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Pool Rescue & Incident Report Form

Log a rescue or incident at the poolside and capture what happened, the outcome, and any witnesses for a clear record.

Description

The Pool Rescue and Incident Report Form gives lifeguards and pool staff a clear way to record what happened after a rescue or incident. You log the type of incident, when and where it happened, and a full account of events, so your facility keeps an accurate record for safety reviews, insurance, and any follow-up that’s needed.

Capturing whether a rescue or first aid was carried out, the casualty’s details, the outcome, and whether emergency services were called means nothing important is missed in the moment. The reporter’s name, role, email, and any witnesses complete the report, giving you a thorough, reliable record that supports both accountability and continual safety improvement.

Good incident records make pools safer over time. Sign up for a free Fun Forms account to customize the fields and embed this report form on your website.

Form fields

Everything the Pool Rescue & Incident Report Form above collects — 13 fields, so you can see exactly what it captures before you make it your own.

Report a Pool Incident

  • Type of incident

    Dropdown Icon
    Dropdown
  • When did it happen?

    Date Icon
    Date
  • Time (roughly)

    Time Icon
    Time
  • Where?

    Dropdown Icon
    Dropdown
  • What happened?

    Long Answer Icon
    Long Answer
  • Was a rescue or first aid carried out?

    Dropdown Icon
    Dropdown
  • Casualty name / description (if applicable)

    Short Answer Icon
    Short Answer
  • Outcome

    Dropdown Icon
    Dropdown
  • Were emergency services called?

    Yes/No Icon
    Yes/No
  • Reported by (staff name)

    Name Icon
    Name
  • Role / position

    Short Answer Icon
    Short Answer
  • Your email

    Email Icon
    Email
  • Witnesses (names, if any)

    Short Answer Icon
    Short Answer
Use Template Arrow Right Icon

Template FAQs

Common questions about the Pool Rescue & Incident Report Form — what it captures, when to use it, and how to make it your own.

What is a pool incident report form?

It’s a record completed by staff after a rescue or incident at a pool, capturing what happened, the outcome, and any witnesses. Facilities use it for safety reviews, insurance, and follow-up, so every incident is documented clearly and consistently.

Who should complete an incident report?

The lifeguard or member of staff involved in, or first aware of, the incident should complete it, ideally as soon as possible. It suits pools, leisure centers, and swim schools that need a reliable record of rescues, injuries, and near-misses.

Why record incidents in detail?

A clear, detailed account protects everyone, supports insurance and any investigation, and helps a facility spot patterns and improve safety. Recording the time, place, actions taken, and outcome means the full picture is preserved while it’s fresh.

Should I record near-misses too?

Yes. Near-misses reveal risks before they cause harm, so logging them is valuable. Recording them alongside actual incidents helps a facility identify hazards early and act, making the pool safer for both swimmers and staff over time.

Why capture witness details?

Witnesses can confirm what happened and add detail the reporter may have missed, which matters for any review or claim. Recording their names at the time means they can be contacted later if the incident needs to be looked into further.

Is this report form free to use?

Yes — it’s completely free with a Fun Forms account. You can customize every field, restyle it to match your brand, embed it on your website in seconds, and it needs no coding at all.