Government of Ontario: Ministry of Health and Long-Term Care

Daily Record of Spa Operation

Name of spa
Name of operator
Date

Hourly Water Tests

Free available

1/2 hour before opening
mg/L

  (1)0100   (2)0200   (3)0300   (4)0400
  (5)0500   (6)0600   (7)0700   (8)0800
  (9)0900   (10)1000   (11)1100   (12)1200

  (1)1300   (2)1400   (3)1500   (4)1600
  (5)1700   (6)1800   (7)1900   (8)2000
  (9)2100   (10)2200   (11)2300   (12)2400

Total bromine residual

1/2 hr. before opening
mg/L

  (1)0100   (2)0200   (3)0300   (4)0400
  (5)0500   (6)0600   (7)0700   (8)0800
  (9)0900   (10)1000   (11)1100   (12)1200
  (1)1300   (2)1400   (3)1500   (4)1600
  (5)1700   (6)1800   (7)1900   (8)2000
  (9)2100   (10)2200   (11)2300   (12)2400

1/2 hr. before opening

  (1)0100   (2)0200   (3)0300   (4)0400
  (5)0500   (6)0600   (7)0700   (8)0800
  (9)0900   (10)1000   (11)1100   (12)1200
  (1)1300   (2)1400   (3)1500   (4)1600
  (5)1700   (6)1800   (7)1900   (8)2000
  (9)2100   (10)2200   (11)2300   (12)2400

Temperature

1/2 hr. before opening
°C

  (1)0100   (2)0200   (3)0300   (4)0400
  (5)0500   (6)0600   (7)0700   (8)0800
  (9)0900   (10)1000   (11)1100   (12)1200
  (1)1300   (2)1400   (3)1500   (4)1600
  (5)1700   (6)1800   (7)1900   (8)2000
  (9)2100   (10)2200   (11)2300   (12)2400

Daily Test and Records

Total alkalinity mg/L
Emergency phone Am Pm

Total chlorine residual mg/L
Ground fault interrupter Am Pm

Cyanuric acid concentration mg/L
Number of users persons

Oxidation reduction potential mV
Water meter reading m³

Water Replacement Record

Spa tank emptied
Inspection of fittings, covers, etc. Time Am Pm

Spa tank refilled Time Am Pm

Other Items of Note (emergencies, rescues, breakdowns of equipment

Signature of recording person

Note: Keep this record for one year from date of the record.
Continue overleaf if necessary.

3056-64 (89/05)