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English Instructor Manual (PDF) - Metric Version - National ...

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APPENDIX W<br />

On-Site Lifeguard Operations Audit<br />

How to Use This Form<br />

1. This survey is to be used to record the results of the on-site evaluation.<br />

2. The "point value" portion of the checklist indicates the point value of that skill.<br />

3. The "points awarded" portion of the survey indicates the number of points that are awarded for that activity.<br />

Either all the possible points are awarded or no points are awarded. There is no partial credit for skills.<br />

4. If a facility does not obtain a minimum of 40 points on the Lifeguard Skills Testing, the facility automatically<br />

fails the on-site evaluation, regardless of the other scores.<br />

5. Points are tallied at the end of each section and the "total score" is tallied at the end of the survey. A total<br />

score of 80-100 points indicates that the facility has passed the on-site evaluation. A score of 0-79 points<br />

indicates that the facility has failed the on-site evaluation.<br />

6. The "comments" portion of the survey should be completed if a facility is not awarded any points.<br />

Facility Information (print)<br />

Name of Facility: ______________________________________________<br />

Address of Facility: ____________________________________________<br />

Facility Manager: __________________ Date of Testing: _____________<br />

Lifeguard Surveillance<br />

Activity<br />

Point<br />

Value<br />

Adequate number of lifeguards on duty<br />

3<br />

Lifeguards properly positioned<br />

2<br />

Lifeguards easily identifiable and in proper uniform 1<br />

Lifeguards have necessary equipment<br />

2<br />

Lifeguards maintain consistent surveillance<br />

3<br />

Lifeguards communicate effectively<br />

2<br />

Lifeguard rotation procedures followed<br />

2<br />

Conditions do not exist that impact safety<br />

5<br />

TOTAL POINTS 20<br />

Facility Tour<br />

Activity<br />

Point<br />

Value<br />

2<br />

2<br />

2<br />

2<br />

1<br />

1<br />

1<br />

2<br />

2<br />

5<br />

Facility has adequate equipment<br />

Safety equipment is in good working order<br />

Backboard is easily accessible<br />

First aid supplies are properly stocked and available<br />

General signage is clear and readable<br />

Depth markings are clearly marked<br />

"No Diving" is clearly posted where applicable<br />

Pool main drain is clearly visible from the deck<br />

Communications system is readily available<br />

Conditions do not exist that impact safety<br />

TOTAL POINTS 20<br />

Points<br />

Awarded<br />

Points<br />

Awarded<br />

Comments<br />

Comments<br />

Page 222<br />

© 2014 <strong>National</strong> Swimming Pool Foundation®

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