Aquatics Check List: Palo Alto Family YMCA

E-Check Auditor E-Check Auditor First Last
Date Date / MM / DD YYYY
Lap Pool
Activity Pool Life Guard Activity Pool Life Guard First Last
Number of Swimmers
Pool Activity

Pool Activity Adult Swim Family Swim Lessons Water Fitness
1. Guard is alert, actively scanning every 10 seconds with no personal, conversational or work activity

1. Guard is alert, actively scanning every 10 seconds with no personal, conversational or work activity Yes No (Automatic Failure)
2. Guard is identifiable: Lifeguard shirt, swim suit, whistle and fanny pack

2. Guard is identifiable: Lifeguard shirt, swim suit, whistle and fanny pack Yes No
3. Rescue tube is in the guard’s hand, strap is around chest, slack is adequately controlled.

3. Rescue tube is in the guard’s hand, strap is around chest, slack is adequately controlled. Yes No
4. Guards can see the entire area of responsibility, including the pool bottom

4. Guards can see the entire area of responsibility, including the pool bottom Yes No
5. Guard is positioned so any area of the pool can be reached in 20 seconds

5. Guard is positioned so any area of the pool can be reached in 20 seconds Yes No
6. Guard exhibits professional demeanor by posture, behavior, and attentiveness

6. Guard exhibits professional demeanor by posture, behavior, and attentiveness Yes No
7. Deck is well maintained and free of clutter

7. Deck is well maintained and free of clutter Yes No
8. Safety line is in place separating the deep and shallow portions of the pool (except for end-to-end activities, i.e. lap swim, etc.)

8. Safety line is in place separating the deep and shallow portions of the pool (except for end-to-end activities, i.e. lap swim, etc.) Yes No
9. All swimmers 12 and under are properly swim checked and wrist banded?

9. All swimmers 12 and under are properly swim checked and wrist banded? Yes No
10. Is the ratio of lifeguards to swimmers 1:25

10. Is the ratio of lifeguards to swimmers 1:25 Yes No
The Quick Check is a:
(Failure Criteria: ‘No’ is selected for Question 1 OR ‘No’ is selected for 2 or more on Questions 2-9.)

The Quick Check is a: (Failure Criteria: ‘No’ is selected for Question 1 OR ‘No’ is selected for 2 or more on Questions 2-9.) Pass Fail
Please leave additional comments:
Instructional Pool
Activity Pool Life Guard Activity Pool Life Guard First Last
Number of Swimmers
Pool Activity

Pool Activity Adult Swim Family Swim Lessons Water Fitness
1. Guard is alert, actively scanning every 10 seconds with no personal, conversational or work activity

1. Guard is alert, actively scanning every 10 seconds with no personal, conversational or work activity Yes No (Automatic Failure)
2. Guard is identifiable: Lifeguard shirt, swim suit, whistle and fanny pack

2. Guard is identifiable: Lifeguard shirt, swim suit, whistle and fanny pack Yes No
3. Rescue tube is in the guard’s hand, strap is around chest, slack is adequately controlled.

3. Rescue tube is in the guard’s hand, strap is around chest, slack is adequately controlled. Yes No
4. Guards can see the entire area of responsibility, including the pool bottom

4. Guards can see the entire area of responsibility, including the pool bottom Yes No
5. Guard is positioned so any area of the pool can be reached in 20 seconds

5. Guard is positioned so any area of the pool can be reached in 20 seconds Yes No
6. Guard exhibits professional demeanor by posture, behavior, and attentiveness

6. Guard exhibits professional demeanor by posture, behavior, and attentiveness Yes No
7. Deck is well maintained and free of clutter

7. Deck is well maintained and free of clutter Yes No
8. Safety line is in place separating the deep and shallow portions of the pool (except for end-to-end activities, i.e. lap swim, etc.)

8. Safety line is in place separating the deep and shallow portions of the pool (except for end-to-end activities, i.e. lap swim, etc.) Yes No
9. All swimmers 12 and under are properly swim checked and wrist banded?

9. All swimmers 12 and under are properly swim checked and wrist banded? Yes No
10. Is the ratio of lifeguards to swimmers 1:25

10. Is the ratio of lifeguards to swimmers 1:25 Yes No
The Quick Check is a:
(Failure Criteria: ‘No’ is selected for Question 1 OR ‘No’ is selected for 2 or more on Questions 2-9.)

The Quick Check is a: (Failure Criteria: ‘No’ is selected for Question 1 OR ‘No’ is selected for 2 or more on Questions 2-9.) Pass Fail
Men's Sauna
Number of Users
Time Checked: Time Checked: : HH MM AM/PM
Women's Sauna
Number of Users
Time Checked: Time Checked: : HH MM AM/PM
Please leave additional comments:

Aquatics Check List: Palo Alto Family YMCA

Aquatics Check List: Palo Alto Family YMCA

Lap Pool

Instructional Pool

Men's Sauna

Women's Sauna