Lifeguard Observation Checklist

• Site Name

• Conducted on

  Date

• Prepared by

• Lifeguard Name

Positioning

• Is the Lifeguard in the correct Zone

  Yes

  No

  N/A

• Please provide details as to the location of the lifeguard and where they should be

• Is the Lifeguard Mobile

  Yes

  No

  N/A

• Provide details as to the lifeguards movements

Behaviours

• Is the Lifeguard displaying attentive behavior

  Yes

  No

  N/A

• Provide details

• Is the Lifeguard Scanning the bottom of the pool

  Yes

  No

  N/A

• Provide details

• Is the Lifeguard not distracted (Talking for more than 10 sec/doing other duties)

  Yes

  No

  N/A

• Provide details

  Yes

  No

  N/A

• Please provide a comment on your observations 1 positive 1 improvement area

Equipment

• Does the lifeguard have a bum bag

  Yes

  No

  N/A

• Does the lifeguard have a radio

  Yes

  No

  N/A

• Does the lifeguard have a whistle

  Yes

  No

  N/A

• Does the lifeguard have the correct rescue equipment

  Yes

  No

  N/A

• Is the lifeguard wearing the correct uniform

  Yes

  No

  N/A

Rotations

• Does the lifeguard follow the correct rotation path of travel

  Yes

  No

  N/A

• Does the lifeguard continue scanning the pool during rotations

  Yes

  No

  N/A

• Provide a comment on your observations

Handover

• Did the Lifeguard maintain adequate supervision, continued scanning during handover?

  Yes

  No

  N/A

• Did the lifeguard confirm that the incoming lifeguard was taking over supervision responsibility before leaving pool deck?

  Yes

  No

  N/A

• Did the Hand over take no longer than a few seconds (roughly 20 seconds)

  Yes

  No

  N/A

Questions

• What scanning strategy are you using?

• Did the lifeguard answer appropriately

  Yes

  No

  N/A

• what are the supervision factors at the moment (glare, weak/non swimmers, visual obstructions, groups

• Did the lifeguard answer appropriately

  Yes

  No

  N/A

Sign off

• Lifeguard signature

  Sign

• Person completing checklist signature

  Sign