Get Pool Operational Report Form - Wayne County 2020-2025
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How to fill out the Pool Operational Report Form - Wayne County online
This guide provides clear and detailed instructions on how to effectively complete the Pool Operational Report Form for Wayne County online. This form is essential for maintaining safe and compliant swimming pool operations.
Follow the steps to complete the form accurately and efficiently.
- Click the ‘Get Form’ button to access the Pool Operational Report Form and open it in your preferred editor.
- Input the 'Pool Establishment Name' to identify the facility conducting the report.
- Enter the 'Pool Number' in the format of 99-9999-01 to uniquely identify the pool.
- Provide the 'City' and 'Street Address' where the pool is located.
- Specify the 'Month and Year Covered by This Report' to indicate the reporting period.
- Indicate the 'County' as Wayne County.
- Record the disinfectant residuals, including chlorine or bromine, in mg/L or ppm as applicable.
- Fill in the 'Cyanuric Acid' level in mg/L or ppm.
- Document the water clarity, ensuring main drains are clearly visible, and note the condition of the water.
- Input 'Air Temperature' and 'Water Temperature' details at the specified times.
- Describe the 'Flow Rate in gpm' to ensure proper circulation of the pool.
- Report the 'No. of Hours Operated' for the pool during the reporting period.
- Fill out details regarding 'Water Treatment' and 'Chemical Addition,' indicating the amounts used.
- Summarize the 'Number of People' who visited the pool, including any maximum counts.
- Complete the 'Bacteriologic Analysis' section for necessary water quality testing.
- Provide any remarks or additional notes that may be relevant to the report.
- Ensure to submit the completed form to the local health department within 10 days after the end of the month.
- Review your entries for accuracy, then save changes, and you may choose to download, print, or share the form as required.
Complete your Pool Operational Report Form online today to ensure your compliance and the safety of pool users.
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Fill Pool Operational Report Form - Wayne County
The Wayne County Health Department inspects all public and semi-public swimming pools and spas. A single inspection report should not be used to evaluate the overall operation of an establishment.
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