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Prior to the start of competition the referee should be satisfied that the following have been completed:

EVENT: ……………………………………………………………………………………………………………….

DATE: ………………………………………………………………………………………………………………..

Yes No
Sufficient, properly equipped and qualified water safety personnel have been provided including specific ratios as detailed in the SLSA Water Safety Policy 1.01 and Procedure document for U13 and under aged competition.
Available means of rescuing an unconscious patient from the water is in place i.e. a crewed IRB or a crewed jet ski is on the water in the competition arena.
A safety and rescue plan relevant to the scope of competition being conducted has been prepared
A contingency plan is in place
The prevailing and expected conditions have been assessed
The non-competition aspects of the competition have been assessed
Has any assessment determined that competition should not be conducted (in full or part)?
If yes, has the Competition Committee been notified?
What was the decision of the Competition Committee? Postpone Cancel Relocate (circle one)
Any compulsory use of PPE conveyed to event participants
Has the contingency plan been implemented?
All relevant parties have been briefed
The surf conditions are satisfactory for competition to commence

I,………………………………………………………………………………………………. (Print Name and Position)
Am satisfied that all competition and non-competition arrangements provide the necessary safety for competitors, officials and other personnel involved in competition.

Signature: ………………………………………………………………………………………………………………………

Date/Time: …………………………………………………………………………………………………………………….