Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

Lifeguard Observations

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

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

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

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

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

Swim Testing

  • Youth have been swim tested

  • When was the last test?

  • Youth have been marked according to their swim ability

Other Observations

  • Pool deck is well maintained and free of clutter

  • 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.)

  • Proper bathroom access procedures are maintained at the pool

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

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

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

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.