Aquatic Safety Quick Check

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

Lifeguard Observations

• Guard is identifiable: LIFEGUARD shirt, swimsuit, whistle & fanny pack

  Yes

  No

• Rescue tube is in the guard’s hand, strap is around chest, slack is adequately controlled

  Yes

  No

• Guard is alert, actively scanning every 10 seconds with no other personal, conversational, or work activity

  Yes

  No

• Guard is positioned so any area of the pool can be reached in 10 seconds

  Yes

  No

• Guard exhibits professional demeanor by posture, behavior, and attentiveness

  Yes

  No

Swim Testing

• Youth have been swim tested

  Yes

  No

• When was the last test?

• Youth have been marked according to their swim ability

  Yes

  No

Other Observations

• Pool deck is well maintained and free of clutter

  Yes

  No

• Safety line is in place separating the deep and shallow portions of the pool (except for end-to-end activities, i.e. lap swim, etc.)

  Yes

  No

• Proper bathroom access procedures are maintained at the pool

  Yes

  No

• Non-swimmers are protected in PFDs or within an arm’s reach of an adult

  Yes

  No

• Staff are engaged and alert while youth are swimming and managing behavior on pool deck

  Yes

  No

• Staff are appropriately supervising in locker rooms when youth are using them (sight or sound)

  Yes

  No