iAuditor Mobile App Preview

Patient Details

Enter name

Select gender

Enter date of birth

Enter telephone

Enter address

Enter email

Incident Details

Select activity type
Select equipment used

Provide description of property/ material damaged

Select type of injury

Provide description of body injury

Provide any other information

Risks on Day

Describe primary cause of incident and conditions on the day

Please select level of risk associated with items below

Swell size

Wave type

Tide/ current

Time between sets

Depth of water

Geography/ topography

Beach debris

Water quality

Wind

Temperature

Coastal defences

Other man-made structures

Hazardous substances

Beach/ water population

Activities/ events

Behavioural

Vulnerable groups

Other water users

Available light

Treatment and Action

Describe initial treatment

Describe recommended action

List any other agencies involved

Are there likely to be claims relating to this incident (legal, insurance etc.)

Had the surf lifesaver undergone training prior to the incident?

Was the equipment checked prior to use?

Were emergency communications available?

Was first aid equipment available?

Was safety cover available?

Witness Details

Add witness

Name

Contact phone details

Age

Injury (if injured)

Role

Signature

Signed by incident investigator

Surf Lifesaving Accident & Incident Report Checklist

Created by: SafetyCulture Staff | Industry: Community Services | Downloads: 33

This report can be used by Surf Lifesaving Clubs in the event of ANY member injury or significant equipment damage. This helps enable Surf Lifesaving Clubs to maintain a high standard of member health and safety and improve best practices in all aspects of operations as well as keeping records for insurance and claims.

Signup for a free iAuditor account to download and edit this checklist. It will be added to your free account and you will be able to conduct inspections from your mobile device.

Download and edit this free checklist

Browse for other checklists


iauditor logo

The World's #1 Cloud-Based Inspection Software and App

chevron logo
coles logo
emirates logo
overground logo
tesla logo
toyota logo

Patient Details

Enter name

Select gender

Enter date of birth

Enter telephone

Enter address

Enter email

Incident Details

Select activity type
Select equipment used

Provide description of property/ material damaged

Select type of injury

Provide description of body injury

Provide any other information

Risks on Day

Describe primary cause of incident and conditions on the day

Please select level of risk associated with items below

Swell size

Wave type

Tide/ current

Time between sets

Depth of water

Geography/ topography

Beach debris

Water quality

Wind

Temperature

Coastal defences

Other man-made structures

Hazardous substances

Beach/ water population

Activities/ events

Behavioural

Vulnerable groups

Other water users

Available light

Treatment and Action

Describe initial treatment

Describe recommended action

List any other agencies involved

Are there likely to be claims relating to this incident (legal, insurance etc.)

Had the surf lifesaver undergone training prior to the incident?

Was the equipment checked prior to use?

Were emergency communications available?

Was first aid equipment available?

Was safety cover available?

Witness Details

Add witness

Name

Contact phone details

Age

Injury (if injured)

Role

Signature

Signed by incident investigator