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SERVICE LOG FORM
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Pool Name
*
Service Tech
*
Date
*
MM slash DD slash YYYY
Time
*
:
Hours
Minutes
AM
PM
AM/PM
Weather
*
Water Quality
Water Chemistry (Main Pool)
CL2
PH
TA
CALCIUM
STABILIZER
Water Clarity (Main Pool)
Clear
Hazy
Cloudy
Algae Present
Algae Type (Main Pool)
Water Level (Main Pool)
Water Fill (Main Pool)
On
Off
Water Chemistry (Wading Pool)
CL2
PH
TA
CALCIUM
STABILIZER
Water Clarity (Wading Pool)
Clear
Hazy
Cloudy
Algae Present
Algae Type (Wading Pool)
Water Level (Wading Pool)
Water Fill (Wading Pool)
On
Off
Water Quality Notes
Initial Observations
Deck
Clean
Dirty
Skimmer Baskets
Clean
Dirty
Waterline Tiles
Clean
Dirty
Water Surface
Clean
Dirty
Pool Bottom
Clean
Dirty
Men's Restrooms
Clean
Dirty
Women's Restrooms
Clean
Dirty
Initial Observations Notes
Services Provided
Blew Deck
Emptied Skimmers
Cleaned Tiles
Skimmed Pool
Vacuumed Pool
Cleaned Restrooms
Emptied Trash Cans
Straightened Furniture
Emptied Hair/Lint Pot
Backwashed Filter(s)
Backwash Valve Closed
Refilled Chlorinator
Stocked Restrooms
Services Provider Notes
Pump Room
Flowmeter (Main Pool)
Pressure Gauges (Main Pool)
Chlorine Setting (Main Pool)
Flowmeter (Wading Pool)
Pressure Gauges (Wading Pool)
Chlorine Setting (Wading Pool)
Pump Room Notes
Safety
"No Guard on Duty?" sign posted?
Y
N
Pool Rules sign posted?
Y
N
"911" sign posted?
Y
N
Main Drain Cover Secure?
Y
N
First-Aid Kit OK?
Y
N
If 'No', Needs
Lifeline rope in place?
Y
N
Shepherd's Hook in place?
Y
N
Ring Buoy and Throw Rope in place?
Y
N
Telephone Working?
Y
N
Gate self closing and latching?
Y
N
Notify Manager Immediately!
Safety Notes
NOTES
Reported Vandalism
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