Facility Inspection Checklist Part 1 If you are human, leave this field blank.Facility Name *Inspectors Name *Today's Date *Facility Facility Check "YES" if in good repair. Check "NO" if needed or need replaced.Facility Equipment YES NOInfant Life Jackets Youth Life Jackets- Small (5) Youth Life Jackets- Medium (5) Swim Test Bands Swim Test Signs Zone MapPlease describe any poor/bad conditions or missing items listed above Safety Safety EquipmentCheck "YES" if in good repair. Check "NO" if needed or need replaced.Kits YES NOTest Kits Test Kit Restock First Aide Kit OSHA Clean Up Kit Haz Mat KitPlease describe any poor/bad conditions or missing items listed aboveSafety YES NORescue Floatation Device Ring Buoy Throw Rope Back Board Neck Brace AED Machine Bag Valve Rescue Board Blue/White Buoy Deep End Rope Rope Hooks Shepherds Hook Brass Wing Nuts for Hook Safety Pole Telephone Telephone Box Permit BoxPlease describe any poor/bad conditions or missing items listed aboveSafety Signs YES NOPool Closed Sign 911 Sign Pool Rules Sign Baby Pool Sign No Guard Sign CPO SignPlease describe any poor/bad conditions or missing items listed above White Goods/Flow FittingsWhite Goods/Flow FittingsCheck "YES" if in good repair. Check "NO" if needed or need replaced. YES NOWeirs Equalizer Valves VGB Equalizer Grates Throttle Devices Skimmer Baskets Return Eyes VGB Main Drain Grates VGB Vacuum Plugs Vacuum Attachment Overflow Grate Hose Backflow Preventer Do All Skimmers Pull? Does In-Line Vacuum Work? Do Any Skimmers Leak?Please describe any poor/bad conditions or missing items listed above Filtration Filtration EquipmentCheck "YES" if in good repair. Check "NO" if needed or need replaced. YES NOFilter Tank Filter Lid O-Ring Filter Media Filter Control Air Bleed Assembly Inffluent PSI Gauges Effluent PSI Gauges Flow Meter Piping Aqua LubePlease describe any poor/bad conditions or missing items listed aboveNumber of Filter Tanks?Filter Control Size? Intake, Return and Backwash LinesIntake, Return and Backwash Lines YES NOMain Drain #1 Man Drain #2 Skimmer #1 Skimmer #2 Vacuum Line Return Line #1 Return Line #2 Back Wash Line Fill LinePlease describe any poor/bad conditions or missing items listed above. Motor & Pump #1Motor & Pump Equipment #1Please select appropriate conditions. Good BadMotor Condition Pump Impeller Volute Hair Lint Pot Seals/Gaskets Conduit/WirePlease describe any poor/bad conditions or missing items listed above. YES NOIs Motor Properly Grounded? Does Motor Have a GFCI Breaker? Does Motor Have a Starter? Does Motor Have a Timer?Please describe any poor/bad conditions or missing items listed above. Motor & Pump #2Motor & Pump Equipment #2Please select appropriate conditions. Good BadMotor Condition Pump Impeller Volute Hair Lint Pot Seals/Gaskets Conduit/WirePlease describe any poor/bad conditions or missing items listed above. YES NOIs Motor Properly Grounded? Does Motor Have a GFCI Breaker? Does Motor Have a Starter? Does Motor Have a Timer?Please describe any poor/bad conditions or missing items listed above. Motor & Pump #3Motor & Pump Equipment #3Please select appropriate conditions. Good BadMotor Condition Pump Impeller Volute Hair Lint Pot Seals/Gaskets Conduit/WirePlease describe any poor/bad conditions or missing items listed above. YES NOIs Motor Properly Grounded? Does Motor Have a GFCI Breaker? Does Motor Have a Starter? Does Motor Have a Timer?Please describe any poor/bad conditions or missing items listed above. Motor & Pump #4Motor & Pump Equipment #4Please select appropriate conditions. Good BadMotor Condition Pump Impeller Volute Hair Lint Pot Seals/Gaskets Conduit/WirePlease describe any poor/bad conditions or missing items listed above. YES NOIs Motor Properly Grounded? Does Motor Have a GFCI Breaker? Does Motor Have a Starter? Does Motor Have a Timer?Please describe any poor/bad conditions or missing items listed above.SubmitCaptcha *reCAPTCHA is required.
