APPENDIX T General Course Record (cont’d) Page 218 © 2014 <strong>National</strong> Swimming Pool Foundation®
APPENDIX U Sample Swimming Pool Inspection Report (CPI) POOL’S NAME (Sample) Swimming Pool Inspection Report INSPECTION DATE MO. DAY YEAR STREET ADDRESS TOWN, VILLAGE OR CITY COUNTY LOCATION CODE AND NUMBER PREVIOUS ACTION FUTURE ACTION 0 1 COUNTY FACILITY CODE POOL CAPACITY INSPECTION TYPE INSPECTION RESULTS PURPOSE DATE STATUS STATUS DATE SCHEDULED ACTION ACTION DATE PURPOSE DATE CRITICAL NOTICES Routine Reinspection Pre Operation Complaint Incident/Investigation Satisfactory Unsatisfactory Based on the inspection this day, the items circled below identify violations in operation of facilities that must be corrected. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 DESIGN & CONSTRUCTION Plans submitted, approved Pool designed and constructed SAFETY & SUPERVISION Maintenance staff, qualified, trained Supervisor - present, qualified Staffing - no. of lifeguards Lifeguards or instructors qualified, certified Staffing - whirlpools have attendant or television camera monitored Waterslide attendant Lifeguards identifiable, no distracting duties, at duties station Safety - general, no hazardous conditions Adequate lighting, accessibility, shutoffs Rescue equipment, first aid equipment, telephone present, located, good condition, phone numbers posted; gas CI safety equipment Safety rope as required Waterslide plunge area separated Pool rules - posted, legible, located Maximum pool attendance posted, pool closed sign Chemicals - proper labeling and storage, no mixing of chemicals, smoking prohibited Security - pool enclosure, controlled access, self-closing gates and latches, access through bathhouse Pool rules enforced - communicable disease, showers, food, glass, animals prohibited. Maximum patron loading. RECIRCULATION SYSTEM Potable water supply; wastewater - proper disposal Separate recirculation systems for each pool - New Recirculation system continuously operated Skimmers, gutters, drains, water inlets - number, clean, good repair, installed, operated Agitation system-designed, maintained Water level maintained Proportional flow - gutter or skimmers versus drain Circulation rate-turnover Pool volume _____ gals ) flowmeter _____ gpm ) 60 = Turnover time _____ hrs. Pump installed, maintained; strainer baskets or screens clean, spares on hand Gauges maintained, operated, accurate, installed, approved; pressure or vacuum gauge _____ psi inf. _____ psi eff/comb. Surge tank operated, maintained Plumbing - air-gaps, cross-connections, maintained, installed; piping coded or labeled Filter backwashed or cleaned, maintained, operated, installed Replacement cartridges sand _____D.E. Cart. _____ 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 CHEMICAL & FILTER-AID FEEDING Approved design, data plate, interwired with recirculation pump Disinfectant feeders – proper for chemical used, maintained, installed, operated, sized. Chemical decanted. *Gas chlorine. *CI gas safety items under #08, 11 Filter-aid feeders and chemical feeders, installed, maintained, operated Automatic monitoring and feed controls maintained, operated POOL CHEMISTRY & QUALITY Approved chemicals – registered, measurable, compatible, nontoxic, safe Disinfectant provided, continuous, proper concentration Superoxidation - done as needed pH, alkalinity within limits or balanced Cyanuric acid - within limits Water quality - clarity, algae control Microbiology _____ Safe _____ Unsafe (Follow-up - ASAP) Temperature - within limits Accurate thermometers, approved test kits unavailable, maintained, used Frequency of testing - 2x/day-pools, 4x-/day-whirlpools; alkalinity, cyanuric acid done at least weekly Reports complete and submitted. Copies kept 2 years, available on-site EQUIPMENT, MAINTENANCE, CLEANING Pool equipment – designed, constructed Pool equipment – cleaned, maintained Pool and deck – maintained, cleaned, good repair; depth markings, boundary line General maintenance, walls, ceilings, floors, hosing; spectator area separated, maintained Toilet, shower, dressing rooms, drinking fountain provided as needed, clean, maintained, hand drying, toilet tissue Suits, caps, or towels provided to patrons - clean, thoroughly laundered, storage Water heaters, heating, ventilation and electrical provided as necessary, good repair, operated Solid waste, garbage storage and disposal Disinfectant used ________________________________ Filter aid; if any __________________________________ Free chlorine residual __________________________ ppm Combined chlorine ____________________________ ppm Cyanuric Acid _________________________________ ppm Bromine _____________________________________ ppm Water temp._____ o F. Air temp. _____ o F. pH _____ Alkalinity _____ ppm INSPECTION BY: (Signature) REPORT RECEIVED BY: DATE: © 2014 <strong>National</strong> Swimming Pool Foundation® Page 219