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How to fill out the Pool Incident Report Template online
The Pool Incident Report Template is a crucial document for reporting accidents at public swimming pools. This guide provides clear and concise instructions to help users accurately complete the form online.
Follow the steps to accurately complete the Pool Incident Report Template.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Enter the date and time of the incident in the designated fields marked for these details.
- Fill out the Accident ID number, using the specified format YYYY-MMDD-County # for identification.
- Provide victim information, including first name, last name, middle initial, and address (street, city, state, and zip code). Ensure accurate input for effective reporting.
- Indicate whether the victim is a non-swimmer by checking the appropriate box (Yes, No, or Unknown).
- Select the area of the body that was injured by checking all applicable options in the Type of Injury section.
- Choose the treatment required by marking all applicable options in the Treatment Required section.
- Fill in the pool information, including the pool's name, address, contact person, and their position, along with the pool's license number.
- Confirm whether the pool was open at the time of the incident and if a lifeguard was on duty by marking Yes or No.
- Outline the factors contributing to the accident by checking all relevant options. This helps identify safety concerns.
- Record if there were other injuries by indicating Yes or No and providing names if applicable.
- Describe the incident clearly in the designated area, ensuring legibility for effective communication.
- Print or type your name, sign the form, and enter the date before submitting it.
- After completing the form, ensure to save changes, download, print, or share it as required.
Start filing your Pool Incident Report Template online today for quick and accurate documentation.
An incident report generally includes sections for identifying information, a detailed narrative of the incident, and signatures from involved parties. It should present information clearly, often in a straightforward, organized fashion. By referring to a Pool Incident Report Template, you can visualize how to compile all of these components effectively.
Fill Pool Incident Report Template
Please use one form for each injured person. DO NOT include their personal information (e.g. To be filled out and sent to the local health district when an injury occurs at a public swimming pool. Date of Investigation: Name of Establishment : Address: City or Township: Owner or Person in Charge: Title: Name of Accident Victim:.
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