Lifeguard Performance Assessment

Performance Assessment Information

Full Name Of Lifeguard: -

Activity Within Pool At Time Of Assessment: -

Observed From
Observed Until

Quarter Observed In

Visual Observation - Any No's - Provide Details
Lifeguarding Position At Time Of KPI

Are they in the correct lifeguarding location?

Are they standing straight / sitting upright?

Is the lifeguard wearing the correct uniform?

Are they adopting the correct change over / rotation?

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

Are they wearing only appropriate jewellery?

Did they intervene appropriately in any incident/hazard?

Are they wearing the correct uniform?

Non-Visual - Any No's - Provide Details

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

Are they in possession of a whistle?

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

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

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

Type Name & Sign
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.