Water Contamination – Wellness Centers Water Contamination – Wellness Centers Incident Date MM slash DD slash YYYY Incident Time : Hours Minutes AM PM AM/PM Location*select oneDuncanAuroraLittletonSchlessmanSouthwestWhich pool Main Pool Spa Warm Water Type? Solid Stool Diarrhea Vomit Lifeguards on DutyPlease list lifeguards on duty, first and last nameLocation(ex: shallow end by steps)Pool Conditions At Time of IncidentChlorine levelppmPool pHPool TemperatureBather LoadWater Clarity Poor Satisfactory Very Good Excellent Action TakenPool cleared at : Hours Minutes AM PM AM/PM Material skimmed out Yes No Spa drained Yes No Area Vaccumed Yes No Aquatics Director notified Yes No Chlorine added Yes No How much chlorine addedIf no chlorine was added, please list 0Pool Backwashed Yes No What time was the pool backwashed* : Hours Minutes AM PM AM/PM How long?Pool Reopened* Yes No What time was the pool reopened* : Hours Minutes AM PM AM/PM NotesYour Name* First Last Do you wish to notify your supervisor of any issues?* Yes, please notify my supervisor. No, do not notify my supervisor.