Cattaraugus County, NY · Cattaraugus County
Report on Operation of Swimming Pool
Pool operators use this monthly report to record swimming pool operations and send the completed report to the county or district health department.
At a glance
- Issued by
- City of Cattaraugus County · Cattaraugus County, Cattaraugus County, New York
- Notarization
- Not required: file this form without a notary.
- Official source
- cattco.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
This report records a swimming pool’s daily operating information for one month, including bather counts, disinfectant readings, cleaning checks, and remarks. The form says to mail the completed report at the end of each month. It also instructs operators to immediately notify the county or district health department about equipment changes, treatment interruptions, loss of water clarity, or serious injury.
Who needs it
Swimming pool operators use this report to document pool conditions and operating checks for each month.
How to submit it
Mail the completed report at the end of each month, as instructed on the form. The document does not provide a mailing address.
About notarization
This report is signed and dated by the operator without a notary; the form does not mention any notarized or sworn attachment.
How to submit this form
- 1
Download the Report
Download the swimming pool operation report PDF.
- 2
Complete the Monthly Record
Record pool operating details and daily checks for the month, including readings, bather counts, and remarks.
- 3
Sign and Date
The pool operator signs and dates the completed report.
- 4
Mail the Report
Mail the completed report at the end of the month; the form does not provide a mailing address.
Frequently asked questions
- What information does the swimming pool operation report collect?
- It records monthly pool details such as bather counts, disinfectant readings, pool cleaning and drain checks, filter washing, water source, and remarks.
- When should I mail the completed report?
- The form instructs operators to mail the completed report at the end of each month. It does not list a mailing address.
- Do I need a notary for the swimming pool operation report?
- No. The operator signs and dates this report without a notary. The form does not mention a notarized or sworn attachment.
- How do I submit the swimming pool operation report?
- Mail the completed report at the end of each month, as stated on the form. No mailing address is provided in the document.