The relationship between the local health department and the owners, operators, lifeguards, and support staff of public pools and spas, can be seen as multi-dimensional, but from any angle it is directly related and essential to the health and safety of patrons. The inspectors’ role ranges from inspection and enforcement to training and support. Numerous risks can be associated with recreational water facility use, including potential exposure to waterborne illnesses, not to mention life-threatening injuries. Inspectors, and those who manage or oversee the operation of these facilities, can work together to ensure they are operated in compliance with relevant public health legislation.