Medium

Available on

Apple Android Windows

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

Want to learn more about GoCanvas?

Request a Demo

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.'}}

  • {{data.title}}

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!

Related Other Services Apps... and they're all free for GoCanvas subscribers!

App Name

Pool Lifeguard Operations Safety Audi...

The Pool Lifeguard Operations Safety Audit Survey Tool mobile app is a pro-active safety auditing tool designed to increas...

App Name

Swimming Pool Inspection Sequence and...

This Swimming Pool Inspection Sequence and Procedures Checklist Mobile App is designed to help ensure nothing is missed du...

App Name

Lifeguard Hold Harmless and Medical...

Injuries are inherent to sports; therefore, in the event of an injury the Lifeguard Hold Harmless and Medical Release Info...

App Name

Swimming Pool Employee- Drug Testing ...

As a prerequisite or condition to employment, employees may be requested to undergo blood tests and/or urinalysis. The Swi...

App Name

Safety Tips for Portable Pools

The Safety Tips for Portable Pools mobile app provides simple safety tips for keeping children and families safe around al...

App Name

Pool Log

The Pool Log mobile app records both daily and weekly tests, including, Disinfectant: Free Chlorine Residual, Combined chl...

App Name

Public Swimming Pools and Spas Inspec...

The Public Swimming Pools and Spas Inspection mobile app is a 126 question inspection that can easily be completed using a...

App Name

Simples Pasos de Seguridad del Agua

Natación, Piscina, Spa, Jacuzzi, Centro Acuático, característica del agua, mantenimiento, seguridad en el agua, inspección...

More Information