About this template
Accidents at aquatic facilities require immediate, thorough documentation. This Swimming Pool Incident Report Google Form template provides pool managers, lifeguards, and facility staff with a structured way to capture all necessary details when an unplanned event or injury occurs.
The form collects critical data including the injured person's information, exact incident location, environmental conditions like water depth, medical response details, and witness statements. Using Doc2Form, you can instantly turn this template into a live Google Form, making it accessible on tablets or phones right from the pool deck.
Maintaining clear records is essential for liability protection, insurance claims, and improving safety protocols. By centralizing your incident logs in Google Drive, your management team can easily review trends, ensure compliance, and take proactive measures to keep swimmers safe.
Key features
- Capture complete accident details from your phone or tablet on the pool deck.
- Record environmental conditions like water depth and lifeguard presence.
- Log witness contacts and medical or hospital visit outcomes.
- Securely store all incident reports automatically in Google Drive.
Use cases
Documenting slips, trips, or water rescues at community pools and wat…
Documenting slips, trips, or water rescues at community pools and water parks.
Logging safety incidents and near-misses at hotel and resort swimming…
Logging safety incidents and near-misses at hotel and resort swimming pools.
Recording injuries at fitness center or country club aquatic facilities.
What this form collects
- Injured Person Full Name (Short answer)Enter the first and last name of the person involved in the incident.
- Phone Number (Short answer)Provide a contact phone number for the injured person or their guardian.
- Injured Person Gender (Multiple choice)Select the gender of the injured individual.
- Injured Person Age (Short answer)Enter the age of the injured individual in years.
- Incident Date & Time (Date)Select the date and time when the incident occurred.
- Incident Location (Short answer)Specify where within the facility the incident happened (e.g., deep end, diving board, locker room).
- Incident Type (Dropdown)Choose the category that best describes the event.
- Injured Body Part(s) (Short answer)Indicate which parts of the body were affected, if applicable.
- Incident Description (Paragraph)Provide a detailed chronological account of what happened before, during, and after the incident.
- Water Depth of Incident (Short answer)If applicable, enter the water depth where the incident occurred (e.g., 3.5 feet).
- Pool / Spa Open Status (Multiple choice)Was the pool area officially open to swimmers at the time?
- Lifeguards Present Status (Multiple choice)Were lifeguards actively on duty at the time of the incident?
- Hospital Visit Status (Multiple choice)Did the injured person require transport to a hospital or medical facility?
- Hospital Name (Short answer)If applicable, enter the name of the hospital or medical facility visited.
- Witness Names & Contact Information (Paragraph)List the names and phone numbers of any witnesses who saw the incident.
- Pool Manager Full Name (Short answer)Enter the name of the manager completing or reviewing this report.
FAQ
What is a swimming pool incident report form used for?
It is used by pool staff and managers to officially record details surrounding accidents, injuries, or near-misses at an aquatic facility for safety and liability purposes.
Who should fill out this incident report?
The lifeguard, pool supervisor, or manager who responded to or witnessed the incident should complete the report as soon as possible while details are fresh.
Can I access this form from a mobile device?
Yes. Once generated as a Google Form via Doc2Form, staff can easily open and fill out the form from any smartphone or tablet directly from the pool area.
Where are form responses saved?
All submissions are automatically routed to a connected Google Sheet in your Google Drive, making it simple to organize, review, and export data for insurance or management.
Get this form in your Google Drive
Save a copy to your Google Drive with one click (uses 1 credit). Or build from a PDF or description in the app.