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Mt. Olive Recreation
Budd Lake Municipal Beach
S.O.G. #001
Daily Safety Equipment Check 5/27/00 revised 2005, 2011, 2013, 2014
Purpose
To describe the daily check procedures for emergency equipment.
Preface
In order to assure that the staff has all equipment necessary for an emergency in good working order. If
something is not in good working order, it will need to be reported and repaired. During opening
procedures, the staff will check the safety equipment and record the information on the Daily Log page,
in the space provided. The Beach/Asst. Director will check the Log and take steps to remedy any
problems.
Procedures
A. Backboard & Spinal Injury Management Equipment
Check that the backboard is in good repair (no cracks, splinters, clean...), all straps are in the proper
locations and in good repair. Head immobilizer is secured to the board properly; the straps and
cushions are in good repair. Cervical collars are in good repair, fastened by a strap to the backboard. A
thermal blanket (in good repair) should be placed with the backboard.
B. First Aid Kit (s)
Check that the First Aid Kit(s) have at least the minimal First Aid Contents according to New Jersey
State Sanitary Code, Chapter IX, Public Recreational Bathing Code. (See Appendix H.)
C. Bag Valve Mask/ Oxygen/ Defibrillator
Check that the masks are clean, in good repair and fit the bag properly. Inspect the bag and valves to be
undamaged. Check that the BVM delivers sufficient air out the mask when squeezed. Check the
amount of oxygen in the tank. Check that Defibrillator’s battery is still charged (Handle should say
OK), make sure there are pads, razor and towel ready.
Appendix F SOG 1, Page 1 / 2
2
S.O.G. #001 continued
Daily Safety Equipment Check
D. Water Rescue Equipment
Check that the rescue tubes are in good repair, straps secure. Check lifeguard stands - in good repair.
Open and check Guard umbrellas are in good repair (no spokes poking through, etc.) Check the
Reaching Pole is in proper position and undamaged. Check that the Rescue Board is in good repair.
Each guard station should have a ring buoy. Check that the rope is untangled and ready to use.
E. The Gate/1st Aid Table & Equipment
Check that the Daily Log has adequate log pages, incident reports, pens, information pages & calendar.
Swim test book is properly prepared.
Sunscreen, insect repellent, tissues, paper towels, and paper cups are in the office and are ready to use.
Air thermometer is working and placed properly.
F. Registration Table
Cash box has change, pens, weather radio (with good battery and works).
Beach tags, Daily Visitor Tracking form
Receipt book and any registration forms and information.
Appendix F SOG 1, Page 2 / 2
3
Mt. Olive Recreation
Budd Lake Municipal Beach
S.O.G. #002
Daily Facility Checklist 5/27/00 revised 2004, 2013, 2014
Purpose
To describe the daily facility checklist to assure patron and staff safety.
Preface
In order to assure patron and staff safety with in the beach facility, certain items need to be inspected
daily. These items should be in good repair. Any damage or deficiencies should be noted in the Daily
Log and brought to the attention of the Beach Director, Asst Beach Director who will then inform the
Recreation Department.
Procedure
During Opening and Closing procedures, the facility should be check for safety.
A. At the beginning of set-up each day, check:
Entry gate, fence & lock were properly secured.
Waterfront and beach area are clean (remove any animal waste, litter, cigarette remains, glass,
cans, flotsam, etc.)
Sand area, toys and picnic table areas are clean
Equipment sheds were properly secured and now open for the day
Docks, island, lily pads, slide are clean, ladders secure
Emergency gate secured
Bathrooms are stocked with toilet paper and reasonably clean
Bicycle rack in good repair
Lost & Found area is maintained properly (No moldy clothes, food items, etc.)
Water visibility, weather, air & water temperature - note in the log. Cigarette can is empty, and placed by a bench for patrons outside the fence of the beach area.
Any signs/messages for the public are posted clearly
Open the Office
Appendix F SOG 2, Page 1 / 2
4
S.O.G. #002 continued
Daily Facility Checklist
B. At the end of each day, check:
All equipment is put away neatly & properly
Walkie-talkies in chargers
Waterfront and beach area are clean (remove any animal waste, litter, cigarette remains, glass,
cans, flotsam, etc.)
Rake the beach
Sand area, toys and picnic table areas are clean
Equipment sheds are locked
Dock is clean
All holes filled in
Emergency gate locked
Lost & Found area is maintained properly (No moldy clothes, food items, etc.)
Cigarette can is emptied and put away
Garbage cans/recycling cans are emptied
Outdoor speakers put away, sound system shut off
Office is picked up, garbage is emptied, is locked
Appendix F SOG 2, Page 2 / 2
5
Mt. Olive Recreation
Budd Lake Municipal Beach
S.O.G. #003
Daily Facility Equipment Checklist 5/27/00 revised 2005, 2014
Purpose
To assure the safety of the patrons & staff using facility equipment.
Preface
Equipment that is used frequently needs to be frequently and maintained for public safety. Equipment
should not be used if it is damaged. Any damaged equipment should be noted in the Daily Log and the
Beach/Asst Director will notify the Recreation Department, and implement repair/replacement
procedures.
A. Play equipment should be checked:
Available and secure
B. Swim equipment (can be used by North Jersey Aquatics Instructor) should be checked as needed:
Kickboards, barbells, Styrofoam “noodles”, PFDs, ring buoy, throw bag, fins, masks & snorkels,
balls/toys, hula hoops, etc.
C. Equipment shed is neat. Check that all rakes & shovels, etc. are in good repair.
Appendix F SOG 3
6
Mt. Olive Recreation
Budd Lake Municipal Beach
S.O.G. #004
Resuscitation Procedures 5/27/00 revised 2007
Purpose
To describe the procedures for the use of a bag-valve-mask resuscitator during emergency resuscitation
procedures.
Preface
Emergency resuscitation is more effective if administered by a coordinated team of personnel, rather
than by one or two individuals.
Procedures
A. Position the victim on a firm flat surface (backboard). If the victim is on a slope, position the victim
so that the head is lower than the rest of the body.
B. One staff member checks Airway, Breathing & Circulation while another locates hand placement to
begin CPR.
C. Other staff is activating EAP by calling EMS, bringing the main First Aid Kit, BVM, Oxygen and
AED if needed and maintaining crowd control (including clearing the water),
D. Rescue breathing is performed with a pocket mask until BVM and oxygen arrives. CPR is more
effective if 1 person performs chest compressions, 1 holds mask in place with proper airway technique,
and 1 person operates the bag.
E. When a suction device is added to the safety equipment for the beach, a fourth team member can
suction fluids away between respirations. Training are provided for the suction device and S.O.G. #011
tells how to use it.
F. If there is a limited number of staff available for this procedure, assign by-standers crowd control
and notifying EMS duties. One person starts assessment while another gets the First Aid Kit if needed.
They will perform 2 rescuer CPR as they have been trained. The ventilator can also suction between
breaths. Training is provided with suction equipment.
G. Rescue Breathing and/or CPR (AED use as indicated by unit) is continued until EMS personnel
arrive or the victim no longer needs that care. The victim will be closely monitored until EMS arrives.
H. Incident reports and witness statements need to be completed immediately.
I. Re-open facility if all necessary equipment is available and personnel are ready to continue.
Appendix F SOG 4
7
Mt. Olive Recreation
Budd Lake Municipal Beach
S.O.G. #005
Spinal Injury Management and Backboarding Procedures 5/2/97 revised 2007
Purpose
To describe Spinal Injury Management and Backboarding Procedures that is recommended by the Budd Lake
First Aid and Rescue Squad
Preface
Although the American Red Cross has tried to simplify spinal injury management procedures in their Lifeguard
Training program, those changes do not meet current EMS requirements. EMS cannot transport a victim who has
been backboarded and head immobilized without a cervical collar. They would have to completely unstrap the
victim, remove the victim from the backboard, place on a collar and then re-backboard and immobilize the victim.
The goal for spinal injury management is to reduce secondary trauma caused by movement of the head, neck or
spine during emergency procedures. In-service training with the Budd Lake First Aid and Rescue Squad has
established the techniques and procedures EMS needs implemented to best aid the victim.
Procedures
A. Activate EAP for Spinal Injury
B. For a victim in the water,
1st guard will enter the water, turn victim face up (if needed) using appropriate technique.
o (Head/Chin support or Head Splint) and checks for consciousness, breathing & pulse
If there is no breathing, a lifeguard is to begin rescue breathing using the modified jaw thrust while the
others are providing in-line stabilization and strapping quickly.
If there is no breathing and no pulse, put the victim on the board and begin rescue breathing as stated above,
secure with one or two straps and then remove from the water and begin CPR.
If there is breathing and a pulse, the 2nd guard will bring backboard and collars, and thermal blanket, and 2-
4 people (staff or bystanders) to help support the backboard
2nd guard sinks backboard and places under the victim. Helpers control & support the board.
2nd guard takes over in line stabilization, while 1st guard fastens cervical collar on victim.
Guards check victim placement on the backboard. If the victim needs to change position on the board, the
helpers sink the board & reposition, while 2nd guard NEVER loses in-line stabilization.
As first guard begins strapping, 2nd guard begins secondary survey and has bystander record information for
EMS. Secondary will check victim’s pulse periodically, by placing 2 fingers in opening of collar, or having a
staff member do it. In-line stabilization must be maintained.
Straps must be tight enough to prevent any lateral or vertical movement. Strap order: across the chest under
the armpits, diagonals crossing the chest, (from over shoulder to underarm/ ribcage area), hips (straight
across bony part), thighs (not on knee joint), lower legs (not on ankle joint or extended foot), Hands are to
be restrained by the wrist Velcro cuff outside of the regular strapping.
Appendix F, SOG 5 Page 1 / 2
8
S.O.G. #005, continued
Spinal Injury Management and Backboarding Procedures
A thermal blanket, if needed, may placed over victim as straps are secured.
1st Guard checks straps securement, makes any final adjustments.
1st Guard secures head immobilizer properly, coordinating effort with the 2nd guard who continues to
provide in-line stabilization.
1st guard gives coordinated commands to remove victim from the water to EMS personnel waiting on
the beach.
The victim’s care is transferred to EMS. Receive a replacement backboard & collar from EMS
before they depart.
Get the back-up backboard ready.
Complete reports and witness statements immediately.
Re-open facility if all necessary equipment is available and personnel are ready to continue.
o For Extreme Shallow Water Spinal injury, follow Waterfront Lifeguarding training,
maintaining in-line stabilization (turn victim face up if needed – Head Splint). EMS
should be able to enter a few inches of water to complete backboarding.
B. If victim is not in the water:
Guard activates EAP while providing in-line stabilization.
2nd guard establishes crowd control, (including notifying EMS) and brings first aid kit, collars, thermal
blanket.
If victim is vertical, 2nd guard place cervical collar on victim. 1st guard maintains in-line stabilization.
2nd guard begins secondary assessment for EMS.
If victim is horizontal, check for consciousness and breathing. If the victim is conscious, keep the
victim calm and still until EMS arrives, providing in-line stabilization.
If the victim is unconscious and needs to be rolled onto his/her back to further check for breathing, roll
the victim gently onto back, supporting the head, maintaining in-line stabilization. (Modified
H.A.I.N.E.S. position)
If the victim’s airway needs to be opened, use modified jaw thrust.
Give rescue breathing if necessary with pocket mask, BVM or oxygen.
Give CPR if necessary, continuing to use modified jaw thrust to keep the airway open.
The victim’s care is transferred to EMS. Receive a replacement backboard & collar from EMS before
they depart.
Complete reports and witness statements immediately.
Re-open facility if all necessary equipment is available and personnel are ready to continue.
Appendix F, SOG 5 Page 2 / 2
9
Mt. Olive Recreation
Budd Lake Municipal Beach
S.O.G. #006
Emergency Procedures During Thunder & Lightning Storms 5/2/97 revised 2006, 2014
Purpose
To describe the procedures to be followed when the threat of a thunder or lightning storm is present.
Preface
Thunder occurs as a result of lightning. If thunder can be heard, then the presence of lightning is an
immediate threat, even though it may not be observed. According to the National Weather Service, a
thunderstorm is considered “has ended” when there has been no sounding of thunder, or sighting of
lightning within the last 15 minutes (30 minutes may be more prudent) and the sky is no longer dark
and “threatening”. Unless there are evident signs of clearing, the storm should not be considered “has
ended”.
Clearing the Facility
All patrons and facility staff should be cleared from the water and beach area, immediately at the first
sound of thunder or the first sighting of lightning. Follow the procedures in the Severe Weather EAP.
Because lightning is attracted to the tallest object, patrons and staff should not be allowed to congregate
under trees, umbrellas or other tall objects. Everyone must leave the facility, and seek shelter in their
cars. The Gate shall be locked until the storm passes.
Return to the Facility
Patrons and staff may should not re-enter the facility or come out from shelter until 30 minutes after the
last sounding of thunder, or the last sighting of lightning. If the storm continues for a lengthy period of
time, or during the last hour of operation, at the supervisor’s discretion, the facility will remain closed
for the day.
Appendix F SOG 6
10
Mt. Olive Recreation
Budd Lake Municipal Beach
S.O.G. #007
Protection from Infectious Materials and Bloodborne Pathogens
5/2/97 revised 2007, reviewed annually
Purpose
To describe minimum standards which must be followed by all personnel when providing emergency
medical care to all patients during the administration of first aid and emergency resuscitation.
Preface
The Occupational Safety and Health Administration (OSHA) has issued a standard that requires
employers to develop engineering controls and work practices and to provide personnel with protective
equipment that will reduce employee’s exposure to bloodborne pathogens and infectious diseases.
Personal Protective Equipment
For a person to become infected with any bloodborne virus, infected material must enter the body.
Personal protective equipment (PPE) acts as a barrier that prevents blood and other bodily fluids from
passing through its shield. The OSHA standards requires that PPE must keep infected material from
reaching employees’ work clothes, street clothes, undergarments, skin, eyes, mouth or mucous
membranes.
Procedures
Treat all body fluids as if there were contaminated.
Check PPE before use to make sure it is in good condition.
Replace disposable gloves and other equipment as soon as possible after they are exposed to blood
or other infectious fluids.
Always have access to several pairs of gloves and replace them when they are torn or punctured.
Never wash or try to decontaminate gloves or other equipment designed for single patient use.
Wash your hands thoroughly after you have come into contact with blood or other bodily fluids,
even if you have worn gloves. If you have been exposed, you should also shower as soon as
possible.
Wear appropriate face & eye protection whenever you think your eyes, nose, or mouth could be
exposed to sprays, splatters, or drops of blood or infectious materials. Pocket masks, goggles are
examples.
Remove contaminated clothing as soon as possible after exposure.
Before leaving work, place contaminated equipment and clothing in appropriate containers for
storing, washing or disposal.
Appendix F SOG 7
11
Mt. Olive Recreation
Budd Lake Municipal Beach
S.O.G. #008
Beach Tags, Daily Admission, Special Events, Paddle Board North
Jersey Aquatics Safety lessons
Registration Procedures 6/7/97 revised 5/1/07, 4/25/11, 5/15/13, 5/23/14
Purpose
To describe the proper procedure for registering patrons for daily Admission, seasonal Beach Tags,
classes, events and boating.
Procedures – Admission 2014
First time visitor:
Send first time visitor to Registration table.
Ask Patron if they want season beach tags for their family members, or would prefer to pay the
daily admission.
o For Daily Admission: 2014 ALL people (ages 1-100+) is $5.00 per person. (infants who
don’t walk are free) The price is the same for residents and non-residents. 1
Swim lesson Adult Observer is free per family, and may only stay for the duration of
swim lesson. Count the number of people, collect $5 per person
Issue a receipt for the amount collected
Put the daily admission wristband* on each person
At the end of the day, cut the daily wristband off
*Change the color/style of the wristband every day! There are several patterns
& colors. DO NOT use the same color/pattern on the same day of the week, etc.
o For Seasonal Beach Tags:
Patron: Needs to fill out the Beach tag form. Give the patron the form, attached to a
clipboard. We ask for an email address so we can send them reminders to purchase
their beach tags before Memorial Day to receive a discount.
Supervisor: When patron has completed the form, date stamp it.
Record the proof of age for children provided.
Record the payment (check # or cash) and the receipt # .
If someone wants to pay by credit card, it must be either a Discover or
Mastercard. NO VISA. They need to call Recreation 973-691-0900 x
7264 or x 7261 for us to process the request. We will ask them the same
questions as on the form. Once the transaction is complete, we will ask
the patron to hand the supervisor their phone, so we can log in the beach
tag numbers and mark the proof of residency and proof of age
Appendix F, SOG 8, Page 1/8
12
requirements. DO NOT issue them a paper receipt. They will receive it
by email. Write on their Beach Tag form “CC (credit card) by Rec by
Phone”
Record the number on the tags being assigned to each family member. Be sure to
record RED ink tag numbers for children!
Black Ink tags are for Adults Ages 14+
Red Ink tags are for Children ages 1-13
For Child Beach Tags – Proof of age is required for each child beach tag. Birth
date range: 6/21/13 to 8/23/2001
Beach Tag Pricing: Adults (black) $30; Child (red) $25
Data from each form must be put into Community Pass, our on-line registration process, preferably
each night.
Tell them that the Beach Tag must ALWAYS be shown for admittance. (We are recording tag #s
for a demographic study for a grant.)
Encourage the patron to save their beach tags for next year – there will be a discount for re-using
tags! We will issue a sticker with the current year for those that reuse their beach tags.
There are NO Parking Passes this year.
Patron with Beach Tag:
Shows Beach Tags to Gate Attendant who records the tag numbers.
Every person (except infants) must have a beach tag – otherwise they must pay
$5 per person without a beach tag and get a daily admission wristband for those
people. (Same price for residents and non-residents)
Children age 13 and under have RED ink tags. An Adult with the wrong color
tag will need to pay the $5 daily admission.
If a patron says they forgot to bring their tag, they will need to purchase a daily
admission wristband for each person without a beach tag. Write the date and
Supervisors initials on the wristband. Tell them to bring their wristbands to
Recreation to get a replacement beach tag.
Replacement Beach Tags: ONLY Recreation Dept. will issue replacement beach tags! Replacement
tags are $5 each, unless they bring a Daily Wristband that has been dated & initialed by a supervisor.
13
Adult Name Tag # Child Name Proof of age DOB Tag #
2014 Beach Membership Pricing 6/1/2014
Beach Tag/Season pass
June 1-Aug 23
Adult (ages 14+)
$ 30.00
Child (ages 1-13)
$ 25.00
Daily
$ 5.00
Proof of age is required for each child beach tag. Birth date range: 6/21/13 to 8/23/2001
Make Check Payable to “Mt. Olive Recreation” Checks returned for insufficient funds will require an additional $30 processing fee,
in addition to cash or money order for the program. All refunds require a $10 administrative processing fee.
Responsible Adult First ________________ Last Name ______________________ Birth date____________ E-mail _________________________________________(please print clearly) Phone: ______________________
Address: ____________________________________________ City: ______________________Zip:_____________
I hereby give permission for the Mt. Olive Recreation Department (by way of the Beach staff, rescue squad, police, etc.) to obtain
necessary first-aid or medical treatment.
I give permission for my/my child's name /picture to appear in local newspaper or our website
TOTAL $____________ Date:___________ Parent/Adult Signature: ________________________________________
Check#_____________ Cash $___________ Charge______________ Receipt______________________ Initials ____________
14
Lessons/Work Shops
North Jersey Aquatics will handle registration for their Aquatic Safety Lessons
To Register for Swim Lessons. Parents can register either on-line with North Jersey Aquatics, or
on-site with their instructor.
Paddle Board Workshops: Use form provided. Children under 12 must have a parent present.
Participants must be able to swim in deep water. $60 per person per workshop. Demos will be held at
the Beach Party on 6/28 and Regatta on 7/27.
Beach Tags:
The season price for a child’s tag is $25 – the same price as $5 a day for 5 days.
The Adult(s) and/or siblings, accompanying the child for swim lessons may either purchase a daily
admission or have a beach tag. There may be 1 free observer – special wristband – and must depart
immediately following the end of aquatic lesson.
NO CHILD can be left on the beach without an adult – for any reason!
Have the patron complete the registration form (include Beach Tag number). Swim lesson has its
own form.
Receive payment and place payment and completed registration in cash box.
15
Special Events: (All children must be accompanied by an adult)
Concerts, Beach Features and the Regatta, have no additional charge beyond beach admission.
Performers, activity providers, sponsors do not need to pay the daily admission charge.
Late Night Swim: Free with beach admission
Daily Admission wristbands that were issued the same day as the movie, are still valid, if they are not
cut off when departing. If the patron does NOT have a beach tag or that day’s a daily admission
wristband, the beach admission will be $2 person instead of $5 for the whole day.
Receipts
Make a receipt for the patron, carefully filling in the receipt – including the Beach Tag number and fill
in the appropriate information. These receipts are 3 copy carbonless sheets (Original is white, copy is
16
yellow, third is pink). Therefore, be sure to insert the cardboard behind the pink receipt page for the set
you are working on, so that the information appears on only that one receipt.
In appropriate space provided, write the name of the person who is giving you money, their Beach
ID #. Be sure to date the receipt and also write the amount of the payment.
Swim Lessons: Indicate Session(s), Level(s), Time(s) and Total. Write child(ren)’s names in the
description line in “Other”
Other: Use for Special Events/Classes. Indicate in activity line. Include date, time and total. Use
description line for names or more info.
Add the totals from swim lessons & other and place in line: Grand Total.
In the provided box, mark payment type (i.e. cash or check) and the amount paid.
Put your initials at the bottom of the receipt.
For checks, write the check # on the left margin of the receipt.
Give white and yellow copy to patron, the pink copy stays attached to the receipt book.
The yellow copy will be used as a ticket when needed.
Fill out the necessary information appropriately on the master class roster and adjust the number of
openings available.
Also give patron the rest of the beach flyer with the class(es) dates & times identified for each
student.
17
Mt. Olive Recreation
Budd Lake Municipal Beach
S.O.G. #009
Party/Rental Registration Procedures 6/7/97 revised 5/1/07
Purpose
To describe the proper procedure for registering patrons for Parties and Rentals.
Procedures
Check the Calendar in the Daily Log for any conflicts for the Date & Time the patron wishes to reserve.
Inform the Activities Coordinator and the Beach Director. If additional lifeguards will be required, also
inform a Beach Supervisor.
After identifying this information, write it on the calendar.
Complete party/special event form.
Make a receipt for the patron, carefully filling in the receipt. These receipts are 3 copy carbonless
sheets
In appropriate space provided, write the name of the person who is giving you money, their address
& phone number. Be sure to date the receipt and also write the amount of the payment. The non-
refundable deposit is $30.00. Party form DOES NOT include daily admission. Guests will either
need to wear beach tags, if they have them, or purchase daily admission wristbands.
In the space marked “Other”, write Party type, date & times, and rain date & times.
In the provided box, mark payment type (i.e. cash or check) and the amount.
Put your initials at the bottom of the receipt.
For checks, write the check # on the left margin of the receipt.
Give white copy to patron, the yellow copy gets stapled to Party Form, the pink copy stays attached
to the receipt book.
Appendix F, SOG 9
18
19
Mt. Olive Recreation
Budd Lake Municipal Beach
S.O.G. #010
Infection Control Kit/Bodily Fluids Disposal Procedures 6/9/97 revised 5/1/07
Purpose
To describe the proper storage & procedure for using the Infection Control Kits.
Storage
The red Infection Control Kit will be on the Lifeguard supply cart and the Infection Control Bucket is in the storage
shed. These items are only to be used in an emergency involving bodily fluids. Familiarize yourself with the kit,
but do not open any sterile packaging. When this kit is used, immediately notify the Beach Director who will notify
the Recreation Director, concerning replacement.
Procedures
Check daily that the Infection Control Kits are stocked (with Bodily Fluid Disposal Kit, latex gloves, 2 germicidal
disposable wipes and pocket mask) & where they belong.
In an emergency, where protection from and disposal of bodily fluids is necessary, take the following steps:
Put on Disposable Apron, Eye shield/Face Mask, Shoe covers & latex gloves.
Give appropriate care to the victim.
After the emergency, clean up as follows:
1. Decide which kit to use (large spills- bucket, small spills – red kit)
2. Open the Bodily Fluid Disposal Kit box.
3. Sprinkle the contents of the Super-Absorbent packet over the spill until the fluid is completely absorbed.
4. Use the Scoop and Scraper to scrape up the Absorbent.
5. Put the Absorbent material, Scoop & Scraper in a red Biohazard bag and tie it shut. DO NOT discard
protective clothing.
6. Pour half of the Cavicide Disinfectant/Cleaner over spill area. Allow to remain wet for 30 seconds. Use
paper towel to wipe up.
7. Pour remainder of the Cavicide over the spill area. Allow to remain wet for 10 minutes.
8. Use paper towel to wipe up the solution.
9. Place ALL items including protective clothing in second biohazard bag. Do not try to clean or reuse any of
these materials.
10. Seal the red Biohazard bag to prevent leakage. Arrange with Rescue Squad to dispose of properly.
11. Thoroughly wash hands & arms and/or any skin that may have come in contact with bodily fluids with soap.
Fill out accident report in Daily Log and Bodily Fluid Disposal Kit Exposure Report Form. Give Exposure Report
to the Beach Director or Head Lifeguard, who will then give it the Recreation Director.
Appendix F, SOG 10
20
Mt. Olive Recreation
Budd Lake Municipal Beach
S.O.G. #011
Res-Q-Vac Suction Procedures 6/9/97 revised 2003
Purpose
To describe the proper storage & procedure for using the Res-Q-Vac (Suction device).
Preface
Statistics show that over 90% of near drowning/drowning victims begin this trauma by beginning to
vomit. The victim’s airway automatically closes off to prevent aspirating the vomit. The victim panics
even more when they can’t get any air in this situation. The preferred procedure for removing this
vomit/water before & during Rescue Breathing/CPR is with a suction device, it is more effective than
wiping the victims mouth out with a gloved finger, or rolling the victim to one side to drain.
The Res-Q-Vac is simple to assemble & use. Become familiar with the procedure and examine the
device. This additional step added to Professional Rescuer techniques for rescue breathing or CPR will
require an additional staff member performing the suction. If an additional staff member is not
available to give care, the ventilator will need to periodically interrupt rescue breathing to operate the
Res-Q-Vac as needed.
Storage
The Res-Q-Vac will be available for staff. This devise is only to be used in a rescue breathing
emergency involving bodily fluids. Familiarize yourself with the instructions and pump handle, but do
not open any sterile packaging. When this device is used, immediately notify the Beach Director who
will notify the Recreation Director, concerning replacement.
Procedures
Check daily that the Res-Q-Vac and Airway System available.
In a Rescue Breathing emergency, when suction necessary, take the following steps:
1 person will assemble the Res-O-Vac (while the primary survey is begun).
Assemble by:
1. Test vacuum handle before using by placing index finger over vacuum port (hole above blue dot
inside handle mechanism) and repeatedly squeeze the handle. As handle is squeezed, a vacuum
should be felt and the handle will become more difficult to squeeze.
2. Remove airway system from sterile package.
3. Tighten Cap On Vial. Snap fluid trap into Vacuum pump handle by aligning the vacuum fitting with
hole in the handle.
4. Place the catheter (tube) into victim’s mouth, just enough to reach fluids. Be gentle and careful
during insertion and suction to avoid trauma (damage) to the victim’s airway.
Appendix F, SOG 11, Page 1 / 2
21
5. Squeeze the handle of the pump repeatedly to produce vacuum. Once fluid has been
removed, continue rescue breathing procedures.
6. Repeat suction as needed during rescue breathing procedures, keeping the airway clear.
7. If the handle becomes difficult to operate, there is a blockage. Stop suctioning until blockage is
removed. If it is necessary to break the vacuum lock, pop the fluid trap off the handle and clear
blockage. If the catheter becomes clogged, withdraw it from the victim and aspirate air or water into
tube by squeezing the handle.
8. Once the Res-Q-Vac is clear, continue suction as needed.
9. After the Rescue Squad has arrived and has removed/replaced the Res-Q-Vac, remove the fluid trap
from the handle. Cap it, and label it with label in the sterile kit. Give the fluid trap to the Rescue
Squad to take to the hospital.
10. The vacuum handle should be disinfected and put away. A replacement airway should be obtained
from the Recreation director.
Appendix F, SOG 11, Page 2 / 2
22
Mt. Olive Recreation
Budd Lake Municipal Beach
Bloodborne Pathogens Exposure Control Plan
Exposure Determination Identify risks
Exposure to body fluids, especially blood
Exposure to infectious materials
Handling regulated waste from First Aid care
Handling waste (litter, bottles, cans, pop side sticks, etc.)
Identify employees likely to be at risk
Employees assigned to provide emergency first aid
Employees who handle waste
Staff in close proximity with ill patrons
Exposure Management Precautions prior to incident
Scheduling Bloodborne pathogen training
Individual medical evaluation and immunizations
Evaluating first aid kits, incident reports and protective equipment
Safety checks - outdoor areas for litter, indoor areas/bathrooms
Evaluate equipment for cleaning area after 1st aid treatment: teach proper
techniques and encourage frequent hand washing
Procedures during and after incident
Treatment for the victim & first aider
Clean up procedures and waste disposal
Post incident evaluation and follow up
Requirement for post incident meeting
Re-evaluation of Exposure Control Plan
Schedule and Method of Implementation Initial implementation plan
Prepare Exposure Control Plan
Arrange medical/ immunological consultations
Obtain additional equipment, as needed
Schedule & Implement Bloodborne Pathogen Training
Re-evaluate Exposure Control Plan following training
Update Plan (at least annually)
Review Exposure Control Plan prior to annual training
Arrange for update of Bloodborne Pathogen Training
Appendix G, Page 1 / 4
23
Exposure Control Plan
Mt. Olive Recreation: Budd Lake Municipal Beach
Exposure Determination
Identify Risks
There is a limited risk of exposure to bodily fluids, especially blood and infectious materials. It would
be likely to occur during the administration of emergency first aid and close supervision during
activities. There is also limited risk with removing waste from the beach; litter and used 1st aid supplies.
Employees likely to be at risk
Lifeguards, Swim Instructors, and other Staff who are assigned to provide emergency first aid would be
more at risk to disease transmission due to the increased likelihood of contact with blood. However, the
likelihood of major illness is small.
Staff could be at risk for infectious diseases if helping ill patrons, due to close proximity.
Employees who handle the trash which could include regulated waste, such as sharp objects, and
discarded medical type waste including adhesive bandages, bandaging materials and used tissues/paper
towels or used popsicle sticks/cigarette ends and animal waste are also at risk. Wearing gloves during
clean-up procedures and frequent washing of hands after contact will reduce this risk.
Exposure Management
Precautions prior to incident
Bloodborne Pathogen Training began in the summer of 1997. As of 2000, all employees are required to
be minimally certified in Community CPR and 1st Aid Basics. Training will include aspects of
“Preventing Disease Transmission”. Employees will be encouraged to maintain their CPR and 1st Aid
Skills through regularly scheduled in-service training classes at the beginning of each summer season.
This training includes the use of protective devices including masks & gloves.
Employees will be encouraged during the Bloodborne Pathogen Training to contact their own personal
health care provider for an individual medical evaluation and review of immunizations in light of the
potential risks related to their particular job. Mt. Olive Township’s Health Department can arrange for
Hepatitis B Vaccines for employees.
The first aid kit(s) will be evaluated and updated prior to opening for the summer season, and
periodically checked and updated throughout the season as needed. Protective gloves and pocket masks
with extra one-way valves are included. A “BlO.-HAZARD bag” and plastic ziploc bags have been
added to the kit for disposing of blood soaked waste. Employees will be instructed to note on
accident/incident reports any information needed concerning exposure to bodily fluids. Alcohol and
antiseptic wipes as well as soap are included in the first aid kit, to be used by staff before and after
Appendix G, Page 2 / 4
24
giving first aid care, as well as for cleaning minor wounds. Clean water is supplied daily. Daily safety
checks are performed for the safety of the staff and the patrons. Sharp objects, especially glass, as welt
as other waste will be disposed of. Equipment will be checked for safety. Thorough disinfecting of
bathrooms, etc. will be performed by outside companies.
Procedures during and after incident
The priority during an emergency is to provide the best treatment for the victim while providing the
maximum safety for the first aider. All first aiders are taught in the current Red Cross/Green Cross
training that protective measures such as gloves are essential. Employees will be encouraged to use a
pocket mask during Rescue Breathing and CPR for the protection of the first aider.
Immediately after the emergency, while Emergency Medical Service personnel or police officers are
still on the scene, an evaluation of the first aider’s exposure will be made. If there is any possibility of
exposure, the first aider as well as the victim will be transported to the hospital for medical evaluation
and treatment. If a Staff member identifies a patron with a possible infectious illness, he/she will inform
the Head Guard and Beach Director who will then notify the correct Chain of Command. ill patrons are
to leave the beach as soon as it is reasonably possible. Anyone having close contact with the ill patron
will be notified. They may check with their health care provider concerning medical evaluation and
treatment.
Clean up procedures and waste disposal
If possible, all contaminated materials (including sand/soil) will be sent to the hospital with EMS for
evaluation and disposal. If contaminated materials (including sand/soil) are discovered or remain after
EMS leave the scene, material will be properly collected in BIO-HAZARD bag(s) and will be taken to
the police station for disposal. Supervisor should immediately notify custodial staff to disinfect any
area suspected of spreading infectious disease.
The incident report will reflect whether or not there was any exposure to body fluids. It should be noted
in the Log, and the Beach Director and Recreation Department should be notified.
Post incident evaluation and follow up
A post incident meeting will take place within 72 hours, if possible. All personnel involved in the
incident will be present (except the victim), as well as the Beach Director, Head Guard, any staff
involved and/or Recreation Department Supervisor and/or anyone else deemed appropriate. The
purpose of this meeting is not to assign blame, but to evaluate how closely the emergency procedures
were followed, determine if there were any deviations and to evaluate the procedures themselves.
Revisions, if necessary will be proposed. Support will be provided to the personnel involved as needed.
Re-evaluation of Exposure Control Plan
Each year just before the Beach season begins, this Exposure Control Plan will be evaluated and
updated as necessary. A committee of lifeguards, instructors and other staff will review procedures and
make recommendations to improve this plan and procedures.
This plan may also be updated at any time it becomes apparent, such as following an incident.
Appendix G, Page 3 / 4
25
Schedule and Method of Implementation
Implementation
The initial implementation plan will include preparing the initial Exposure Control Plan and
Bloodborne Pathogen Training. The Health Department can arrange for immunizations for Hepatitis for
the staff. A list of employees will be given to the Health Department. “The Medical Center of Budd
Lake” on Rt. 46 administers care. Gloves and pocket masks are already in our first aid kit. They will be
checked and replaced as needed. Antiseptic, chlorine and alcohol wipes are in the first aid kit to clean
up after exposure to body fluids, if EMS determines that exposure is not serious enough to require
further medical evaluation. This will also be re-evaluated each year. It has been recommended that we
include: PPE kit (gown, goggles, shoe covers, etc.), and all staff carry gloves in their pockets/lanyards
or in close proximity while working.
Re-evaluate Exposure Control Plan following training
This Exposure Control Plan will be re-evaluated after the Bloodborne Pathogen Training. Comments
from Lifeguards, Swim Instructors, and other Staff will be incorporated into this Exposure Control Plan
and a revised copy, if any changes, will be available to each participant within one week of the
completion of all training. A committee of lifeguards, instructors and other staff will review procedures
and make recommendations to improve this plan and procedures.
Update Plan
Each year, just before the Beach opens, this Exposure Control Plan will be re-evaluated and updated as
necessary. This plan may also be updated at any time it becomes apparent, such as following an
incident. Emergency Action Plans will be updated to reflect any changes in procedures. Regular in-
service training will be scheduled each year. Annual Bloodborne Pathogen training will be scheduled
with CPR & 1st Aid Training for Memorial Day. All employees certified in first aid will be invited to
attend. After 2003, the Recreation Department may invite other personnel they feel would benefit from
this training.
Appendix G, Page 4 / 4
26
Minimal First Aid Contents
New Jersey State Sanitary Code, Chapter IX, Public Recreational Bathing Code
Requires:
50 Adhesive compress strips (band-aid type)
5 3x3 Sterile Gauze Dressings
5 4x4 Sterile Gauze Dressings
5 3inch wide Sterile Gauze Roller Bandage
5 Sterile Eye Dressing Pads
4 Triangular Bandages
1 (1x5) Waterproof Tape
5 Disposable Protective Gowns
Check contents of the First Aid Kit daily to ensure that it is properly stocked. Most of the required materials
should be in the top part of the First Aid Kit.
This list above is the minimal state requires.
Budd Lake Beach recommends at least:
10 of all adhesive bandages available
10 pair medical grade gloves
5 ice packs
Various sizes of gauze
1 Roll multi width waterproof tape
5 Insect relief wipes
1 insect stinger extractor
1 Bandage Scissor
1 (4.5 inch) Tweezers
1 Instant Cold Pack
5 Pairs Disposable Medical Grade Gloves
1 Liquid Hand Soap
1 Box Antiseptic Wipes
5 Disposable Face Shields
1 Pocket Resuscitation Mask
1 First Aid Guidebook
Appendix H
27
Considerations for Inspection – Waterfront Facility According to: New Jersey State Sanitary Code: Chapter IX: Public Recreational Bathing: N.J.A.C. 8:26
OCT. 1, 2000 - MAY 12, 2005 (EXTENDED THROUGH 2014)
There should be a pre-occupational inspection by a health authority. – 8:26-2.5 Formal approval by license or permit is to be displayed in a conspicuous place on the premises. – 8:26-2.6 At least 1 lifeguard for every 300 feet of visible shoreline – 8:26-5.10c Additional lifeguards shall be required depending on conditions, facility layout, structures and bather load – 8:26 – 5:10c Lifeguards shall be identified by distinguishing apparel or emblems – 8:26-5.10c Lifeguards shall be equipped with a whistle -- 8:26-5.10c Lifeguards shall be isolated from crowds on elevated stands to have a complete unobstructed view of the area -- 8:26-5.10e Lifeguards supervising patrons in the water shall not be given duties that distract or intrude on the proper supervision/observation 8:26 – 5:10c Swimming area shall be safe and clean, free from rocks, holes, and hidden dangers --8:26-5.10f Swimming area shall be designated by buoys --8:26-5.10g Diving Stands shall have a minimal water depth of 8 feet for an outward distance of 12 feet from the platform. – 8:26-5.13
Certification Book - Staff shall be certified in lifeguarding, professional level CPR – 8:26-5.2b, records maintained on-site
Required Signage: Bathing Rules (verbatim 8:26 – 5.4(a) 3,4,5,6,7,910 &11, 5.4b
Waterfront Restrictions Sign that states *No motorized vehicles, *No boating, water skiing, etc. * Rope drops are not
permitted – 8:26-5.14
Rule Board – 8:26-5.4
Supervisor’s Phone numbers posted – 8:26-5.10a
Hours of Operation posted – 8:26-5.10a
Written aquatics supervision plan (Map, evacuation plans, schedule of lifeguards,
responsibilities, emergency #, location of first Aid and rescue equipment, emergency procedures) -
- 8:26-5.10d
Lifeguard stations located within 30’ of shoreline – 8:26 – 5.10e
Minimum Lifesaving Equipment:
One reaching pole – at least 12 feet long – 8:26-5.12a1
One ring buoy at each lifeguard stand – 18 inch diameter with 60 foot ¼ inch rope – 8:26-5.12a2
Paddle Rescue device capable of supporting 2 adults – 8:26-5.12a4
First Aid Kit stocked – 8:26-5.12a5 -Adhesive compress strips (band- -3x3 Sterile Gauze Dressings,
- -3 inch wide Sterile Gauze Roller Bandage,
- -Triangular Bandages, -(1x5) Waterproof Tape,
- - - -Pair Disposable Gloves,
- - -Disposable Face Shields,
- -Pocket Resuscit -First Aid guidebook - Chapter 9
Full Spine Board with ties and straps – 8:26-5.12a6
Emergency Care Room – 8:26-5.12a7 (Every beach capable of accommodating 500+ swimmers and bathers shall
have an emergency care room Telephone – 8:26-5.12a8 (or other health authority approved communications device , located at lifeguard station)
Emergency Numbers adjacent to telephone (rescue squad, physician, ambulance, police, hospital)
– 8:26-5.12a8
Appendix H
28
29
Mount Olive Code (public swimming facilities)
Appendix H
30
Mount Olive Code (smoking ordinances)
Appendix H
31
Water Games
3 - 6 year olds (Non-swimmers) 6 - 10 year olds (Non or weak Swimmers)
10 - 14 year olds (Average swimming ability) Teen - Adult (Non-swimmers & swimmers)
3 - 6 year olds Synopsis of Play:
Follow the Leader -
Walking through the shallow water, forwards, backwards, sideways, hopping etc. Children could take
turns being the leader.
Simon Says -
Discover the children’s aquatic comfort levels with splashing, blowing bubbles, bobbing, ... and
following directions.
Hula Hoop Obstacle course -
Children can crawl, hop, glide, leap, go under or over a series of Hula Hoops. Additional activities can
have the children perform circus animal tricks, etc.
Duck, Duck, Goose - Children sit in a circle in shallow water. An "It" walks around outside the circle, gently tapping each
child's head while announcing "Duck...Duck...Duck..." until he picks a child to be "Goose". The Goose
chases the It around the circle. It tries to get back to the Goose's spot. If It is successful, the Goose
becomes the next It. If the Goose catches the It, he/she goes into the center of the circle for 1 round of
play.
Red Light, Green Light -
1 person is the Traffic Signal. The Traffic Signal stands at 1 end of the play space, the other players line
up at the other end. Signals are given, Green Light means children can advance. Red Light means the
children must stop. Anyone still moving on Red Light go back to the beginning. The first child to
reach the Traffic Signal becomes the next Traffic Signal and play is repeated.
Alligators & Crabs Race or Soccer-
In very shallow water the children will learn how to lay on their bellies in the water and walk on their
hands. The legs trail behind for a tail. The alligators will have a course to travel. Then Crab walking
will taught. (Crawling on hands & feet, with back to the water) Short races/course will be provided.
Dodge Ball -
Players are in a circle, 1 child has a ball. The ball is tosses toward another player. If that player blows
bubbles (face in water, etc.) then they have "Dodged" the ball, and may then toss it toward another
player. If they did not "Dodge" the ball, the original player tosses it to someone else.
Appendix I, Page 1 / 4
32
London Bridge -
2 players form an arch while other players go through while singing the nursery rhyme. A person
"caught" blows bubbles to escape. Then she replaces part of the arch.
Limbo -
Use a noodle or the reaching pole for limbo stick. Lower the stick gradually, encouraging kids to get
face wet or swim underwater, as is appropriate.
6 - 10 year olds Water Games
Red Light, Green Light -
Played as for the younger children, but we will add swimming arm movements, bubble blowing, etc.
during the Green Light.
Blob Tag -
As "It" tags players, they join with "It", making a larger blob. All parts of the Blob may tag other
players. The blob can stretch and encircle players, or separate to catch them. The last person to be
caught becomes the first part of the next blob.
Safe Harbor -
A variation of Duck, Duck, Goose. Players hold hands and form a circle. 2 players are not a part of the
circle. They are holding hands to make ship. The go around the circle looking for a safe harbor. They
choose a spot in the circle to break 2 players apart. Those two players head around the circle in 1
direction while the original ship heads the other way around. The first ship back to the opening has
found the safe harbor. The remaining ship continues the play.
Seal Relays - Teams set-up in relay fashion. 1st person in each team
pushes a ball over to the opposite player using noses, or heads or tails.
Link Tag -
Players pair up with arms linked. 2 players are unlinked. 1 is "Free" the other is "It". "It" tries to tag the
"Free". "Free" runs to a pair of players and links arms. The player not linked to the new person
becomes "Free". If "It" tags "Free", they swap roles. Play continues until all have been "It" or "Free".
Limbo -
Use a noodle or the reaching pole for limbo stick. Lower the stick gradually, encouraging kids to get
face wet or swim underwater, as is appropriate.
Over & Under - Teams are formed in a line. 1st person passes a ball over head to the player behind him. That player
passes the ball under water to the next. The passing continues, alternating over & under. When the ball
reaches the last person, they run to the front of the line and continue the play. The 1st team to have all
the players start the line wins.
The Sea is Rough - A variation of Follow the Leader combined with Tag.
Appendix I, Page 2 / 4
33
1 person is selected to be "The Sea". The other players identify themselves as sea creatures. Each
creature has its own "Home". The goal will be to return there at the end of the game. "The Sea"
marches, skips, hops, spins, etc., around the creatures, calling them by type to come join the parade. As
more creatures are added, the play becomes faster. Eventually "The
Sea" announces THE SEA IS ROUGH. All the creatures try to return to their "Homes". "The Sea" tags
creatures before they reach home. Those creatures help "The Sea" tag more creatures. The Last
Creature caught becomes the next "Sea".
Catch the Whale's Tail" -
All players line up, holding onto each others waists. The Head tries to catch the tail. When it does, it
becomes the new tail and the second in line becomes the new head. If there a re a lot of children, more
than one whale can be formed, chasing a different whale's tail.
10 - 14 year olds Water Games
Freeze Tag - When "It" tags someone, they are frozen and must stay in 1 place. They may be unfrozen by another
player who swims underwater and tags them. When everyone is frozen, the last to be caught becomes
the new "It". For a large group, more than 1 "It" may be used.
Red Rover -
2 Teams are formed, making lines by standing side by side. Teams are 15 feet apart. A team chooses 1
person form the other team to come over. That person swims underwater and tries to get through the
team's line. If they get through, then they return to the original team. If they don't get through, then they
join that team. Play continues until there is 1 large team.
Ping Pong Relay - Relay teams are formed. 1st person in each team blows a ping pong ball over to the next team mate.
They may walk or swim depending on ability.
Sharks & Minnows -
1 Player is the Shark, the rest are Minnows. Two safe bases are established and a channel 25 feet wide
in between. The Shark stays in the channel, the Minnows must move from base to base. The Shark
tries to tag Minnows. Those that are tagged help the Shark tag others. Last one tagged is next Shark.
T-Shirt Relay -
Teams of at least 6 players each are formed. Team mates help swimmer put on a T-Shirt in the water.
Swimmer Swims to other half of team where they help him remove shirt & place on next swimmer. 1st
team to have all players swim with T-shirt on is the winner.
Water Volley Volleyball -
A variation of Volleyball with the object to keep the ball in the air. Teams start with 21 points each.
The team who misses volleying the ball loses a point. Game ends when a team reaches 0.
Appendix I, Page 3 / 4
34
Water Games for Teens to Adults
Greased Watermelon Polo - 2 Teams try to get the greased watermelon to the opposite goal. 1 point is gained for each goal. After 10
minutes, team change playing fields.
Water Baseball -
2 teams, 3 bases & home, pitcher, catcher, etc. Pitcher throws ball to batter who swats it with his hand.
Then swims or runs to the base. Plays mostly like Baseball for 5 innings.
Water Volleyball -
Set -up "Net" by attaching balloons to line. 2 Teams play as regular volleyball. Falling over is more
fun. May be done waist deep or deeper, depending on swimming ability
Appendix I, Page 4 / 4
35
FROM DYFS 178
10:122-6.6 Discipline, May be used in staff training
GUIDELINES FOR POSITIVE DISCIPLINE
Positive discipline is a process of teaching children how to behave appropriately. Positive discipline respects the rights of the individual child, the group, and the adult. Positive discipline is different from punishment. Punishment tells children what they should not do; positive discipline tells children what they should do. Punishment teaches fear; positive discipline teaches self-esteem. You can use positive discipline by planning ahead:
Anticipate and eliminate potential problems. Have a few consistent, clear rules that are explained to children and understood by adults. Have a well-planned daily schedule. Plan for ample elements of fun and humor. Include some group decision-making. Provide time and space for each child to be alone. Make it possible for each child to feel he/she has bad some positive impact on the group. Provide the structure and support children need to resolve their differences. Share ownership and responsibility with the children. Talk about our room, our toys.
You can use positive discipline by intervening when necessary:
Re-direct to a new activity to change the focus of a child’s behavior. Provide individualized attention to help the child deal with a particular situation. Use time out -- by removing a child for a few minutes from the area or activity so that he/she may gain self control. (One minute for each year of the child’s age is a good rule of thumb). Divert the child and remove from the area of conflict. Provide alternative activities and acceptable ways to release feelings. Point out natural or logical consequences of children’s behavior. Offer a choice only if there are two acceptable options. Criticize the behavior, not the child. Don’t say “bad boy” or “bad girl.” Instead you might say, “That is not allowed here.”
You can use positive discipline by showing love and encouragement:
Catch the child being good. Respond to and reinforce positive behavior; acknowledge or praise to let the child know you approve of what he/she is doing. Provide positive reinforcement through rewards for good behavior. Use encouragement rather than competition, comparison or criticism. Overlook small annoyances, and deliberately ignore provocations. Give hugs and caring to every child every day. Appreciate the child’s point of view. Be loving, but don’t confuse loving with license.
Positive discipline takes time, patience, repetition and the willingness to change the way you deal with children. But it’s worth it, because positive discipline works.
Appendix J
36
Mt. Olive Recreation: Budd Lake Municipal Beach
Lifeguard Evaluation Form
Name_____________________________________Date_____________ The evaluation process should result in clear understandings of strengths and weaknesses and should lead to the
establishment of a personal program so that weak areas can be improved and strengths built upon.
Performance Qualifications Valuation Strength(s) / How to Improve
Factors 1-5+
Job Knowledge Thorough knowledge & application of
surveillance & rescue techniques Understands Policies, rules & regulations Demonstrates leadership qualities Lifeguarding Skills Demonstrates competency in lifeguarding
skills & techniques Implements communication procedures
effectively Implements/responds effectively to Emergency
Action Plans Development Participates in In-Service trainings and staff
meetings Has gained additional certifications or
knowledge/experience to improve self or beach
program
Cooperation & Attitude Ability to work with others and carry out
instructions Attendance Consistency in avoiding absenteeism and
tardiness. Secures a substitute when absent Dependability Works conscientiously according to
instructions Responsibilities Enforces rules & regulations with consistency Inspects facility & equipment daily, reports
improvements needed Completes records & reports Completes additional duties as assigned by
chain of command Judgment Ability to handle emergency situations as they
arise Ability to find cooperative solutions to
problems as they arise Patron Relations Is courteous, professional, alert & tactful Seeks to help patrons in general Initiative Ability to act on own and take lead Appearance Wears guard insignia, has whistle while on the
job
Looks and behaves as a professional Overall Work
Performance
Appendix K-1, Page 1 / 2
37
Mt. Olive Recreation: Budd Lake Municipal Beach
Lifeguard Evaluation Form
Key Strengths:
Ways to improve:
Supervisor Comments:
Lifeguard Comments:
Suggestions to improve Budd Lake Municipal Beach:
Supervisor Signature:__________________________________Date:_________
Lifeguard Signature:___________________________________Date:_________
Signature of Lifeguard indicates that this evaluation was seen and reviewed by the lifeguard, understands the comments given, what steps could be
taken to improve and was provided the opportunity to express opinions, evaluations & suggestions.
Appendix K-1, Page 2 / 2
38
Mt. Olive Recreation: Budd Lake Municipal Beach
Instructor Evaluation Form
NAME _____________________________DATE________________ The evaluation process should result in clear understandings of strengths and weaknesses and should lead to the establishment of a
personal program so that weak areas can be improved and built upon.
Performance
Factors Qualifications
Valuation
1-5+ Strength(s)/ How to Improve
Job Knowledge Thorough knowledge & application of swim levels
& teaching techniques
Understands facility policies, procedures and rules
Demonstrates leadership qualities
Instructor Skills Demonstrates competency in educating students on
swim skills & safety skills
Implements communication with patrons regarding
individual concerns
Implements communication with staff effectively
Implements/ responds effectively to Emergency
Actions Plans
Development Participates in in-service trainings and staff
meetings
Has gained additional certifications or knowledge
to improve self or beach program
Cooperation &
Attitude Ability to work with others and carry out
instructions
Consistency in avoiding absenteeism and tardiness
Dependability Works conscientiously according to instructions
Responsibilities Enforces Recreation rules & regulations
Reports unsafe conditions and equipment
Completes records and reports
Completes additional duties as assigned by the
chain of command
Judgment Ability to handle emergency situations as they arise
Ability to find cooperative solutions to problems as
they arise
Patron Relations Is courteous, professional, alert and tactful
Seeks to help patrons in general
Initiative Ability to act on own and take lead
Appearance Wears staff shirt (when appropriate)
Looks and behaves as a professional
Overall Work
performance
Appendix K-2, Page 1 / 2
39
Mt. Olive Recreation: Budd Lake Municipal Beach
Instructor Evaluation Form
Ways to improve:
Supervisor Comments:
Staff Comments:
Suggestions to improve Budd Lake Municipal Beach:
Supervisor Signature: ______________________________Date:________
Staff Signature: __________________________________ Date:________
Signature of Staff indicates that this evaluation was seen and reviewed by the staff member, he/she understands
the comments given, what steps could be taken to improve and was provided the opportunity to express opinions,
evaluations and suggestions.
Appendix K-2, Page 2 / 2
40
Mt. Olive Recreation: Budd Lake Municipal Beach
Attendant Evaluation Form
Name_____________________________________Date_____________ The evaluation process should result in clear understandings of strengths and weaknesses and should lead to the
establishment of a personal program so that weak areas can be improved and strengths built upon.
Performance Qualifications Valuation Strength(s) / How to Improve
Factors 1-5+
Job Knowledge Thorough knowledge & application of gate
attendant responsibilities Understands policies, rules & regulations Demonstrates leadership qualities Attendant Skills Demonstrates competency in greeting patrons Implements communication procedures
effectively Implements communication procedures with
staff effectively Implements/responds effectively to Emergency
Action Plans Development Voluntarily participates in In-Service trainings
and staff meetings Has gained additional certifications or
knowledge/experience to improve self or beach
program
Cooperation & Attitude Ability to work with others and carry out
instructions Attendance Consistency in avoiding absenteeism and
tardiness. Secures a substitute when absent Dependability Works conscientiously according to
instructions Responsibilities Enforces rules & regulations with consistency Inspects facility & equipment daily, reports
improvements needed Completes records & reports Completes additional duties as assigned by
chain of command Judgment Ability to handle emergency situations as they
arise Ability to find cooperative solutions to
problems as they arise Patron Relations Is courteous, professional, alert & tactful Seeks to help patrons in general Initiative Ability to act on own and take lead Appearance Wears staff shirt (when appropriate)
Looks and behaves as a professional Overall Work
Performance
Appendix K-3, Page 1 / 2
41
Mt. Olive Recreation: Budd Lake Municipal Beach
Attendant Evaluation Form
Key Strengths:
Ways to improve:
Supervisor Comments:
Staff Comments:
Suggestions to improve Budd Lake Municipal Beach:
Supervisor Signature: _______________________________Date:________
Staff Signature: ___________________________________ Date:________
Signature of Staff indicates that this evaluation was seen and reviewed by the staff member, he/she understands the
comments given, what steps could be taken to improve and was provided the opportunity to express opinions, evaluations
and suggestions.
Appendix K-3, Page 2 / 2
42
Summer of __________
Budd Lake Municipal Beach Staff Profile Sheet
Staff Name ___________________________________Position ____________________________
Address _____________________________________ Family Phone (_____)__________________
_____________________________________ Personal Phone (_____)________________
e-mail address ___________________________________________________________________________
Birth date ____/____/____ Age ______ Grade (in Sept.) ______
Certifications:
Date Issued Date Expired Date Issued Date Issued Date Expired
CPR/AED for the Prof. Rescuer
CPR/AED for the Prof. Rescuer Aide
CPR/AED for the Prof. Rescue Inst.
BBP/PDT
N/A
BBP/PDT. Inst.
O2 O2 Inst. Aide O2 Inst.
AED Inst. Aide AED Inst.
CPR/AED Adult & Child plus CPR Infant
CPR/AED Adult & Child plus CPR Infant Inst. Aide
CPR/AED Adult & Child plus CPR Infant CPR Inst.
Standard 1st Aid
Standard 1st Aid Inst. Aide
Standard 1st Aid Inst.
LGT Inst. Aide LGT Inst.
WLGT Inst. Aide Waterfront LGT Inst.
Waterfront Lifeguarding ‘12
Waterfront Lifeguarding ’12 Instr. Aide
Waterfront Lifeguarding ‘12 Instructor
Lifeguard Management
N/A LGTM Inst. Aide LGTM Inst.
WSI
NOTES:
Appendix L, revised 5/1/2014
43
Mt. Olive Recreation
Budd Lake Municipal Beach
Patron Refusal Of Care Release
Date:__________________________
I, (print name) _______________________________________ refuse to accept services, medical care, and/or medical treatment offered to me by Lifeguard personnel. I knowingly, intelligently, and voluntarily accept full responsibility for all consequences of my refusal. I hereby, for myself, my heirs, executors, and persona; representatives release the Mt. Olive Recreation Budd Lake Municipal Beach Staff, including their respective officers, employees, agents and all persons who are or may be responsible or liable for the services, medical care, medical treatment and/or transportation offered to me, from all liability, damages, costs, expenses, actions and causes of action for injury, loss or damage, both known and unknown, which I suffered or which I may suffer as a result of my refusal. Patient’s Signature: ___________ Age:______________ Signature of Parent or Guardian (if required)_____________________________________________ Address:___________________________________________________Phone:_________________ City:______________________________________________State:______Zip Code_____________ I. Chief Complaint:_________________________________________________________________
_________________________________________________________________________________
II. Treatment Performed:____________________________________________________________
________________________________________________________________________________
III. Advice Given:_________________________________________________________________
________________________________________________________________________________
Signature of Lifeguard_________________________________ Printed Name of Lifeguard__________________________________ Social Security Number of Lifeguard____________________________________
Appendix M
Appendix M, revised 5/15/14
44
Budd Lake Beach 2014 Beach Facility