Swimming Pool Incident Report Compliance Assurance Division * Please Type or Print Clearly Section 1. Facility Information Name :Permit # :Address :County :City, State, Zip :Pool Type (circle one).
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How to fill out the SC DHEC 3785 online
The SC DHEC 3785 form is an essential document for public pool owners or operators to report incidents involving patrons that result in injury or require emergency medical services. This guide provides you with step-by-step instructions to complete the form accurately and efficiently.
Follow the steps to complete the SC DHEC 3785 online.
- Press the ‘Get Form’ button to access the SC DHEC 3785 form and open it in your online editor.
- In Section 1, enter the facility information. Provide the name of the facility, as well as the address, city, state, zip code, and phone number. In the right column, input the permit number, county, and select the pool type by circling one from the options A, B, C, D, E, F, or G.
- Move to Section 2 to fill in the owner information. Record the name of the facility owner followed by their address, city, state, zip code, and phone number.
- Proceed to Section 3 for incident information. Circle the type of incident that occurred (drowning, immersion, cut/abrasion, or other). If you select 'other,' provide a brief description.
- In the left column of Section 3, enter the date of the incident, and in the right column, provide the time the incident occurred.
- Indicate whether an emergency response was required by circling 'YES' or 'NO' for 911, ambulance, or emergency room visit. Also, circle the appropriate age range of the victim (child, adult, senior citizen) and their sex (male or female).
- List the names of any witnesses in the designated fields and include a brief description of the incident and any actions taken.
- At the end of Section 3, circle 'YES' or 'NO' to indicate if a police report is attached.
- Finally, the owner needs to sign and date the form at the bottom before submitting.
- After completing the form, you can save your changes, download, print, or share the document as needed.
Complete your SC DHEC 3785 form online to ensure timely incident reporting.
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What does the Scdhec stand for?
Welcome to the former South Carolina Department of Health and Environmental Control (SCDHEC) GIS HUB.
What is the new name for SC DHEC?
Under state law, the South Carolina Department of Health and Environmental Control (DHEC) is becoming two separate agencies on July 1, 2024. The two new agencies will be the South Carolina Department of Environmental Services (SCDES) and South Carolina Department of Public Health (DPH).
How do I contact SC DHEC?
The Department of Health and Environmental Control (DHEC) Phone: 803-734-8500. Fax: 803-737-4188. Email: tthomas@ed.sc.gov.
What is the new name for the Scdhec?
The two new agencies will be the South Carolina Department of Environmental Services (SCDES) and South Carolina Department of Public Health (DPH). As part of this change: DHEC's current retail food program and milk and dairy lab will move to the South Carolina Department of Agriculture (SCDA)
What does scdhec do?
The South Carolina Department of Health and Environmental Control (SC DHEC or DHEC) was the government agency responsible for public health and the environment in the U.S. state of South Carolina.
How do I report to SC DHEC?
How do I report to SC DHEC? Health Facility Complaints If you are unable to submit your health facility complaint online, you can call our office at (803) 545-4370 or 1-800-922-6735 and indicate you wish to file a complaint against a health facility or service.
What is the name of South Carolina's health department?
The South Carolina Department of Public Health (DPH) was created by the state Legislature with the DHEC Restructuring Act of 2023 (Act 60). It is the health component of the agency formerly known as DHEC.
What is DHEC in South Carolina?
The Department of Health and Environmental Control (DHEC)
Why did DHEC split?
As a part of the bill to split up DHEC, lawmakers commissioned a $3.2 million analysis of the agency, which revealed South Carolina's public health system was one of the most inefficient in the nation — paying more money for worse results than anywhere else.
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