Water Exposure Safety Checklist Form
Complete this checklist before any water-related activity to ensure all safety measures are in place.
Date of Activity
*
 -
Month
 -
Day
Year
Date
Location of Activity
*
Name of Responsible Person
*
Have weather and water conditions been checked and deemed safe?
*
Yes
No
Are approved life jackets or floatation devices available and in good condition for all participants?
*
Yes
No
Has an emergency action plan been reviewed with all participants?
*
Yes
No
Is a buddy system in place for all participants?
*
Yes
No
Has the water quality (clarity, temperature, contamination) been checked?
*
Yes
No
Is a first aid kit present and easily accessible at the activity site?
*
Yes
No
I acknowledge that all safety measures above have been reviewed and met before starting the activity.
*
Yes, I acknowledge
Submit Checklist
Should be Empty: