Local Swim Meet Lifeguard Incident Report
Date of Incident
Time of Incident
Location
Lifeguard Name
Contact Information
Name(s) of Person(s) Involved
Age(s) of Person(s) Involved
Role at Event
Athlete
Coach
Staff
Spectator
Other
Type of Incident
Injury
Near Drowning
Medical Emergency
Behavioral Issue
Other
Description of the Incident
Actions Taken
Witnesses (names and contact info)
Reported to (e.g., supervisor, emergency services)
Additional Notes