Forms • Opening Inspection

Location*

1. Perimeter is secure - fences are intact and all gates are locked*

Yes

No

2. If answer is no - describe issue.

2. Building is secure - fences are intact and all gates are locked.*

Yes

No

2. If answer is no - describe issue.

3. Pool bottom scan performed - drains visible water is clear, no abnormalities found.*

Yes

No

3. If answer is no - describe issue.

4. Decks are clean and clear - no slip and fall hazards, deck drains clear.*

Yes

No

4. If answer is no - describe issue.

5. Water is circulating - pumps are running.*

Yes

No

5. If answer is no - describe issue.

6. Pool water chemistry has been tested and is within acceptable range.*

Yes

No

6. If answer is no - describe issue.

7. AED has been tested and is functioning properly.*

Yes

No

7. If answer is no - describe issue.

8. Backboard and rescue equipment in working order and in position.*

Yes

No

8. If answer is no - describe issue.

9. Ring buoy and reaching pole are present and in proper location.*

Yes

No

9. If answer is no - describe issue.

10. Lifeline rope is secure and in place.*

Yes

No

10. If answer is no - describe issue.

11. Lift batter is installed in lift and lift is functioning properly.*

Yes

No

11. If answer is no - describe issue.

12. Bathrooms checked - clean and stocked.*

Yes

No

12. If answer is no - describe issue.

13. Emergency call box and pool phone tested and working properly.*

Yes

No

13. If answer is no - describe issue.

14. Daily Pollution Prevention Inspection Checklist completed.*

Yes

No

14. If answer is no - describe issue.

15. List any additional information regarding this inspection below (if needed).

16. Upload any photos related to this inspection (if needed).

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17. Name of person completing inspection.

* indicates required fields.

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