Hotel Pool Lifeguard Accident Report Form
Incident Details
Date of Incident
Time of Incident
Location of Incident
Describe the Incident
Injured Person Details
Name
Age
Gender
Male
Female
Other
Relationship to Hotel (Guest/Staff/Other)
Injury Details
Nature of Injury
Body Part(s) Injured
Treatment Provided
Witnesses
Witness Name(s) and Contact Info
Lifeguard Details
Lifeguard Name
Lifeguard Statement
Further Action
Was Medical Assistance Called?
Yes
No
Additional Notes