Title Page

  • Conducted on

  • Prepared by

  • Location
  • Full name of employee

  • Period:

  • Pool Location

  • Select date

Visual

  • In the correct lifeguarding position?

  • Standing straight/Sitting upright

  • Wearing or withing reaching distance of a torpedo buoy?

  • Looking and remaining alert?

  • Adopting the correct change over/rotation?

  • Intervening appropriately in any incident/hazard?

  • Wearing the correct uniform?

Incident questions

  • Incident questions talked through (minimum of two incidents answered correctly)

Non Visual

  • Aware of the zone they are responsible for when asked?

  • In possession of a whistle?

  • Aware of their responsibilities as the lifeguard in that position?

Centres with underwater CCTV

  • Are they scanning the pool for 5 seconds then the screen for 5 seconds continually?

  • Managers name carrying out LPA

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.