Jefferson High School Pool Inspection Report

Swimming Pool / Spa
Inspection Report

Linn County Public Health
1020 - 6th Street SE
Cedar Rapids, IA 52401
Phone: (319) 892-6000 Fax: (319) 892-6099
E-mail: health@linncountyiowa.gov

Facility Name: Jefferson High School

Address:	1243 20th St SW
	Cedar Rapids, IA 52404

Person Contacted: Mike Hopkins
Title: CPO
Registration No: SP57-041-100
Type: Routine

Water Quality Information
Name:	Indoor Pool >= 1500 sq ft
Registration No:	SP57-041-100
Area (Sq. ft.):	3150
Volume (Gallons):	159847
Filter Type:	DE
Filter Rate:
Turnover Rate:
Chlorine (Free):	2.2
ORP:	783 / 7.4
Pool: 1-8ppm, ORP 700-880 mV If less than 0.6ppm or greater than 8.0ppm = closure Spa: 2-8 ppm ORP 700-880 mV If less than 1.0ppm or greater than 8.0ppm = closure
Chlorine (Total):	2.4
Chlorine (Combined):	0.2
Bromine:	NA
Pool: 2-18ppm Spa: 4-18ppm

Water Quality Information (continued)
Cyanuric Acid:	NA
Must be less than 80 ppm
pH:	7.4
Pool and Spa: 7.2ppm-7.8ppm If less than 6.8 or greater than 8.2 = closure
Total Alkalinity:	140
Calcium Hardness:	420
Temperature (F):	82.2
Spa must not exceed 104°
Type of Disinfectant:	Chlorine
Disinfection make and model:	Pulsar 3 #PS-500
Drain Cover make and model:	Eureka Stainless Seel Anti-Ent
Drain Cover exp. date:	Hardware & Cover Exp: 5/1/2029
CPO:
CPO exp. date:

Smoke Free Air Act
1. Facility in compliance with smoking ban?
Yes	No
( If no, complete complaint form )

Notes: Please email a letter of correction stating how the violations listed below have been and/or will be corrected to diane.midcalf@linncountyiowa.gov within 30 days of this inspection.

#	Section		Reference	Ref. Page
1)	Management/Personnel	Pool:	15.4(6)f(6)	24
1)	Management/Personnel	Spa:	15:51(5)e(8)	17
	Item: Monthly ground fault circuit interrupter (GFCI) shall be included in Operational Records
	Comment: Document this monthly

2)	Safety	Pool:	15.4(4)f(4)	17
	Item: A first-aid kit shall be equipped with: band-aids, sterile 4x4 bandage compress, self-adhering gauze bandage, disposable gloves, and a chemical cold press.
	Comment: Please restock the first aid kit (missing chemical cold compress)

3)	Safety	Pool:	15.4(6)k	25
3)	Safety	Spa:	15.51(5)i	18
	Item: Copies of MSDS sheets shall be available for employee review. Each member of staff shall review MSDS annually.
	Comment: Have staff/coaches/teachers sign off on this annually

4)	Safety	Pool:	15.4(6)l	13
4)	Safety	Spa:	15.4(6)l	19
	Item: The facility management shall develop a written emergency plan. The emergency plan shall be reviewed with the facility staff at least once a year, and the dates of review or training shall be recorded in the pool records.
	Comment: Have staff/coaches/teachers sign off on this annually

5)	Safety	Pool:	15.4(4)d(1)	15
	Item: Lifeguards are required at municipal and school swimming pools of any size and other swimming pools having a water surface area of 1500 sq. ft. or larger.
	Comment: Please provide copies of teachers/coaches lifeguard certificate and ensure that one is ALWAYS present when the pool is in use.

	Name		Date
Inspector:		Inspection:

Report Received By:		Received:
Reviewed By:		Reviewed:

These items must be corrected as soon as possible in order to comply with the Iowa Department of Public Health Swimming Pool and Spa Rules. A letter regarding the actions which will be taken in order to correct all deficiencies must be submitted within 30 days to this office. If for any reason you take issue with any of the items cited regarding swimming pool rules, a variance can be requested by following the instructions in the Iowa Department of Public Health Swimming Pools manual, amended July 8th, 2009, page 57, section 641-15.7 (135I). Variance requests regarding spa rules must be made in compliance with the instructions in the Iowa Department of Public Health Spa manual, revised July 8th, 2009, page 32, section 641-15.7 (135I).