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AQUATIC MANAGEMENT SERVICES ACCIDENT/REPORT FORM (MUST Be Completed for ANY Accident or Rescue) Pool Name: Accident Date: Accident Time: Injured Person/Victim: Address: City: Zip: Phone No. Age: Male/Female:

How to fill out aquatic accident form

How to fill out Aquatic Management Accident/Report Form

1. Begin by entering the date and time of the incident at the top of the form.
2. Fill out the location of the incident within the aquatic facility.
3. Provide a detailed description of the incident, including what happened and any relevant circumstances.
4. Record the names and contact information of all individuals involved in the incident.
5. Include witness statements and their contact information as well.
6. Document any injuries sustained, even if minor, and any first aid that was administered.
7. If required, include the names and details of responding medical personnel or authorities.
8. Sign and date the form to verify the accuracy of the information provided.

Who needs Aquatic Management Accident/Report Form?

1. Lifeguards and aquatic staff responsible for maintaining safety standards.
2. Facility management who need to review incidents for compliance and safety improvements.
3. Relevant insurance companies for claims related to accidents.
4. Regulatory bodies that monitor aquatic facility operations.
5. Victims of the incident for personal records or legal purposes.

Video instructions and help with filling out and completing pool incident report template

Instructions and Help about lifegaurding incident report

Welcome to how to write an incident report first we're going to use a case study so pay close attention to what is about to happen in the video we're about to show you a common incident that occurs within residential communities while all incident reports were commonly referred to as IRS may sound different they are typically structured the same it's very cool everybody's really excited some pretty awesome yes great give that noise it sounds like a party it's really loud I think it's remember I'm over there you want to check it out yeah, so it's Thursday night and took a to have a party, but this party isn't registered, and it's 2 a.m. which is past the time that parties must be shut down here take the video on the minute I'm going to do it just singing there's definitely people here — oh yeah push open up the apartment assistant under you Julia we can hear you it's obviously students are inside I'm going to knock a few more times and let them know that I'm the apartment assistant on duty they still don't answer the door I'm going to have to tell them that I'm going to have to contact my supervisor let's hope we don't have to take it that far this is Julia the apartment assistant on duty please open up hey what's up hi Kristina Olga yeah Cristina it's a good thing our supervisor make sure we know at least one student in every apartment I'm the student is going to make the confrontation a little easier, so you're having a party more like a gathering I mean it's my friend's birthday, and it's not that big of a deal so the more I speak to Kristina the more I smell alcohol and looking at the roster she's not 21, so now we have an underage drinking situation why didn't you register the party well by the time I realized that I was going to throw it is has been too late to get in touch with Relief I thought if I kept it under control it was okay you're partly right it's good that you kept your guests inside and prevented them from coming out, but we could still hear your party from up here in the hallway Gym alcohol in their yeah you're not 21 are you no all right well unfortunately I'm going to have to ask you to shut the party down why look I know that I didn't register it and I have alcohol but can't my friends stay there mad cool hmm this one's tricky I wonder how Julia will handle this I could be the that no one likes and really shut this thing down but what would that do if the residents see that I'm cutting them some slack, and maybe I won't hear anything from them tonight anymore, but the alcohol has to go I'll tell you what we'll work with you your guests can stay, but there can't be any more complaints about your apartment tonight, and we'll have to watch you dump out the alcohol, and we're going to have to document the situation our supervisor is going to end up following with you at some point this week fair enough all right that'll work thanks Julia all right guys you guys shut this down alcohol well that's all of it thanks Christina I'll...

People Also Ask about lifeguard accident form

Who do you notify after an emergency situation lifeguard?

Notify your supervisor and call your local office. Listen to the entire message and follow the instructions (every office has an emergency line). 7. After the affected person has been stabilized, fill out an accident report and submit to your supervisor.

What is the most important thing to do when calling 911 as a lifeguard?

5 Things for Lifeguards to Know Before Calling 911 Decide on roles. Remain calm. Give the operator as much information as possible. Confirm everything. Call back if you need to.

What are five pieces of information that should be recorded in an accident incident form?

Incident Reporters can capture date, time, location, witness statements, property damage, environmental damage, weather factors, work permits, scene changes, and more. Link Injuries to the body part(s) and upload relevant photos and documents.

How do I write an accident report form?

What should you include in an incident report? When & where did it happen? Your report should contain the date, time and location where the accident took place. Who were involved? What did they do? Why did it happen? Were there any witnesses? What is the extent of damage to a person or property?

What are the primary responsibilities of a lifeguard?

The primary responsibility as a lifeguard is to prevent drowning and other injuries from occurring. Candidates must be able to ensure the safety of patrons by minimizing or eliminating hazardous situations or behaviors.

What is an emergency action plan in lifeguarding?

EAPs are detailed plans describing the safety team's responsibilities in an emergency and should be posted in an area frequented by lifeguards, such as the breakroom. During orientation, in-service training and simulation drills, you should learn and practice your assigned roles in EAPs.

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What is Aquatic Management Accident/Report Form?

The Aquatic Management Accident/Report Form is a documentation tool used to report incidents, injuries, or accidents that occur in aquatic settings such as pools, lakes, or water parks.

Who is required to file Aquatic Management Accident/Report Form?

Typically, lifeguards, facility managers, and staff members who witness or are involved in the incident are required to file the Aquatic Management Accident/Report Form.

How to fill out Aquatic Management Accident/Report Form?

To fill out the Aquatic Management Accident/Report Form, provide details about the incident such as date and time, location, individuals involved, description of the incident, and any actions taken in response.

What is the purpose of Aquatic Management Accident/Report Form?

The purpose of the Aquatic Management Accident/Report Form is to create a formal record of incidents for legal, insurance, and safety improvement purposes.

What information must be reported on Aquatic Management Accident/Report Form?

Information that must be reported includes the date and time of the incident, location, names and contact information of those involved, description of the incident, injuries sustained, and follow-up actions taken.