Pool Chemical Weekly Maintenance Log Form
Log weekly pool chemical readings, actions, issues, and follow-up needs for maintenance tracking.
Date of Maintenance
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Pool Location or Identifier
*
Chlorine Level (ppm)
*
pH Level
*
Alkalinity (ppm)
*
Actions Taken
*
Added chlorine
Adjusted pH
Added alkalinity increaser
Cleaned pool
Backwashed filter
Other
Were any issues found?
*
No issues found
Minor issues (not urgent)
Major issues (need immediate attention)
Describe Issues Found (if any)
Follow-up Actions Needed
No follow-up needed
Schedule further chemical adjustment
Repair equipment
Additional cleaning required
Other
Name of Person Completing Log
*
First Name
Last Name
Submit Log
Should be Empty: