash DD slash YYYY
Time*

: Hours

Minutes

AM/PM
Supervisor Name*
Lifeguards on Duty
MAIN POOL
CL2 PH TA CALCIUM CYA SALT PHOSPHATE TEMP SAT INDEX
BABY POOL
CL2 PH TA CALCIUM CYA SALT PHOSPHATE TEMP SAT INDEX
OTHER POOL #1
CL2 PH TA CALCIUM CYA SALT PHOSPHATE TEMP SAT INDEX
OTHER POOL #2
CL2 PH TA CALCIUM CYA SALT PHOSPHATE TEMP SAT INDEX
OTHER POOL #3
CL2 PH TA CALCIUM CYA SALT PHOSPHATE TEMP SAT INDEX
ADJUSTMENTS MADE
Deck
Furniture neat & orderly
- Y
- N
No trash visible
- Y
- N
Trash cans clean & disinfected
- Y
- N
Table tops clean
- Y
- N
Deck Notes
POOL
Water clarity
Main drains secure & intact (MD screws are visible)
- Y
- N
Algae free
- Y
- N
Diving board secure
- Y
- N
Tile line clean
- Y
- N
Pool lights working
- Y
- N
Handrails tight
- Y
- N
Waterline tile in tack & damage free
- Y
- N
Skimmers clean/empty
- Y
- N
Pool Notes
SAFETY
First Aid Kit Stocked
- Y
- N
Ring Buoy in place
- Y
- N
Telephone working
- Y
- N
Gate self closes & latches
- Y
- N
Shepard’s Crook in place (2 wing nut bolts)
- Y
- N
Safety Notes
RESTROOMS
Toilets clean
- Y
- N
Counter tops clean
- Y
- N
Floors clean
- Y
- N
Mirrors clean
- Y
- N
Swept corners & free of cobwebs
- Y
- N
Are bathrooms stocked?
- Y
- N
Restrooms Notes
PUMPROOM
MAIN POOL
- Hair lint basket (Y)
- Hair lint basket (N)
BABY POOL
- Hair lint basket (Y)
- Hair lint basket (N)
OTHER
- Hair lint basket (Y)
- Hair lint basket (N)
PRESSURE GAUGE
MAIN POOL BABY POOL OTHER
MAIN POOL
- Backwash (Y)
- Backwash (N)
BABY POOL
- Backwash (Y)
- Backwash (N)
OTHER
- Backwash (Y)
- Backwash (N)
Pumproom Notes
CL2 SETTING
MAIN POOL BABY POOL OTHER
FLOW METER READING
MAIN POOL BABY POOL OTHER
NOTES
OFFICE TO DO
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Pool Items to Invoice