Get Public Pool And Spa Injury Incident Report Form

This guide provides a comprehensive overview of filling out the public pool and spa injury incident report form online, ensuring that users can complete it accurately and efficiently. By following these instructions, you can ensure all necessary information is captured for reporting incidents effectively.

Follow the steps to fill out the incident report form online

1. Press the ‘Get Form’ button to access the incident report form in your preferred online editor.
2. Begin by completing the facility information section, including the facility name, address, city, state, and facility type. Ensure that the correct type of facility is selected by marking the appropriate checkbox.
3. Next, provide details about the injured person. Fill in their age, sex, race, and ethnicity. Remember to check all that apply.
4. In the description of the incident section, enter the date and time of the incident. Clearly explain what happened and attach additional sheets if necessary.
5. Indicate whether the pool or spa was open at the time of the incident and if the enclosure was secured. Answer the questions regarding lifeguard presence and the location of the incident by marking the appropriate options.
6. Fill out the result of the incident section, indicating whether any rescue measures were taken and if emergency medical services were called.
7. Describe the nature of the injury sustained by checking the relevant types of injuries and detailing the area that was injured.
8. In the form completed by section, print the name, contact phone, and position of the person filling out the form, along with the date of completion.
9. Once all sections are complete, review the document for accuracy. You can then save changes, download, print, or share the completed form as required.

Complete your document online to ensure thorough reporting of incidents.