Risk Assessment / Pool Closure

Risk Assessment / Pool Closure
Activity*
Location*
Department*
Hazard Identified*

ColdDustWindHailLightningFlash FloodingRainSolid Fecal IncidentLoose Fecal Incident
Risk Identified*

Serious Bodily InjuryEye DamageDrowningBruisingBurnsInjuries of Various KindsOther
Recommended Controls*
Has this action eliminated hazard/risk*

YesNo
Person Responsible to Action Controls
Name*

First NameLast Name
Controls Implemented *
Time Completed*

:HourMinutesAM/PM Option
Signature*
Date*

DayMonthYear
Date
Person Responsible to Review Controls Implemented
Reviewed Implemented Controls*

YesNo
Has the Hazard/Risk been eliminated*

YesNo
Remove Controls*

YesNo
Name*

First NameLast Name
Time Completed*

:HourMinutesAM/PM Option
Signature*
Date*

DayMonthYear
Date
Should be Empty: