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Malibu High School End of Shift Report

2. Instructions

   Complete the form below in its entirety at the end of each shift.

4. Staff Member Information
6. First Name*
7. Last Name*
8. Date and Time*
   Date and Time

   Date and Time
10. Continue

Report Information

2. List all City of Malibu Recreation Classes that were held during your shift at Malibu High School.*
4. Please provide the names of all City program instructors instructing during your shift. (For Open Gym shift, please put N/A)*
5. I verify that I checked all instructors have been approved and background checked.(For Open Gym shift, please put N/A)*

   Please initial above.

7. Did any issues occur with participants, instructors, or spectators during these programs?*
11. List all assigned projects that you completed during your shift.*
13. Did you submit an accident or incident report during your shift?*

    1. Yes
    2. No

    If yes, please make sure to submit any paperwork in a City envelope and place in the safe.

15. Did you observe any interior or exterior areas that need additional custodial attention?*

    Areas may include floors, restrooms, tennis courts, hoops, doors, etc.

17. Did any safety issues or vandalism occur during your shift that needs immediate attention?*

    1. Yes
    2. No

    If yes, please submit a maintenance request.

19. Please document below and notify a supervisor immediately.
20. Image
24. Any other non-urgent details, issues, or concerns that were brought up during your shift.
26. I verify that all electronics have been locked in the pool office, and all chords are connected on the dock.*

    1. Yes

    Leave card reader charging on the dock

Leave This Blank:


27. 1. Receive an email copy of this form.
28. Email address

    This field is not part of the form submission.

29. Submit | Go Back

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