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Swimming pool incident report form

Swimming pool incident report 2025

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The document is a Public Pool and Spa Injury Incident Report Form from the Ohio Department of Health, designed for reporting injuries, drownings, or near drownings at public pools and spas. It outlines the necessary steps for reporting incidents, including timelines for submission and required documentation. The form collects detailed information about the injured person, incident specifics, facility details, and injury descriptions while ensuring confidentiality by prohibiting personal information disclosure.

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Click ‘Get Form’ to open the swimming pool incident report in the editor.
Begin by filling out the 'Facility Information' section. Enter the facility name, address, city, state, and type of facility. This information is crucial for identifying where the incident occurred.
Next, move to the 'Description of Injured Person' section. Input details such as age, sex, race, and whether the injured party was an employee or patron. This helps in understanding demographics involved in incidents.
In the 'Description of Incident' section, provide the date and time of the incident. Describe what happened in detail and indicate if lifeguards were present and if a water rescue was performed.
Complete the 'Description of Injury' section by selecting the type of injury sustained and specifying the area injured. This information is vital for health assessments.
Finally, fill out your details in the 'Form Completed By' section including your name, contact phone number, position, and date of completion before submitting it to your local health district.

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Which actor was in the swimming pool incident?

Details have emerged after Zac Efrons hospitalization last week due to an incident at a swimming pool in Ibiza, Spain. The Iron Claw actor was brought to the hospital last Friday as a precaution after suffering a minor swimming injury while staying at a villa in Ibiza.

What accidents can occur in a swimming pool?

5 Common Swimming Pool Accidents to Be Aware Of Drowning in the Pool. Drowning is a risk every pool owner and swimmer must take seriously. Diving Board Accidents. Diving board injuries are another cause of pool-related accidents. Pool Drain Accidents. Pool Slips and Falls. Swimming Pool Injuries from Horseplay.

When shouldnt you swim in a pool?

AVOID SWIMMING WHILE SICK No one wants to miss a fun outing we get it. But the risk of infecting others when someone in your family is ill is high. And if someone has an, ahem, incident in a pool, it has to be shut down for a period of time for cleaning which is a bummer for everyone.

What are the top 3 injuries in swimming?

Competitive swimmers are predisposed to musculoskeletal injuries of the upper limb, knee, and spine.

What are the 5 rules of incident reporting?

What are the five rules of incident report writing? Timeliness: Always report the incident as soon as possible. Accuracy: Make sure all information provided is accurate and detailed. Completeness: Be thorough and provide all important details. Confidentiality: Handle sensitive and personal information carefully.

pool incident report template

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What is one of the greatest risks in a swimming pool?

Top Swimming Pool Dangers (Interactive) Slipping and tripping. The area around the pool can get pretty wet and slippery, which increases the risk of slips, trips and falls. Drowning. Unfortunately, drowning is a docHub risk associated with swimming pools. Electrical hazards. Pool chemicals. Diving boards. Pool ladders.

What is a swimming pool accident?

Slip and fall accidents are common and can occur when the pool deck is wet or uneven. Diving accidents can occur when someone jumps into the pool without checking the water depth or when the diving board is defective.

How to write a basic incident report?

How to write a workplace incident report Gather essential information. Describe the incident. Include injuries and damages. Interview witnesses. Identify contributing factors. Review company policies and procedures. Attach supporting documents. Maintain objectivity.