Pool Water Testing Form
Date
 /
Day
 /
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Water Temperature?
Free Chlorine
Total Chlorine
Combined Chlorine
pH
Alkalinity
Calcium
Calcium Factor
Alkalinity Factor
Temperature Factor
LSI
Total Dissolved Solids
Tester
Please Select
Richard Beesley
Dimitrios Triandafillithis
Lauren Furda
Rhian Astley
Elia Bruce
Cleaning
Check Toilets presentable
Disinfected Toilet
Check shower
Check enough soap and hand sanitiser
Wiped down surfaces with disinfectant
Other
Action Taken
Backwash Filters
Change Probe
Clean Baskets
Clean Pool Area
Clean Waterline Tiles
Super Chlorinate
Put Pool Vacuum on
Other
Additional Information
Tester Name
First Name
Last Name
Submit
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