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Public Swimming Pool Accident Form Mobile App

The Public Swimming Pool Accident Form mobile app is mandatory for any incident or rescue at a public swimming pool or center. The app specifies the circumstances of the day of the accident, the type of rescue, victim information, injury details, medical emergency provided and patient assessment, parent and relative notification, as well as witness and rescue providers’ information. This app can be tailored to your public pools regulations and standards.

  • Lendlease
  • The Cooperative
  • PG&E
  • Red Bull
  • Mirvac

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Take a peek inside the Public Swimming Pool Accident Form Mobile App

Included Features

Our App Builder gives you the power to easily add and remove the ones you want. {{controller.show_all ? 'See included features.' : 'See more features.'}}

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Included Fields

Customize to add, remove, or edit any of the fields below.

  • Ico statictext

    (MUST Be Completed for ANY Accident or Rescue)

  • Ico textbox

    Pool Name:

  • Ico date

    Accident Date:

  • Ico time

    Accident Time:

  • Ico textbox

    Injured Person/Victim:

  • Ico textbox

    Address:

  • Ico textbox

    City:

  • Ico integer

    Zip:

  • Ico textbox

    Phone No.

  • Ico integer

    Age:

  • Ico dropdown

    Sex:

  • Ico textbox

    Lifeguard on Duty:

  • Ico textbox

    Name of Family Member Notified:

  • Ico textbox

    Relationship to Victim:

  • Ico textbox

    Phone No.

  • Ico textbox

    Name of Employee Care Giver/Employee Completing Report

  • Ico textbox

    Supervisor’s Review

  • Ico textbox

    Air Temperature:

  • Ico textbox

    Water Temperature:

  • Ico textbox

    Visibility:

  • Ico checkbox

    Sunny and clear

  • Ico checkbox

    Sunny with partial cloud coverage

  • Ico checkbox

    Cloudy

  • Ico checkbox

    Rain, no lightening

  • Ico checkbox

    Rain with Lightening

  • Ico checkbox

    Electrical Storm

  • Ico checkbox

    Verbal

  • Ico checkbox

    Whistle Blows

  • ...and More!

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