Audit

Child's Name:

Current Level:

Class Day / Time / Instructor:

Assessed By:

Floats on front with assistance (Face must be down on all front skills)

Floats on back with assistance (Must be relaxed on back)

Paddles on front with assistance (Face must be down on all front skills)

Paddles on back with assistance (Goldfish or PB&J arms)

Kicks on front with assistance

Kicks on back with assistance

Holds breath underwater for 3 seconds

Log rolls with assistance

Comments / Corrective Actions:

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.