IKO Safety Information Safety Unit Does your school own its own safety unit? Yes No Please specify type: Jet ski Boat Please describe below Safety unit(brand/model, engine power) and attach a photo of it with safety gear inside Does the school have a Safety unit from a third party at its disposal? Yes Does your school use the services of Lifeguards? Yes If yes, please specify below all Lifeguards services or others rescue services you use for an emergency No No The gasoline of the rescue boat is stored in a well-ventilated, safe from hazard place and is not exposed to the customers? Yes No Yes Yes Yes Yes No No No No Yes No Yes Yes No No Safety Devices Does your school have functional safety equipment on ALL control bars? Does your school use kite leashes on old kite and including training kite? Does your school check the functionality of the equipment before each use? Does your school keep a track of your safety equipment, repairs and maintenance? (Please attach a photo) Does your school provide a floatation vest and helmet to each student and make sure s/he wears them at all times? (Please attach a photo of your lesson in progress. Safety Procedures Emergency phone numbers have been posted in a visible place and close to a telephone: Is the First Aid Kit accessible? Where is it located? At the school In the van In the boat Is the Safety unit available for rescue within maximum 5 minutes of the practice and/or teaching location? On site Yes No Yes No Yes Yes No No Weather Forecast Does your school display a weather report on a daily basis? (Describe how you do this, or attach a photo). Accident Report In the years prior to the affiliation request, and only during teaching, did one or more of your students have a *serious accident (*requiring hospitalization, ambulance, surgery)? Please attach a copy of your Accident/incident report form. Have you reported all injuries or accidents to IKO in the last 12 month? Please specify the numbers of accident(s)/incident(s) in each category: Minor injuries (no need for medical interventions) Medium injuries (wounds, such as a sprained ankle, that need medical interventions) Serious injuries (need emergency intervention and hospitalization) Death(s) IKO Safety Information– EAP V. 3.2 Page 1 of 3 IKO Emergency Action Plan (EAP) (Crisis management plan, Instructor Manual 5.1 page 18) General information Location Name: Name of School and/or Instructor: Prepared by: Date (last date updated): Resources at hand for helping you to deal with incidents or accidents (phone numbers) Nearest Hospital (address and phone#): Emergency: Ambulance: Lifeguards, Coastguards: Police: Fire Dpt.: Parks Dpt.: Harbor: Search and Rescue services: Others: For emergencies, always call: First Aid Equipment What First Aid equipment do you have and where is it located? What (Describe contents) Where (Please describe exact location) Communication Equipment What do you have? (Radio, Phones, Waterproof radio) Where is it located? Who is equipped with? What are the numbers/frequencies to call? For emergencies, always call: Safety Gear All students wear All instructors have Harness and Leash Safety cutter Whistle IKO Safety Information– EAP V. 3.2 Helmet / Wetsuit Cell phone/radio Water thermometer Lifejacket on the water Access to first aid kits Page 2 of 3 IKO Emergency Action Plan (EAP) (Crisis management plan, Instructor Manual 5.1 page 18) Rescue Units: Transport: How do you get to a victim? (Give a detailed description of the procedure) How do you get a conscious victim to shore? (Give a detailed description of the procedure) How do you get an unconscious victim to shore? (Give a detailed description of the procedure) List all the phone numbers and/or contact details that may be useful for your clients and staff (environment organizations, harbor, embassies, police, etc.) Organization/Company IKO Safety Information– EAP V. 3.2 Phone number Page 3 of 3
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