Facility Emergency Response are only examples and do not cover all possible incidents or actions. Alter as appropriate. Attach blank copy of Incident Reporting Form and Emergency Site Plan.) Medical Emergencies (near drowning/drowning, unconscious, pain, spinal/head injury, broken bones/sprains, seizures, allergic reactions, etc.) Facility Procedure Call 911 Provide assistance as necessary Record incident on records sheet  Prevention (may include) Signage posted and enforced Staff training Good water quality markings visible Pool monitored for slips and entrapment  Minor Incidents/First Aid Facility Procedure Provide assistance as necessary Advise patron to see his/her doctor Record incident on records sheet  Prevention (may include) Signage posted and enforced Pool monitored for slips and damage First aid kit well stocked  Heat-Related Incidents Facility Procedure Call 911 Provide assistance as necessary Record incident in records  Prevention (may include) Hot tub max 104OF Signage posted Clock functioning Sink and shower max 120 OF  Facility Procedure See attached CDC Response Protocol Record incident in records  Prevention (may include) Signage posted  Blood and Body Fluid Incidents (in and out of water) Facility Procedure    Record incident in records  Prevention (may include) Signage posted  Disease Outbreaks (rashes, eye or ear infection, fungal infections) Facility Procedure Contact Health Authority Advise patron to see his/her doctor Record in records Check records to identify potential problems when client used facility and current conditions Apply corrective action as necessary  Prevention (may include) Signage posted and enforced Exclude patrons that are ill Minimize contamination to pool Provide soap at showers and Follow cleaning procedures Balance pool chemistry Ensure adequate level of disinfectant  Entrapment/Suction Incident Facility Procedure Shut down recirculation system if necessary Call 911 if necessary Close pool Determine reason for entrapment Apply corrective action Record on record sheet  Prevention (may include) Inspect pool facility regularly for entrapment hazards Signage Ensure proper flow through main drain Ensure proper covers on main drain Equalizer lines disabled  Hostile/Aggressive/Difficult Person Facility Procedure Call 911 if necessary  Prevention (may include) Staff training No consuming alcohol or other intoxicants
Missing Person Facility Procedure Call 911 if necessary  Record on record sheet  Prevention (may include) Proper signage Parents supervise children Evaluate pool and check bottom Gas Leak (chlorine, ozone, natural gas, propane, etc.) Facility Procedure Call 911 Clear the building  Record on record sheet  Prevention (may include) Know where and how to shut off gas Preventive maintenance and checks Monitoring systems training  Chemical Spill Facility Procedure   Call 911 if necessary Record on record sheet  Prevention (may include) Staff training Personal protective equipment present Knowledge of chemicals and interactions Proper storage Material Safety Data Sheets (MSDS) present  Fire (complete and attach an evacuation plan and site plan that includes location of alarms, exits, extinguishers, etc.) Facility Procedure Call 911 Inform fire department of chemical storage and location of store room See evacuation procedure below Record on record sheet Prevention (may include) Staff training Fire alarms and extinguishers Exit signs clearly marked Equipment maintained Proper chemical storage  Natural Disasters (lightning, flood, earthquake, etc.) Facility Procedure (area specific)     Prevention (may include) Staff training 
Written Procedures in the Event Test Results Fail (continued) Troubleshooting Problem Product General Procedures (e.g. describe dilutions or use product label) Alkalinity too high Alkalinity too low Cyanuric acid too high (if applicable) Cyanuric acid too low (if applicable – outdoor pools only) Water is cloudy Safe Handling and Storage of Chemicals Chemicals Used Essential Information, Precautions and Storage Details (follow SDS) E.g. Sodium hypochlorite (i.e. Corrosive, causes severe eye injury, skin burns, respiratory burns. Use protective gear to handle; do not mix with muriatic acid; chlorinator tank requires containment.)
Pool Cleaning Schedule Area Chemical, Cleaner or Other Products Used How to Handle Safely/Procedure (refer to SDS) Cleaning Frequency Person or Position Responsible Floors Change Room Showers/Washrooms Pool Deck Floor/Deck Drains Surfaces Benches/Lockers Shower Walls Toilet Bowls Sinks/Mirrors Pool Features Pool Basin at Water Mark Skimmer Baskets Vacuuming Other: Supplies Toilet Paper Soap Towels/Bathing Suits Other Areas