Cattaraugus County, NY · Cattaraugus County
Swimming Pool Safety Plan
Pool operators complete this plan to describe facility safety procedures and submit it to their local health department for review and approval.
At a glance
- Issued by
- City of Cattaraugus County · Cattaraugus County, Cattaraugus County, New York
- Notarization
- Not required: file this form without a notary.
- Official source
- cattco.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
The Swimming Pool Safety Plan helps an operator document procedures for bather supervision, injury prevention, emergencies, first aid, and summoning help. The form says operators must submit the completed plan to their local health department for review and approval. It asks about facility and pool characteristics, staffing and supervision, safety practices, emergency response, training, and a pool diagram; photos or other attachments may be included as needed.
Who needs it
Operators of swimming pools complete and submit the plan to their local health department for review and approval.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This document is signed and dated without a notary; the signer just signs and dates the plan.
How to submit this form
- 1
Download the Plan
Download the Swimming Pool Safety Plan PDF.
- 2
Complete the Form
Enter facility and pool information and describe the applicable safety procedures.
- 3
Gather Attachments
Include attachments, such as photos, as necessary, and complete the pool diagram.
- 4
Sign and Submit
Sign and date the plan, then submit it to your local health department for review and approval.
Frequently asked questions
- Do I need a notary for the Swimming Pool Safety Plan?
- No. The plan has a signature and date line but no notary block; the signer signs and dates it.
- How do I submit the Swimming Pool Safety Plan?
- The plan says to submit it to your local health department for review and approval. Check the county website for current contact details.
- What information does the plan ask for?
- It asks for facility and pool details and procedures covering supervision, injury prevention, emergencies, first aid, training, and other safety topics.
- Can I include attachments with the plan?
- Yes. The form says to include attachments, such as photos, as necessary.