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
Details of Observation
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Day and Date of Observation
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Time of Observation (eg. 4:15pm - 4:30pm)
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Staff Member conducting observation
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Lifeguard on Duty
Supervision
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Is the lifeguard moving appropriately around the pool?
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Does the lifeguard have an open body stance?
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Is the lifeguard watching the water and not distracted by anything else?
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Is the lifeguard adapting to any obstructions and/or high risk users?
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Please provide a general summary of the lifeguard and supervision of the pool
Equipment
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Is the lifeguard carrying a piece of rescue equipment?
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Is the lifeguard in correct uniform for the appropriate season?
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Is the lifeguard wearing a visible whistle and a name badge?
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Please provide a general summary of any equipment / environment concerns
