Hotel Swimming Pool Accident Report
Date of Accident
Time of Accident
Location (Pool Area/Section)
Name of Injured Person
Guest / Staff
Guest
Staff
Age
Gender
Male
Female
Other
Contact Information
Describe the Accident
Description of Injury
First Aid Provided (if any)
Taken to Hospital/Clinic?
Yes
No
Witness Name(s)
Witness Contact Information
Reported by
Position/Title
Report Date