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Savannah – HHI
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SUPERVISOR FORM – INVENTORY
Pool Name
*
Date
*
MM slash DD slash YYYY
Time
*
:
Hours
Minutes
AM
PM
AM/PM
Supervisor Name
*
Lifeguards on Duty
MAIN POOL
CL2
PH
BABY POOL
CL2
PH
OTHER POOL #1
CL2
PH
OTHER POOL #2
CL2
PH
OTHER POOL #3
CL2
PH
ADJUSTMENTS MADE
Deck
Furniture neat & orderly
Y
N
No trash visible
Y
N
Trash cans clean & disinfected
Y
N
Table tops clean
Y
N
Hose neatly rolled
Y
N
Hose bibs have vacuum breaker
Y
N
Deck Notes
POOL
Water clarity
Pool bottom clean
Y
N
Skimmer Weirs in place
Y
N
Algae free
Y
N
Main drains secure & intact (MD screws are visible)
Y
N
Skimmer Baskets intact (no cracks)
Y
N
Tile line clean
Y
N
Surface skimmed
Y
N
Skimmer Basket has weight
Y
N
Handrails tight
Y
N
Flow regulators adjusted
Y
N
Vacuum caps in place
Y
N
Skimmer Lids not cracked/broken
Y
N
Pool Notes
SAFETY
First Aid Kit Stocked
Y
N
Shepard’s Crook in place (2 wing nut bolts)
Y
N
Ring Buoy in place
Y
N
Lifeline rope in place
Buoys good
Rope good
Pool Rules Sign
Y
N
No Guard on Duty Sign
Y
N
Chemical Hazard Sign
Y
N
Rescue tube condition
Telephone working
Y
N
Gate self closes & latches
Y
N
Safety Notes
INVENTORY
Add needed items in notes
Toilet paper
Y
N
Paper towels
Y
N
Soap
Y
N
Trash bags (lg/sm)
Y
N
Broom & Mop
Y
N
Plunger
Y
N
Gloves & Disinfectant
Y
N
Inventory 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 INVENTORY
Sodium BIcarb
Soda Ash
Acid
Algaecide
Calcium
Cyanuric Acid
Shock
Apron
Bleach
Briquettes
Sticks
Gloves
Salt
Clarifier
Chem Gloves
Goggles
Hair Lint Basket (circle one)
Cleaned
Cracked
Chlorine feeder operating
Y
N
Floor dry & clean
Y
N
Pressure gauges working
Y
N
Flow meter operating
Y
N
Chemicals on pallet
Y
N
Pumproom Notes
NOTES
OFFICE TO DO
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