Texas Tech University Environmental Health and Safety
County:
Facility Name:
Facility Address:
Items in italics indicate a requirement for NEW pools/spas only.
Phone No.
Mailing Address:
Management/Operator:
Owner:
“X” Indicates a Deficiency:
Disinfection-265.197 & 265.181
1.
2.
3.
4.
5.
6.
7.
8.
9.
Automatic dispenser provided & operating
Dispenser downstream from filter & heater
Chemicals properly stored & labeled
Cl residual
Br residual
pH (7.0 – 7.8)
DPD test kit
Algae
Water clear – main drains visible
Operational logs available
Mechanical-265.187 & 265.189
10. Pump HP
Functioning properly
11. Pump provided with strainer
12. Flowmeter installed & operating
13. Filter type & size
Functioning properly
14. Heater (Over 200,000 BTU w/TDLR certificate)
15. Heater installed downstream of filter
16. Exposed piping labeled or color coded/valves labeled
17. Vacuum, inlet, outlet gauges installed/functioning
30. Drinking water available to patrons
Suction Outlets (Main Drains) – 265.190
31.
Single
Dual
32. Grate(s): Diagonal
inches
33. ASME/ANSI-112.19.8M suction outlet cover(s)
34. Suction outlet cover(s)/grate(s) intact and in place
35. SVRD/AVR device installed where required
36. Replacement suction outlet cover/grate(s) on site
37. Suction outlets not isolated
38. Vacuum outlet w/cover and latch or filled in
39. Check valves on pressure side only
40. Check valves present
Safety Equipment – 265.199
41. Min. 12’ non-conductive safety pole w/body hook
42. 15-24” outside diameter USCG ring buoy
43. ¼ - 3/8” throwing rope – appropriate length
44. Emergency summoning device ≤ 200’ from pool/spa
45. Phone location sign provided if required
46. Rope w/floats separates main pool from lap lane
Electrical – 265.192
Signage – 265.199
18. GFCI’s installed where required
19. Electrical wiring within 20 ft. of pool enclosure
20. Electrical disconnect accessible/in sight pool/spa
47. Signs visible in all parts of pool yard
48. 4” min. “No Diving” letters & symbol
49.“Warning No Lifeguard on Duty - 4” letters
50. Children Should Not Use Pool w/o Adult Supervision-2”
51. In Case of Emergency Dial 911 - 1” letters
52. Pool maximum load limit posted
Skimmers/Returns – 265.191
21. Skimmer covers & weirs in place
22. Basket intact & not used to dispense chemicals
23. Equalizer filled in/disabled/not present
24. Gutters 50% around perimeter
25. Inlets at least 12” below surface
Fill Water/Wastewater – 265.194
26. Potable water supply provided
27. Water distribution system protected against backflow
28. Over-the-rim fill spout w/ secure soft pliable end
29. Backwash disposed of properly
Depth Markers-Pools – 265.199
53. Deck depth markers installed
54. Numbers at least 4” in height
55. At max & min depth, break point & at 1’ (2’) intervals
56. 4” No Diving” & symbol where depth less than 6 ft.
57. “No Diving” & symbol every 25’ or fraction thereof
58. Feet and/or Inches in 4” letters
59. Transition from shallow to deep w/rope or 4 x 4 line
Bathhouse/Sanitary facilities – 265.201
Class A & B Facilities
80. Operator license current
81. Water tested every 2 hrs. when pool in use (see log)
82. Rope & float line between shallow end & 5’ depth
83. Transition from shallow to deep w/ 4” wide line
60. Facilities clean and sanitary
61. Private gender specific facilities provided
62. Floor slip resistant and sloped to floor drain
63. Mirror & soap dispenser metal or plastic
64. Toilet paper & holders provided
65. Single use towels or blower provided
66. Covered waste receptacle provided
67. Public access to water temp. control restricted
68. Ventilation adequate
Diving Facilities – 265.186
84. Lifeguard & second responder provided
85. Boards/platforms 1M or higher w/ guard & hand rails
86. Minimum distance between multiple boards 10’
87. Diving board properly labeled
88. Lifeguard chair(s) at least 4’ above deck
Spas – 265.205
Gas Chlorination – 265.198
69. Temperature 104°F or less
70. Spa thermometer provided
71. Minimum 2 depth markers provided
72. Maximum load limit sign provided
73. Children should not use spa w/o adult supervision-2”
74. Do not use spa if temp. is above 104°F-1” letters
89.Two trained personnel available
90. Chlorine stored in vented room
91. Proper signage & view port on housing door(s)
92. Appropriate safety equipment provided
93. Scale & ammonia solution provided
94. Electrical switches in chlorine storage room
Wade Pools – 265.185
95. 15 ft. from shallow/35 ft. from deep water areas
96. Fenced separately from pool/spa
97. Maximum water depth 24 inches
Structural Design – 265.184
98. Pool/spa interior white or light color
Lifeguards – 265.199
75. Current license(s) available
76. Second responder provided
77. Adequate rescue tube(s) provided
78. Backboard w/ 3 tie down straps & head immobilizer
79. OSHA first aid kit w/anti-disease transmission kit
COMMENTS:
Facility: HOTEL/MOTEL
HOA/COA
HOSPITAL/THERAPY
COUNTRY CLUB
Facility Classification:
A
Print Owner/Operator
Name and Title:
Owner/Operator
Signature:
B
APARTMENT
YOUTH CAMP
C
Date:
D
E
SCHOOL
PUBLIC
Spa
HEALTH CLUB
MHP
OTHER:
VI
VII
Print
Inspector Name:
Inspector
Signature:
A complete copy of the TDH Standards for Public Pools and Spas is available at:
http://www.state.tx.us/gs/pools.htm
VIII
Date:
IX