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Company: <br />Address: <br />,13 1° Inspection By: <br /> <br />Date:5//r/a7 Phone: <br />Phone: 33'1-47 <br />Pool: <br />Address: / <br />Owner / Operator: <br />Pump/System: <br />Date: <br />ANSI/APSP-7 2006 <br />Appendix B - Field checklist for identifying suction entrapment hazards <br />(This appendix is not part of the American National Standard ANSI/APSP-7 2006 but is included for information only.) <br />Introduction <br />This Field checklist for identifying suction entrapment hazards provides information and a systematic process <br />that will help identify and eliminate suction entrapment hazards in swimming pools, wading pools, spas, hot tubs, and <br />catch basins. This information and system is intended to address the hazards of hair entrapment, limb entrapment, <br />body suction entrapment, evisceration/disembowelment, and mechanical entrapment. It does not replace or <br />supersede the information in the body of the ANSI/APSP-7 standard. These guidelines are intended for use in <br />inspecting, maintaining, and upgrading residential and public swimming pools, wading pools, spas, hot tubs, and <br />catch basins. They are appropriate for use by service companies, builders, installers, facility owners/operators, home <br />inspection specialists, parks and recreation personnel, and others who are responsible for pool and spa safety. <br />Reference numbers next to each block are used to facilitate telephone discussion. Mark tracking boxes with <br />"X" to clearly document the current condition and actions need and/or taken. <br />DANGER! TO AVOID SERIOUS INJURY OR DEATH, CLOSE THE POOL OR SPA TO BATHERS IF ANY <br />SUCTION OUTLET COVER/GRATE IS MISSING, BROKEN OR INOPERATIVE. <br />v luation / Actions Takep, <br />t,te...L....--c./ / /z._ hit? P644777? <br />. 1 v 1 m .0 IV . - 1 A. . /14 . , , 4 V <br />, _. AMMO' 1 ,--/ h I * f /OW fr-17-,-_5-,1/45 Poir. _ <br />4.4„.../. <br />6r ,f)vaii-y.A4 Apic2-(4,4‘.../ ecpw fiie,p.A...rA e--, 'hark,' <br />A5 V,— )66e LP L-p5Av or kt,tia,L,„ <br />c4-- : C11---..-: PA Pip liA-vpv,asz - /IA._ i N Om- -Ri-Plif2 <br />,ki P .- ...2/ip W71 A. Ftet/V ' JAi OL9-7 — ,/ <br />/ 1144-ht-/ pie' ...4- hv_r Al07 — / ........1.-rr" <br />/ k-/A101*—. <br />/ .,,. ,...-1--A• lw/ • . I— /cocci —511 k--3. P1-14,740 S. <br />1) . t AV I, A-1.0-e 1?z,,e1-1 / 7-i-4— Z.Aai A ife._ _L--Fs e i o V I 0 ........... /4,...-- . G0t4/ <br />The provisions described herein are not intended to prevent the use of any alternative configuration or system, <br />provided any such alternative meets the intent and requirements of these Guidelines. <br />13