Attachments Facility Sketch: Attach a sketch (including a North arrow) of the facility indicating: Location of and distances between lifeguard(s) Location(s) of the victim at time of submersion and recovery Presence and location of any diving boards, slides, floating platforms or other amusements Location and distance to float lines Location of safety/ first aid equipment Supporting Documentation: Request and attach copies of: Lifeguard Certifications Schedule of lifeguard rotations/breaks Facility Safety Plan Autopsy report from Coroner or Medical Examiner Pre-Hospital Care reports (Ambulance run reports) Hospital Emergency Care reports Police reports Fire Department reports Dispatch Log
Attachments Facility Sketch: Attach a sketch (including a North arrow) of the facility indicating: Location of and distances between lifeguard(s) Location(s) of the victim at time of submersion and recovery Presence and location of any diving boards, slides, floating platforms or other amusements Location and distance to float lines Location of safety/ first aid equipment Supporting Documentation: Request and attach copies of: Lifeguard Certifications Schedule of lifeguard rotations/breaks Facility Safety Plan Autopsy report from Coroner or Medical Examiner Pre-Hospital Care reports (Ambulance run reports) Hospital Emergency Care reports Police reports Fire Department reports Dispatch Log
Model-Drowning-Near-Drowning-Investigation-Form-05-15-2015.docx