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Company: www. <br />Address: <br />Inspection By: Date: Phone: <br />Evaluation / Actions Taken <br />pi+.1ctt ya,v- 0 tk *r•N-T A LA_ ‘%__1-7 Ot.N <br />\Rin•Ii4-( QUis,L11..Imre_ ja.:14o Aevs.-1 r7Q.A.1 <br />177 FLIZ.IGI 111F <br />a eAL4 g-roz1.4 <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 />*sok \n,teov.S Pump/System: g, 4v.A.4P-N. <br />Address: SiAcc, vvA&I r.ow rk 117 HTS STCXX-1-1*4 4SA Owner / Operator: Date: a/.)_3 Phone: a.oei - -7 6_ / <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