Treasure Valley Family YMCA

• Document No. 70000

• Aquatics Safety Check

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Start decimeter recording. Take pictures and videos.

• Quick pictures of people and property including lifeguards and swim instruction.

  Media

• Bather load count

• Guards on rotation

• Was I approached and welcomed by staff?

• Select date

  Date

• Are people behaving in ways that reduce risk of injury, accident and complaint?

• 
  Give names of those who are successful and those who provide coaching opportunities below.

Staff

Professionalism

• Uniform Standards
  Lifeguards - logo shirt or swimsuit, name tag, black shorts, whistle, rescue tube in position, fanny pack, proper footwear.
  Instructors - logo swimsuit, shirt and black shorts, or aquatard; name tag and whistle.
  Volunteers - red logo shirt or vest unless in water.

• All staff on deck wear appropriate uniform, avoid excessive communication unrelated to work, use open and confident posture, and address members politely and respectfully.

• How many staff?

  All

  Most

  Some

  Few

  Not Applicable
Name(s)

• Description

Lifeguards

• Rotation 1

  Date

• Rotation 2

  Date

• Rotation 3

  Date

• Rescue tubes are held across front, with strap across chest and slack adequately controlled.

• How often?

  All of the time

  Most of the time

  Some of the time

  Occassionally

  Not applicable
Name(s)

• Photo

  Media

• Guards are positioned to scan and access the top, middle and bottom area of zone of responsibility within 10/10 rule.

• How many positions are in prime location?

  All

  Most

  Some

  Few

  Not Applicable
Position

• Description

• Photo

  Media

• Guards are actively scanning top, middle and bottom of zone within 10/10 rule.

• How often do guards appear to scan with vigilance?

  All of the time

  Most of the time

  Some of the time

  Occassionally

  Not applicable
Name(s)

• Video or photo taken

• Video or photo

  Media

• Rotating guards change positions and communicate about zone without breaking 10/10 scan.

• How often do guards rotate while maintaining scan?

  All of the time

  Most of the time

  Some of the time

  Occassionally

  Not applicable
Name(s)

• Photo

  Media

• Fanny pack of guard checked and complete.
Name(s)

• Guards address inappropriate behavior immediately with Q1Q2.

• How often do guards use Q12?

  All of the time

  Most of the time

  Some of the time

  Occassionally

  Not applicable
Name(s)

• Did guard need assistance?

• Give details of event.

• Drill initiated and scored during safety check.

• Drill

  White Cap

  Drop

• All guards passed
Name(s)

• Outcome

  Pass

  Fail with remediation

Instructors

• Are swim classes, group lessons, or group practices in session?

Group Group Type

• Number of participants

• Number of instructors

• Instructors are in a position most beneficial to class, to view participants constantly and speak to individuals when needed.

• How often are instructors in safe position?

  All of the time

  Most of the time

  Some of the time

  Occassionally

  Not applicable
Name(s)

• Description

• Add media

  Media

• Feedback is immediate and appropriate for class participants.

• How often is feedback given?

  All of the time

  Most of the time

  Some of the time

  Occassionally

  Not applicable
Name(s)

• Description

• Direction is understood by participants.

• How often do participants change behavior based on feedback?

  All of the time

  Most of the time

  Some of the time

  Occassionally

  Not applicable
Name(s)

• Description

• Class is tailored toward ability levels of participants.

• How many participants actively participate during class?

  All

  Most

  Some

  Few

  Not Applicable
Name(s)

• Description

Visiting Staff

• Are staff from other departments on deck?

• Are staff in uniform, professional, and performing their duties?

  All

  Most

  Some

  Few

  Not Applicable
Group name(s)
Name(s)

• Are staff promoting safety by role modeling good behavior and addressing others when needed?

  All

  Most

  Some

  Few

  Not Applicable
Group name(s)

• Add media

  Media

Volunteers

• Is there one or more volunteers on deck?

• What support is the volunteer providing?

Support
Name(s)

• Are volunteers promoting safety by role modeling good behavior and addressing others when needed?

  All of the time

  Most of the time

  Some of the time

  Occassionally

  Not applicable

Members, Participants, Guests

• All swimmers under 18 are marked with a swim test band.

• How many are marked?

  All

  Most

  Some

  Few

  Not Applicable

• Are members engaged in their classes?

  All

  Most

  Some

  Few

  Not Applicable

• Description

• Members know deck rules and uphold them.

• How many members follow rules?

  All

  Most

  Some

  Few

  Not Applicable

• Description

Deck

• Complete rules are posted.

• Where are complete pool rules located?

  Select Main entrance Locker room entrance Next to pool on inside wall Next to slide Next to spa

  • Main entrance
  • Locker room entrance
  • Next to pool on inside wall
  • Next to slide
  • Next to spa

• Which pool?

  Select 50 Meter Diving Well Instructional Kiddie Lap Lazy River Rec Slide Catch Spa

  • 50 Meter
  • Diving Well
  • Instructional
  • Kiddie
  • Lap
  • Lazy River
  • Rec
  • Slide Catch
  • Spa

• Do rules include shower before pool?

• Where are shower rules posted?

  Select Main entrance Locker room entrance Next to pool on inside wall Next to slide Next to spa

  • Main entrance
  • Locker room entrance
  • Next to pool on inside wall
  • Next to slide
  • Next to spa

• Which pool?

  Select 50 Meter Diving Well Instructional Kiddie Lap Lazy River Rec Slide Catch Spa

  • 50 Meter
  • Diving Well
  • Instructional
  • Kiddie
  • Lap
  • Lazy River
  • Rec
  • Slide Catch
  • Spa

• Rules include no breath holding.

• Swim test rules are posted.

• Where are swim test rules located?

  Select Main entrance Locker room entrance Next to pool on inside wall Next to slide Next to spa

  • Main entrance
  • Locker room entrance
  • Next to pool on inside wall
  • Next to slide
  • Next to spa

• Which pool?

  Select 50 Meter Diving Well Instructional Kiddie Lap Lazy River Rec Slide Catch Spa

  • 50 Meter
  • Diving Well
  • Instructional
  • Kiddie
  • Lap
  • Lazy River
  • Rec
  • Slide Catch
  • Spa

• Slide rules are posted.

• Where are slide rules located?

  Select Main entrance Locker room entrance Next to pool on inside wall Next to slide Next to spa

  • Main entrance
  • Locker room entrance
  • Next to pool on inside wall
  • Next to slide
  • Next to spa

• Which pool?

  Select 50 Meter Diving Well Instructional Kiddie Lap Lazy River Rec Slide Catch Spa

  • 50 Meter
  • Diving Well
  • Instructional
  • Kiddie
  • Lap
  • Lazy River
  • Rec
  • Slide Catch
  • Spa

• If group session is in progress, do signs clearly indicate group name?

  Select All Most Some Few Not Applicable

  • All
  • Most
  • Some
  • Few
  • Not Applicable

• Group name

• Tiles and grates are in good condition around all pools.

• Around which pool are tiles in need of attention?

  Select 50 Meter Diving Well Instructional Kiddie Lap Lazy River Rec Slide Catch Spa

  • 50 Meter
  • Diving Well
  • Instructional
  • Kiddie
  • Lap
  • Lazy River
  • Rec
  • Slide Catch
  • Spa

• Description

• Add media

  Media

• Is deck free of standing water in walkways?

• Is there any sign giving indication of hazard?

• Description

• Add media

  Media

• Is deck free of clutter accessible to public?

• What is the condition of the showers on deck?

  Select Good In need of repair In need of replacement Missing Signs of wear

  • Good
  • In need of repair
  • In need of replacement
  • Missing
  • Signs of wear

• Stairs are clean and in good condition.

• Add media

  Media

Pool

• Can you see all grates at bottom of pool? Check water clarity.

• Which pool is in need of closure?

  Select 50 Meter Diving Well Instructional Kiddie Lap Lazy River Rec Slide Catch Spa

  • 50 Meter
  • Diving Well
  • Instructional
  • Kiddie
  • Lap
  • Lazy River
  • Rec
  • Slide Catch
  • Spa

• Has it been closed?

• How many depth changes are open for free swim?

• How many float lines are in place?

• Are the float lines at the beginning of substantial depth change?

• What is the purpose of float line position or absence?

• Are the lines in good condition?

• Description

• Are the lane lines in good condition, showing no cracks or wear?

• Add media

  Media

• Is the crash pad at the bottom of the kiddie slide in good condition?

• Add media

  Media

Equipment

• Are slides, boards and blocks marked closed if not in use?

• Describe

• Add media

  Media

• Is slide free of leaks, cracks, hazards?

• Description

• Add media

  Media

• Personal protective equipment is plentiful and in good condition.

• What is the condition of the PPE? First aid, masks, tubes, gloves

  Select Good In need of repair In need of replacement Missing Signs of wear

  • Good
  • In need of repair
  • In need of replacement
  • Missing
  • Signs of wear

• Is the AED stored properly and in good condition?

• Is the oxygen stored properly and more than half full?

Business

• Is the work schedule accessible by all staff?

• Are all participants registered for applicable classes?

Training and Certifications

• List names of staff requiring certifications and on deck.

Cert(s)
Name(s)

• Are drill logs are up to date and compliant? Each guard should have completed all drills each quarter (at least 2/month).

• Add media

  Media

• Do in-service logs include agenda and attendance?

• Add media

  Media

OSHA

• Are cleaning chemicals stored and locked?

• Description

• Are chemicals labeled according to standards?

• Description

• SDS book available?

• Is the book up to date?

• Description

Health Department

Pool

• Select pool chemical log

  Select 50 Meter Diving Well Instructional Kiddie Lap Lazy River Rec Slide Catch Spa

  • 50 Meter
  • Diving Well
  • Instructional
  • Kiddie
  • Lap
  • Lazy River
  • Rec
  • Slide Catch
  • Spa

• Guards are checking chemicals about every two hours.

• Current pH

• Closed

• At what measurement was CPO called?

• Current Chlorine?

• Closed

• What was measurement when CPO was called?