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Get Swim Pool Fecal Incident Report - Vilas County Public Health

F-fd-18. docx New 7/16 Wisconsin Department of Agriculture Trade and Consumer Protection Division of Food and Recreational Safety PO Box 8911 Madison WI 53708-8911 Phone 608 224-4720 Fax 608 224-4710 SWIMMING POOL AND WATER ATTRACTION FECAL INCIDENT RESPONSE REPORT Wis. Ch. ATCP 76. 31 Fecal accident response. 1 In responding to a fecal accident the operator shall consider guidelines for fecal accidents in pools used for swimming published by the federal centers for disease control and prevention. Note Centers for Disease Control guidelines for responding to fecal accidents and blood and vomit spills may be viewed at http //www. cdc.gov/healthyswimming/fecalacc.htm. 2 The operator shall document each fecal contamination as follows a The date and time of the event and the free available chlorine and pH level at the time of the event and after the event before re-opening the pool to the public. b Whether the stool is formed or loose. Cdc.gov/healthyswimming/fecalacc.htm. 2 The operator shall document each fecal contamination as follows a The date and time of the event and the free available chlorine and pH level at the time of the event and after the event before re-opening the pool to the public. b Whether the stool is formed or loose. c The procedures followed in responding to the fecal contamination. d The number of patrons in the pool and the length of time between the occurrence detection and resolution of the incident. Admin. Code ch. ATCP 76 Please use one form per incident. Operator shall maintain a copy of form for a minimum of two years and make available upon request. ch. ATCP 76. 31 Fecal accident response. 1 In responding to a fecal accident the operator shall consider guidelines for fecal accidents in pools used for swimming published by the federal centers for disease control and prevention. Note Centers for Disease Control guidelines for responding to fecal accidents and blood and vomit spills may be viewed at http //www. 5 or less and a water temperature of 77 F or higher RESPONSE PROCEDURES SANITIZER CONCENTRATION C AND INACTIVATION TIME T USED CI/Br ppm X time in minutes METHOD OF STOOL REMOVAL METHOD OF SANITIZING EQUIPMENT USED FOR STOOL REMOVAL OPERATOR NAME Please Print OPERATOR SIGNATURE DATE Personal information you provide may be used for purposes other than that for which it was originally collected. Wis. C The procedures followed in responding to the fecal contamination. d The number of patrons in the pool and the length of time between the occurrence detection and resolution of the incident. ESTABLISHMENT INFORMATION LICENSE NUMBER CITY STATE BUSINESS E-MAIL ZIP BUSINESS PHONE LEGAL LICENSEE CONTACT PERSON - CONTACT PHONE TYPE OF POOL OR WATER ATTRACTION DATE AND TIME OF EVENT AND DETECTION NUMBER OF PATRONS PRESENT TYPE OF FECAL CONTAMINATION Formed Stool Vomit or Blood CT must equal 45 before re-opening Diarrhea CT must equal 15 300 before re-opening CT dependent on a pH of 7.

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