RRSC 5a. Lifeguard Performance Assessment

• Lifeguard Name Who You Are Observing

• Conducted on

  Date

• Completed By

Performance Assessment Information

• Full Name Of Lifeguard: -

• Activity Within Pool At Time Of Assessment: -

• Observed From

  Date

• Observed Until

  Date

• Quarter Observed In

  Jan - Apr

  May - Aug

  Sept - Dec

Visual Observation - Any No's - Provide Details

• Lifeguarding Position At Time Of KPI

  Select Teaching Pool Beach Main Pool Rapids Features Flume Flume Gate

  • Teaching Pool
  • Beach
  • Main Pool
  • Rapids
  • Features
  • Flume
  • Flume Gate

• Are they in the correct lifeguarding location?

  Yes

  No

• Are they standing straight / sitting upright?

  Yes

  No

• Is the lifeguard wearing the correct uniform?

  Yes

  No

• Are they adopting the correct change over / rotation?

  Yes

  No

• Are they wearing or within reaching distance of a torpedo buoy?

  Yes

  No

  N/A (Slide Only)

• Are they wearing only appropriate jewellery?

  Yes

  No

• Did they intervene appropriately in any incident/hazard?

  Yes

  No

  No Incident

• Are they wearing the correct uniform?

  Yes

  No

Non-Visual - Any No's - Provide Details

• Are they aware of the zone they are responsible for when asked?

  Yes

  No

• Are they in possession of a whistle?

  Yes

  No

• Are they aware of their responsibilities as the Lifeguard in that position?

  Yes

  No

Poolview CCTV System - Any No's - Provide Details Poolview Isn't currently live so the question is saved under a heading not to be used until it is in use: - Are they scanning the pool for 5 seconds then the screen for 5 seconds continually? (Weight 3)

• Date & Time Completed

  Date

• Ensure This Is Completed On The Excel Spreadsheet
  Ensure The PDF Is Saved Onto The QMS

• Type Name & Sign

  Sign