Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
Lifeguard Observations
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Guard is identifiable: LIFEGUARD shirt, swimsuit, whistle & fanny pack
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Rescue tube is in the guard’s hand, strap is around chest, slack is adequately controlled
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Guard is alert, actively scanning every 10 seconds with no other personal, conversational, or work activity
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Guard is positioned so any area of the pool can be reached in 10 seconds
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Guard exhibits professional demeanor by posture, behavior, and attentiveness
Swim Testing
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Youth have been swim tested
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When was the last test?
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Youth have been marked according to their swim ability
Other Observations
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Pool deck is well maintained and free of clutter
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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.)
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Proper bathroom access procedures are maintained at the pool
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Non-swimmers are protected in PFDs or within an arm’s reach of an adult
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Staff are engaged and alert while youth are swimming and managing behavior on pool deck
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Staff are appropriately supervising in locker rooms when youth are using them (sight or sound)