FACILITY INSPECTION FORM - USA Pools of Maryland

Facility Name *

Inspectors Name *

Today's Date *

Safety Equip

Safety Equipment

Check "YES" = Good Repair. Check "NO" = Missing or Needs Repair.

Pool Fittings

Check "YES" = Good Repair. Check "NO" = Missing or Needs Repair.

Skimmer Lids - If "NO" take photo

	YES	NO
Skimmer Lids - If "NO" take photo

Skimmer Lids Photo

Main Drain Grates - If "NO" take photo

	YES	NO
Main Drain Grates - If "NO" take photo

Main Drain Grates Photo

Filtration

Filtration Equipment

Check "YES" = Good Repair. Check "NO" = Missing or Needs Repair.

Filter Tank - If "NO" take photo

	YES	NO
Filter Tank

Filter Tank Photo

Motor/Pump Equip

Motor/Pump Equipment

Check "GOOD/YES" = Good Repair. Check "BAD/NO" = Missing or Needs Repair.

Motor Condition - If "BAD" take photo

	GOOD	BAD
Motor Condition

Motor Condition Photo

Chemical Feed Equip

Chemical Feed Equipment

Check "YES" = Good Repair. Check "NO" = Missing or Needs Repair.

Chlorinator- If "NO" take photo

	YES	NO
Chlorinator

Chlorinator Photo

Deck/Pool

Pool Equipment

Check "YES" = Good Repair. Check "NO" = Missing or Needs Repair.

Deck & Pool Shell

	YES	NO
Depth Markers on Deck

Waterline Pool Tile - If "BAD" take photo

	GOOD	BAD
Waterline Pool Tile

Waterline Pool Tile Photo

Deck Condition - If "BAD" take photo

	GOOD	BAD
Deck Condition

Deck Condition Photo

Deck Drains - If "NO" take photo

	YES	NO
Deck Drains

Deck Drains Photo

Deck Equipment

Check "YES" = Good Repair. Check "NO" = Missing or Needs Repair.

Ladder Treads - If "NO" take photo

	YES	NO
Ladder Treads

Ladder Treads Photo

Dive Stand/Board - If "NO" take photo

	YES	NO
Dive Stand/Board

Dive Stand/Board Photo

Off Season Equipment

Check "YES" = Good Repair. Check "NO" = Missing or Needs Repair.

Captcha *

reCAPTCHA is required.

	YES	NO
Swim Test Wristbands
Test Kits
Test Kit Restock
First Aide Kit
OSHA Clean Up Kit

	YES	NO
Life Jackets
Rescue Tubes
Ring Buoy
Throw Rope
Deep End Rope/Buoys
Shepherds Hook
Safety Pole
Telephone

	YES	NO
Swim Test Signs
Pool Rules Sign
Water Safety Signs
Self closing Gates
Telephone

	YES	NO
Weirs
Throttle Devices
Skimmer Basket
Vacuum Plugs
Do All Skimmers Pull?

	YES	NO
Filter Media
Filter Control
Air Bleed Assembly
PSI Gauges
Flow Meter
Piping
Pump Room Ventilation
Pool Fill Line

FOLLOW US

Facility Inspection Checklist

Safety Equip

Safety Equipment

Pool Fittings

Pool Fittings

Filtration

Filtration Equipment

Motor/Pump Equip

Motor/Pump Equipment

Chemical Feed Equip

Chemical Feed Equipment

Pool Lights

Pool Lights

Maintenance Equip

Maintenance Equipment

Deck/Pool

Pool Equipment

Deck Equipment

Off Season Equipment

PROUDLY SERVING BALTIMORE, COLUMBIA,
WILMINGTON & DOVER

© 2011 Lifeguard Management. All rights reserved

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	Good	Bad
Pump
Volute
Hair Lint Pot
Conduit/Wire

	YES	NO
Is Motor Properly Grounded?
Does Motor Have a GFCI Breaker?
Does Motor Have a Starter?
Does Motor Have a Timer?

	YES	NO
Ph Feeder
Is There an Automatic Chemical Controller?
Are Chemical Outlets Wired to Pump?

	YES	NO
Vacuum Head
Vacuum Hose
Vacuum Pole
Leaf Rake
Leaf Net
Metal Brush
Vinyl Brush

FOLLOW US

Facility Inspection Checklist

Safety Equip

Safety Equipment

Pool Fittings

Pool Fittings

Filtration

Filtration Equipment

Motor/Pump Equip

Motor/Pump Equipment

Chemical Feed Equip

Chemical Feed Equipment

Pool Lights

Pool Lights

Maintenance Equip

Maintenance Equipment

Deck/Pool

Pool Equipment

Deck Equipment

Off Season Equipment

PROUDLY SERVING BALTIMORE, COLUMBIA, WILMINGTON & DOVER

PROUDLY SERVING BALTIMORE, COLUMBIA,
WILMINGTON & DOVER