Risk Management Plan: SLO Ice Arena

SLO Ice Arena

100 Madonna Rd. San Luis Obispo, CA. 93405.

805-784-2410

Risk Management Plan

2012-2013

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Table of Contents

Step 1: Our Mission and Philosophy 3 Step 2: Needs Assessment 5 Step 3: Goals and Objectives 5 Step 4: Site and Facility Development 6 Step 5: Program Development 10 Step 6: Supervision 16 Step 7: Establishment of Safety Rules, Regulations, and Procedures 23 Step 8: Safety Inspections and Investigations 30 Step 9: Accident Reporting and Analysis 33 Step 10: Emergency Procedures 34 Step 11: Releases, Waivers, and Agreements to Participate 41 Step 12: Methods of Insuring Against Risk 42 Step 13: In-Service Training 43 Step 14: Public Relations 47 Step 15: Outside Specialists – Legal/Insurance 48 Step 16: Periodic Review 50 Appendix Table of Contents 54 Appendix 55

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Step 1: Our Mission and Philosophy

To: Employees of SLO Ice Arena From: The SLO Ice Arena Corporate Board of Commissioners Subject: Our Philosophy for Managing Risk

SLO Ice Arena exists to provide a state-of-the-art recreational facility where figure skaters, hockey players, and recreational skaters alike can enjoy a safe, family-friendly, and professionally managed environment. We are committed to providing our facility at the highest level possible. We pledge to use only qualified and trained employees in accord with the best and most reasonable standard of care possible. To that end, we endorse the establishment and maintenance of an extensive program to manage risk safely within our organization.

While we are committed to maintaining and providing a safe and healthy environment for staff and users, there is an element of risk inherent in participating in any ice-related activity. We expect users to acknowledge and appreciate this fact, and we operate under the following policy: Assumption of Individual Risk

All participants are required to sign a form stating assumption of risk (see Appendix Form 1) before participating in any programs offered at SLO Ice Arena, including public skating. SLO Ice Arena will not be held liable for any damages to person or property (including injury and death) resulting from participation in any of its programs, including but not limited to:

• private and group figure skating lessons and freestyle sessions • private and group hockey lessons and games • public skating

It is the responsibility of participants to understand and assume liability for the

risks and dangers inherent to ice-related sports and recreational activities. These risks and dangers include, but are not limited to:

• minor injuries such as scratches, bruises, and sprains • major injuries such as eye injury or loss of sight, joint or back sprains, strains,

breaks, concussions, severe cuts, head trauma, dismemberment, cardiac arrest, partial or total paralysis and death

We recommend consulting a physician before participating in any of our programs or events.

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General Facility Policies

In accordance with providing a safe, family-friendly, and professionally managed environment, we have established several general facility policies that address those areas which most greatly impact our users. We believe these policies will facilitate a safe environment in which all users will be able to benefit from their recreational experiences.

• Distraction resulting from use of electronic devices during skating sessions can result in injury. Therefore, it is our policy to prohibit use of cellphones, cameras, iPads, and other electronic devices at any time on the ice. These devices are only allowed outside the rink barriers; violators of this policy will be given one warning, and will then be asked to leave the ice.

• SLO Ice Arena expects that individual and group users will clean up after themselves and help maintain a safe, clean facility for everyone’s use and enjoyment.

• Children not yet old enough to stand and walk on their own will not be allowed on the ice. In order to prevent injuries, it is our policy to prohibit carrying infants and toddlers on the ice.

• Parents are expected to supervise their children. Children under the age of twelve must be accompanied by a parent or guardian in the facility. Children under the age of seven must be accompanied by a parent or guardian on the ice.

• Two rink employees will be on the ice at all times to monitor skaters and ensure safety. Anyone not following posted rules and policies will be given a warning. Further violation will result in dismissal from the ice.

• We expect that all facility users will conduct themselves in a responsible, safe manner. This means following the rules and policies posted on the rink boards, at the rental counter, in the party room, and in the locker rooms.

• SLO Ice Arena is an ADA accessible facility. Wheelchairs and other personal transportation devices are allowed in all areas of the facility. Wheelchairs are allowed on the ice, and can access the rink via the Zamboni doors.

• Bikes, rollerblades, skateboards, and scooters are not allowed at any time in the facility. Bike racks are provided outside for safe storage and user convenience.

• SLO Ice Arena will not be held responsible for the loss or theft of any personal items.

• Food and drink is not allowed on the ice or in the locker rooms at any time. Participants may have food and drink in the bleachers and in the lobby.

• SLO Ice Arena is a non-smoking facility. Smoking is prohibited in and around the building. Violators will be asked to leave the premises immediately.

• Alcohol is not allowed anywhere on the property. • Skates are not allowed on the bleachers. • Bullying behavior by staff or participants, whether physical, mental, verbal, or

emotional, will not be tolerated at any time (see Appendix Forms 12-14 for bullying and abuse report forms).

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Step 2: Needs Assessment

We have chosen to utilize the needs assessment chart (see Appendix Form 2) provided in our book for the purpose of checking off steps as we complete them.

Step 3: Goals and Objectives

1. To develop a comprehensive risk-management plan that will encompass all functioning and operations of SLO Ice Arena.

a. By the end of April 2013, secure policy direction from the rink administrator regarding development of a risk management plan.

b. By May 2, 2013, appoint a risk management coordinator. c. Inform the entire staff by May 4, 2013 of the development of a

comprehensive risk management plan. 2. To create a detailed plan that will reduce risk for employees, users, the

organization, and the facility. a. By May 5, 2013 all potential facility and property hazards will be

identified. b. By May 8, 2013 all SLO Ice Arena programs will be identified and added

to the risk management plan. c. By May 11, 2013, we will develop a plan of supervision that meets a

reasonable standard of care for our organization. d. By May 16, 2013, all safety rules and procedures will be established and

identified to regulate facility operations, maintenance, and programs. e. By May 20, 2013, we will develop a routine, systematic method for safety

inspections and investigations. f. By May 23, 2013, we will develop a system to report and appraise

accidents. g. By May 25, 2013, we will develop a procedure for handling emergencies

and adapt it to all settings. h. By May 27, 2013, we will select and develop waivers, releases, and

agreements to participate that are appropriate to the programs and services we offer at the rink.

i. By May 28, 2013, we will identify methods of insuring appropriate to each risk area that we have identified for our programs and facility.

j. By May 30, 2013, we will develop a comprehensive program of in-service training for the entire staff, including administration, managers, and volunteers.

k. By June 1, 2013, we will develop a public relations program to respond in the case of severe accidents or death.

l. by June 2, 2013, we will contact and have competent legal insurance counselors available.

m. By June 4, 2013, we will establish procedures and a timetable to review our risk management plan and ensure that our facility is functioning at the most reasonable standard of care possible.

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3. To implement our risk management plan. a. By June 15, 2013, all current employees will have thoroughly read and

understood our risk management plan.

Step 4: Site and Facility Development Core Product Areas Ice Rink

• Ice thickness: Ice must be kept between 1 and 1.5 inches thick, enough to support skaters’ weight and at the same time keep electrical costs at a minimum. Any thinner and the ice is in danger of cracking, which can result in injury to skaters and employees and financial loss to repair the surface. Ice must be checked once per week by a trained staff member. Using a cordless drill and tape measure, the employee will check the ice in several specified locations and record the findings on the appropriate “Ice Thickness Chart” (see Appendix Form 3) (Sport Ngin, 2013). Any need for thinning or thickening can then be addressed by rink maintenance staff before skaters take to the ice.

• Ice surface: Providing a smooth skating surface free of dents, holes, and bumps that skaters may trip over requires that the ice be resurfaced after every 1 ½ hour session. During resurfacing, to prevent staff or user injury, no one will be allowed on the ice with the Zamboni except the Zamboni driver. To prevent injury, rink entry gates must remain closed at all times while the Zamboni is on the ice, and an employee should remain at the gate as an extra precaution to prevent access to the rink. Gates should only be opened when the Zamboni has left the ice, staff has finished inspecting the rink surface and patching holes, and the Zamboni gate has been closed.

• Rink entry: Inadequate entry/exit points could result in injury in the event of an emergency. Rink entry gates should remain open at all times that skaters are on the ice in case the ice has to be evacuated.

• Bleacher safety hazards: If flooring surrounding the spectator area is not rubberized, injury could result if someone falls off the bleachers. To reduce this risk, ground around the seating area should be covered in well-maintained, rubberized flooring. In addition, the guard on the top bleacher should be checked annually to ensure it is safe and to prevent injury resulting from malfunctioning. Rink users will not be allowed on the bleachers with skates, as it creates too large of a risk for user safety.

• Air quality: If building ventilation is inadequate, Zamboni exhaust and other chemicals could pose health risks for rink users. Proper ventilation is of utmost importance in order to protect rink users and staff and ensure appropriate health standards are being met. One of the easiest ways to keep a clean-air environment is to keep back arena gates open to the outside when resurfacing the ice to minimize the level of exhaust in the arena (Connecticut Department of Health, 2010).

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Air should also be monitored daily (see Appendix Form 4), to check the levels of nitrogen dioxide and carbon monoxide, two toxic gases that pose health risks to rink staff and users. To ensure proper ventilation, rink managers will consult an HVAC engineer and local air quality official every month.

• Rink boards and netting: To prevent injury from stray hockey pucks, the rink is surrounded by Plexiglas and netting.

Core Product Extension Areas Skate Rental/Admission

• Unauthorized entry: The admissions office and rental area are to remained locked during and after business hours to prevent theft of and injury from equipment.

• Wall-mounted fixtures: To prevent injury from falling fixtures, anything hung on the walls of the admissions and rental area will be hung securely by our maintenance staff.

Party Room

• Capacity: The party room will be monitored by a rink employee at all times to ensure that the room is not over capacity as determined by fire safety standards.

• Wall-mounted fixtures: Anything hung on the walls of the party room will be hung securely by our maintenance staff.

Snack Shack

• Theft: To prevent theft, the snack shack will remain locked any time a staff member is not present.

• Health hazards: Broken packaging and open items pose health risks to consumers. All items will be inspected before sale to ensure intact packaging.

Ancillary Areas Parking Lot

• Tripping hazards: To prevent injury resulting from tripping, cracks in asphalt and concrete will be repaired within two business days after discovery. All potential hazards will be marked with yellow spray paint during each inspection.

• Security: To protect people coming and going from the facility and to discourage trespassers, the parking lot is to be completely lit from one hour before sunset to one hour after sunrise. The parking lot is under surveillance by multiple security cameras.

• Wind: Any trashcans or movable parking lot items shall be secured in a designated location to prevent unintended damage to people or property.

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Locker Rooms/Restrooms

• Theft: Broken lockers present the possibility of personal theft. To minimize this risk, lockers will be serviced monthly, and signs will be posted in the locker rooms encouraging users to report any issues they encounter. SLO Ice Arena does not assume responsibility for theft in the locker rooms.

• Plumbing issues: Potential plumbing/mechanical issues could pose a long-term financial commitment if not regularly maintenance. Plumbing and lighting in the locker rooms and restrooms will be checked annually.

• Slip hazards: Walking on tile flooring in skates is potentially dangerous and individuals are at risk of slipping and falling. To minimize risk of accident and injury, tile flooring will be coated with a non-slip epoxy once every five years.

• Wall-mounted fixtures: Anything hung on the walls of the locker room and restrooms will be hung securely by our maintenance staff.

Lobby

• Slip hazards: Non-rubberized flooring poses slipping risks to individuals walking in skates. To minimize injuries from slipping and falling, floors in the lobby will be made of a rubberized compound.

• Sharp edges: Metal bench edges can be sharp and pose a potential threat to young children. To minimize risk of injury, all benches in the lobby will be made from wood. The wood benches are to be waxed once per year to prevent slivers.

• Security: Any unattended items such as towels, backpacks, duffel bags, etc. could be stolen, pose a security risk, or be a potential tripping hazard. They will be immediately removed from the lobby by staff and placed in the lost and found.

• Wall-mounted fixtures: Anything hung on the walls of the lobby will be hung securely by our maintenance staff.

Spectator Bleachers

• Security: Any unattended items such as towels, backpacks, duffel bags, etc. could be stolen, pose a security risk, or be a potential tripping hazard. They will be immediately removed from the lobby by staff and placed in the lost and found.

• Spectator safety: The seating area and bleachers will be checked annually by a contracted company for structural flaws and to ensure that they are in accordance with industry standards.

• Slip hazards: To prevent potential injury, bleachers are to have grip tape on all walking surfaces.

• Sharp edges: All corners and edges shall be rounded or smoothed as to not pose a safety hazard.

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General Facility Risks

• Flooring: All common, core product areas including the lobby, bleachers, and party room must have appropriate flooring to ensure safe, non-slip surfaces for participants to walk on with skates. These areas should be covered with rolls of protective rubber flooring or rubber tile flooring. Rubberized flooring is durable and low maintenance, reducing the financial input required for upkeep in maintaining a safe environment for users. While rubberized flooring is non-slip, if tripping or accidents do occur, the elasticity of the rubber absorbs some of the impact from the fall and minimizes risk and injury (Rubber Flooring Direct, n.d. a). Rubber floors should be mopped and vacuumed to remove dirt and grit (Rubber Flooring Direct, n.d. b) to prevent unnecessary damage to blades, which will lead to longer-lasting equipment and less of a financial burden on the rink.

• Adequate signage: Appropriate directional and safety signage will remain posted at all times around the facility. Warning signs will be posted outside and inside the maintenance room and Zamboni room. To increase user safety, minimize negative user behavior, and reduce the risk of injury, signs with rules for skating and facility use will be posted at the rental counter, rink entrances, locker rooms, lobby, and party room. Directional signs will also be posted in the lobby and at the entrance to the arena to help direct new users to appropriate areas.

• Locks and keys: To prevent user and untrained employee access to dangerous areas such as the maintenance room and Zamboni storage area, these rooms should be kept locked at all times. Only qualified employees should have keys to these areas.

Equipment and Mechanical Systems Facility Equipment

• Poorly maintained equipment: Malfunctioning equipment including the scoreboard and PA system poses financial risks to SLO Ice Arena. This equipment will be operated by trained employees only, and will be checked monthly to ensure smooth operation and avoid long-term issues and costly replacements.

First Aid and Emergency Equipment

• First aid kits: To ensure quick response and minimize severity of injury in case of emergency, a first aid kit will be available in core product and ancillary areas of the facility: the rink, the rental counter, administrative offices, the mechanical room, the party room, and the locker room. Employees will be aware of the location and will be trained on how to properly use the kit. In the event of an emergency where use of the kit is required, it will need to be replenished appropriately at a later time.

• Emergency equipment: Emergency equipment including fire alarms, sprinklers, PA systems, and emergency exit signs may malfunction from time to time.

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To ensure all emergency equipment is in proper working order, the equipment will be serviced according to safety standards.

Electrical System

• Generators: In the event of electrical failure, SLO Ice Arena has two generators available. These generators will provide sufficient energy to immediately power the facility for two days to prevent financial loss from ice melting and to keep the facility open for use.

Zamboni

• Zamboni access: To prevent user and unqualified employee access and potential injury, the Zamboni must be kept in the locked Zamboni room; only employees trained to operate the Zamboni should have keys for the room. Further precaution includes posting clear, visible warning signs reinforcing the rules and danger of using the Zamboni. No riders except the driver will be allowed on the Zamboni at any time (Zamboni, n.d.).

• Zamboni blade: To ensure smooth, quality ice that minimizes the risk of user injury, the Zamboni blade must be changed with caution, once per week, by a certified maintenance employee (Sport Ngin, 2013).

Maintenance Room

• Rink refrigeration: The mechanical systems used to power and maintain the rink and ice surface pose a health hazard to rink staff and users if not properly maintained. The refrigeration system employs use of ammonia, a toxic chemical, as the primary means of refrigerating the ice (Athletic Business Media Inc., 2013). Leakage can result in exposure to the gas, which may cause a variety of health risks and death. To protect the safety of staff and users, this system must be regularly checked and maintained.

Security System

• Surveillance and alarms: In order to ensure a safe, secure facility, SLO Ice Arena will use security cameras on the exterior of the facility and in all interior, public areas. An alarm system is also installed on all windows, general access doors, emergency exits, and garage doors to prevent theft and vandalism and minimize security threats and resulting financial losses.

Step 5: Program Development

We, San Luis Obispo Ice Arena, hereby authorize our staff to offer figure skating and hockey lessons, public skating and freestyle sessions, tournaments and competitions, and parties and private rentals. Our number one priority is to deliver fun and meaningful recreation and competitive programs in a safe, state of the art facility.

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The following policies outline SLO Ice Arena’s responsibilities as well as our expectations of rink users who participate in any of the following programs and services: Learn to Skate/figure skating lessons, hockey lessons, public skating sessions, freestyle sessions, figure skating competitions, hockey games and tournaments, private parties and groups, skate rentals, the Snack Shack, and special events. These policies are intended to help us deliver quality recreational experiences at the most reasonable standard of care possible. Programs and Services Learn to Skate/Figure Skating and Hockey Lessons

• To ensure skater safety, development, and enjoyment, lesson enrollment is limited to ensure a ratio no greater than ten skaters to every instructor. Enrollment opens three weeks before the first lesson.

• Before participating in lessons, individuals must register in person (see Appendix Forms 5 and 6) at the rental counter or online at SLOskate.org. All required fees, waivers, and agreements to participate (see Appendix Form 1) must be submitted and filed by rink staff before participation in hockey or figure skating lessons.

• Enrollment in hockey and skating lessons is open to children three and older. However, children younger than twelve must be accompanied by a parent or guardian in the facility.

• Hockey lessons will be offered twice a week on Mondays and Wednesdays, before the first and last public skating session of the day. Learn to Skate/figure skating lessons will be follow the same schedule as hockey lessons, but will be offered Tuesdays and Thursdays.

• Hockey and figure skates, as well as sticks, pucks, and protective equipment are included in the cost of lessons and are available for use during the lesson, and after during the following public skating session.

• Before lessons begin, skaters will be assessed to determine their skill level in order for placement in the proper class level. This helps ensure skater safety as well as increases learning and enjoyment.

• Lessons will last one hour, and will follow a basic schedule. The first ten minutes will focus on off-ice stretching and warm-ups for education and safety. Thirty-five minutes will be dedicated to instruction and drills. The remaining fifteen minutes will be a private free-skating session for skaters to practice the skills they’ve learned.

• All instructors have been certified by either the US Figure Skating Professional Skaters Association (U.S. Figure Skating, 2010) or by USA Hockey. Instructors have also received training in First Aid, CPR, and AED (see Appendix Form 11) and have been thoroughly briefed on SLO Ice Arena’s risk management plan, with emphasis on injury and accident prevention and response.

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• In the event of participant injury, parents, guardians, or participants can file a claim with SLO Ice Arena. In accordance to California law, the parent, guardian, or participant has two years from the time of the accident in which to file a claim (LexisNexis, 2013).

• Participants are expected to be respectful of the instructor and other skaters and should conduct themselves in a safe and responsible manner. Any skater that chooses not to follow the rules or who acts in an unsafe manner that poses risk to him/herself or other skaters will be given a warning. If the warning is not followed, the skater will be asked to leave the ice.

• All participants or parents/guardians are asked to fill out an evaluation form (see Appendix Form 7) that covers the instructor, program, safety, and general satisfaction. SLO Ice Arena appreciates cooperation in filling out the evaluation to help ensure delivery of the safest, most satisfactory programs possible.

Public Skating Sessions

• Two Ice Monitors will be on the ice at all times. These Ice Monitors will assist the skaters, if needed, and maintain control on the ice.

• Before and after each 1 ½ hour public skating session, the ice will be resurfaced. During this time, no one but the Zamboni driver is allowed on the ice. Rink gates will remain closed until the Zamboni is off the ice and rink employees have finished patching the ice and closed the Zamboni gates. At this time, a rink supervisor will unlock the entry gate and skaters will be allowed on the ice.

• No street shoes are allowed on the ice at any time. • Any individual old enough to stand on his/her own will be allowed on the ice

during public skating sessions. Carrying infants or toddlers is prohibited. • Skaters are expected to skate in the designated direction. Halfway through the

session, the direction will change and supervisors will instruct skaters to begin skating in the other direction.

• Skating aids, as long as they are used appropriately and responsibly, are allowed on the ice at all times. Individuals using skating aids for games or in ways deemed dangerous to other skaters will be asked to return the aid to the rental counter.

• Figure skating is only allowed in the center circle of the ice. • Hockey sticks and pucks are not allowed during public sessions. • Reckless behavior including weaving in and out of skaters, pushing, shoving, or

skating at high speeds will not be allowed during public sessions. • No food, drink, gum, or smoking is allowed on the ice at any time. • To ensure safety, all skaters must follow SLO Ice Arena’s Rules and Regulations

posted on the rink gates. Skaters are expected to follow the directions of the rink supervisors, act responsibly, and remain aware of other skaters.

Competitions

• During competitions, the locker rooms will be open for skaters and coaches only. Food and drink are not allowed in the locker rooms at any time.

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• Skaters will enter the ice from the side entrance of the rink. Only skaters, coaches, rink employees and competition volunteers are allowed at this entrance.

• The ice will be resurfaced between each competition level warm-up session. No skaters are allowed on the ice during resurfacing. Gates will be opened after the Zamboni gates are closed.

• Thirty-minute practice sessions for each level will be held two hours before the competition begins. Ten-minute warm-up sessions will be held before each level of competition takes to the ice. During practice and warm-up sessions, the skater whose music is playing has the right of way.

• Spectators are not allowed on the rink, near rink entrances, or in the locker room at any time. They must stay in the lobby area or on the bleachers at all times during the competition. Throwing flowers, stuffed animals, or other items onto the ice after a program is prohibited.

• Phones, pagers, and other electronic devices must be silenced during the competition. Flash photography is prohibited; use of cameras without flash, as well as video cameras and other electronic devices is allowed in the bleachers and lobby.

• Sale of club merchandise during competitions is allowed in the lobby. Vendors (see Appendix Form 9) are responsible for their own tables, chairs, and signs, as well as set-up and teardown.

• Coaches must provide the rink with their skaters’ music when they arrive for their practice session. Two copies should be provided; they will be returned to the coach at the end of the competition.

• Medals will be awarded in the lobby at the end of each competition level. Hockey Games and Tournaments

• During pregame warm-ups and hockey games, only members of the team, the coach, and referees will be allowed on the ice.

• Players are expected to conduct themselves with an attitude of sportsmanship. Any violent or aggressive behavior will be addressed during the game, and if serious enough, will result in removal from the game.

• Spectators, like players, are expected to conduct themselves with an attitude of sportsmanship. Any individual violating this expectation will be given a warning. If the individual does not respect the warning, he/she will be asked to leave the bleachers.

• Spectators must stay in the bleacher area during the game. No one but the coaches, referees, and players are allowed near the rink entrance or benches.

• Food and drink is not allowed on the player benches, with the exception of water. Food and drink is allowed in the spectator bleachers.

Private Parties: Ice Rental and Party Room Use

SLO Ice Arena allows for ice rentals and also has a party room available for uses that will enhance the SLO Ice Arena’s role as an essential community resource. Programs scheduled in the party room must take place during regular rink hours.

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Facilities are scheduled on a first-come, first-serve basis and are approved by the rink administrator. See Appendix Form 8 for our party room rental agreement. The following are policies regarding use of private ice and the party room:

• Parties renting out the ice for personal use are expected to follow the same rules that apply to public skating sessions.

• Parties must call SLO Ice Arena at least forty-eight hours in advance to reserve the ice. Reservations for the rink are limited to 100 people; reservations for the party room are limited to thirty people.

• The party room must be reserved at least two weeks in advance. • The auxiliary manager on duty will designate an employee to check the party

room at least one hour prior to the arrival of any applicant group to make sure everything is clean and in safe, operating condition.

• Private parties using the party room are expected to remove all trash and leave the room as they found it.

• SLO Ice Arena is not responsible for any lost or stolen items. • Private groups will be held responsible for their members on and off the ice. • Private parties are allowed to bring their own food and drinks into the party

room. Plates, silverware, napkins, and other similar items will not be provided by the rink.

• The party room may be rented for three hours at a time, or the equivalent of two public skating sessions. The following table shows the prices for a three-hour room rental. Time includes set-up and cleanup, both of which are the responsibility of the group using the party room.

Non-Profits For-Profit Organizations Private use

$250 $350 $350

Additional 1 ½ sessions will be $25.00 per session.

• The room will not be available for rent during competitions, hockey games, or freestyle sessions.

• The rink administrator reserves the right to approve or disapprove requests for the use of its facilities. He/she may impose added restrictions as deemed appropriate for a particular program or use.

• Permission to use the party room does not constitute SLO Ice Arena’s endorsement of the policies, beliefs, or goals of the renting party. No advertisements or publicity should indicate endorsement or sponsorship by the SLO Ice Arena without prior approval of the rink administrator.

• Failure to observe policies regarding use of the party room may result in denial of future use.

Freestyle Sessions

• The Golden Rule of being aware of your surroundings is always in effect.

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• No food or drinks allowed on the ice. • Sitting on the boards is not allowed. • Proper skating or exercise attire is required. No jeans, shorts, halter-tops or

exercise bras will be permitted. • Long hair must be neatly tied back. • Skate laces must be tucked in. • Freestyle sessions are reserved for capable figure skaters that have passed their

preliminary tests. • Each skater must sign in and pay the freestyle fee before each session. Colored

bracelets must be worn to indicate that you have paid. • Lower level skaters must watch out for higher-level skaters. • If a skater’s program music is playing, they have the right of way. If a session is

crowded, a staff member will act as program monitor. Each skater’s name will be announced before their music is played.

• Skaters receiving private coaching have right of way after skaters practicing to their music.

• Sportsmanlike behavior is expected among skaters and coaches. Inappropriate behavior may result in dismissal from the ice.

Freestyle Sessions: Private Coaching

• All coaches must be certified by US Figure Skating and recognized by SLO Ice Arena before they will be allowed to coach during freestyle sessions.

• All private coaches must submit coaching insurance to the ice arena before they will be allowed to coach during freestyle sessions.

• Each coach must sign in and pay the freestyle session fee before each session.

• Private lessons may only be taught during designated freestyle sessions.

• Private coaches should, to the best of their knowledge, charge a fair rate while taking into consideration their own qualifications.

Fundraisers and Merchandise Sales

• Fundraisers and merchandising must take place during normal business hours in the lobby.

• Fundraisers and merchandising must be pre-approved by the rink administrator or a rink manager.

• Any fundraising or merchandising must be scheduled at least one week prior to the desired time.

• For vendors selling merchandise, SLO Ice Arena will receive ten percent of the profits. See Appendix Form 9 for our Vendor Agreement.

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Step 6: Supervision As established in our risk management philosophy, we believe in providing our programs and services with the best standard of care possible. This requires knowledgeable and adequate supervision in every program area.

To ensure proper supervision, our rink administrator and facility managers have several crucial responsibilities:

• to ensure that all staff understands the purpose, objectives, and policies of SLO Ice Arena

• to maintain healthy working relationships amongst staff and between staff and managers

• to help formulate job descriptions and clearly communicate them to employees • to evaluate staff and program progress on a monthly basis • to identify the necessary staff-participant ratios for user safety and communicate

those ratios to the appropriate employees • to guide staff to work cooperatively, be observant and sensitive, make appropriate

decisions, communicate effectively, react responsibly and appropriately, be familiar with emergency procedures, know their surroundings, and be aware of participants’ conditions. These qualities will be accomplished in our training programs, detailed in Step 13: In-Service Training. In order to fulfill these responsibilities, the rink and auxiliary managers will hold

weekly staff meetings. Attendance is mandatory. During staff meetings, managers will provide updates on rink safety and maintenance and changes in program schedules and policies. Instructors and coaches will be notified of special needs and conditions of any program participants. In addition, a different safety issue or emergency procedure will be presented and discussed to ensure employees are confident about and able to respond to any issue that may arise while they are supervising rink users. At the end of the staff meeting, employees will be given a chance to ask questions and voice concerns. The opportunity to do so will achieve the managers’ responsibility of maintaining healthy working relationships and clarifying policies, procedures, and job descriptions for staff members. Plans for Supervision Ice Rink: Public Skating

1. During public skating sessions, there will be two Ice Monitors supervising skaters at all times.

2. Before their first shift, Ice Monitors must complete appropriate training. They must also be certified in CPR and First Aid; the rink manager must have documentation of completion of training (see Appendix Form 12) as well as CPR and First Aid certification (see Appendix Form 11).

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3. Before their first shift, the rink manager must file proof of emergency training. 4. Before their first shift, Ice Monitors must understand and sign their job

description. This document will be filed appropriately by the rink manager. 5. Rink managers must conduct monthly performance evaluations (see Appendix

Form 10) of all Ice Monitors to ensure they are fulfilling all documented job responsibilities and facilitating a safe skating environment.

6. Rink managers should ensure that appropriate emergency procedures are posted around the rink. Ice Monitors are responsible for ensuring these procedures remain posted and visible to all users.

7. Safety checklists will be readily available for the Ice Monitors regarding the following: a. Safe rink capacity: occupancy should not exceed 250 people b. Rink safety: boards should be intact, rink entry gates should remain open, and

any large dents should be filled and bumps cleared c. User behavior: users must skate in the specified direction, skaters should not

skate at excessive speeds or engage in reckless behavior, figure skating is only allowed in the center circle of the ice

d. First aid kits: the Ice Monitor should have a first aid kit on hand, which should be checked and replenished if needed before every session

Ice Rink: Figure Skating and Hockey Lessons

1. During figure skating and hockey lessons, as stated by national standards, there will be no more than ten skaters to every instructor.

2. Before their first shift, instructors must complete appropriate training and be certified either by the US Figure Skating Professional Skaters Association or USA Hockey. They must also be certified in CPR and First Aid; the rink manager must have documentation of completion of training (see Appendix Form 12), as well as CPR, First Aid (see Appendix Form 11), and coaching certification.

3. Before their first shift, the rink manager must file proof of instructors’ emergency training.

4. Before their first shift, instructors must understand and sign their job description. This document will be filed appropriately by the rink manager.

5. Rink managers must conduct monthly performance evaluations (see Appendix Form 10) of all instructors to ensure they are fulfilling all documented job responsibilities and facilitating a safe learning and skating environment.

6. Rink managers should ensure that appropriate emergency procedures are posted around the rink. Instructors are responsible for ensuring lesson participants are aware of these signs and that they remain posted and visible to all users.

7. Instructors should prepare, in writing, the lesson plans for each class. These lesson plans should be approved by and filed with the rink manager.

8. Safety checklists will be readily available for the instructors regarding the following: a. Safe instructor-student ratio: should not exceed ten students to every instructor b. Rink safety: boards should be intact, rink entry gates should remain open, and

any large dents should be filled and bumps cleared

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c. Equipment: any rented equipment should be checked for safety before supplied to skaters (this includes hockey sticks, pucks, skates, nets, and figure skates)

d. User behavior: students must be respectful of the instructor and other skaters e. First aid kits: each instructor should have a first aid kit on hand, which should

be checked and replenished if needed before every lesson Ice Rink: Freestyle Sessions

1. During freestyle sessions, one Ice Monitor will be on duty to supervise skaters and coaches.

2. Before their first shift, Ice Monitors must complete appropriate training and coaches must be certified by the US Figure Skating Professional Skaters Association. Both coaches and Ice Monitors must also be certified in CPR and First Aid; the rink manager must have documentation of completion of training (see Appendix Form 12), as well as CPR, First Aid (see Appendix Form 11), and coaching certification.

3. Before their first shift/coaching session, the rink manager must file proof of Ice Monitor and coaches’ emergency training.

4. Before their first shift/coaching session, Ice Monitors and coaches must understand and sign their job description. These documents will be filed appropriately by the rink manager.

5. Rink managers must conduct monthly performance evaluations (see Appendix Form 10) of all Ice Monitors and coaches to ensure they are fulfilling all documented job responsibilities and facilitating a safe learning and skating environment.

6. Rink managers should ensure that appropriate emergency procedures are posted around the rink. Coaches are responsible for ensuring their students are aware of these signs and that they remain posted and visible to all users.

7. Safety checklists will be readily available for the Ice Monitors and coaches regarding the following: a. Rink safety: boards should be intact, rink entry gates should remain open, and

any large dents should be filled and bumps cleared b. User behavior: students must be respectful of coaches, the Ice Monitor, and

other skaters, the skater whose program music is playing has right of way c. First aid kits: the Ice Monitor should have a first aid kit on hand, which should

be checked and replenished if needed before every session Figure Skating Competitions

1. During figure skating competitions, the rink manager, the auxiliary manager, and volunteers will be on duty. For direct supervision, two volunteers will be at the check-in table, two volunteers will be at the rink entrance letting skaters on and off the ice, and two volunteers will help with medals.

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2. Before their first shift, all volunteers must complete appropriate training and be certified in CPR and First Aid; the rink manager must have documentation of completion of training (see Appendix Form 12), as well as CPR and First Aid certification (see Appendix Form 11).

3. Before their first shift, the rink manager must file proof of volunteers’ facility emergency procedures training.

4. Rink managers are not required to conduct formal performance evaluations for volunteers. They are, however, required to supervise volunteers at all times during their shifts to ensure they are fulfilling their duties and acting in a safe and responsible manner.

5. Rink managers should ensure that appropriate emergency procedures and rink policies are posted around the rink, lobby, and locker room. Volunteers are responsible for ensuring skaters and spectators follow these policies before, during, and after the competition.

6. Safety checklists will be readily available for volunteers regarding the following: a. Ice entry/exit procedures for skaters b. Check-in procedures c. Skater behavior: any skater exhibiting unsafe or unsportsmanlike behavior

should be dismissed from the ice by the rink manager d. First aid kits: each volunteer station should have a first aid kit on hand, which

should be checked and replenished if needed before every competition Hockey Games and Tournaments

1. During hockey games and tournaments, the rink manager and the auxiliary manager will be on duty to supervise the games and ensure teams and coaches are acting safe, responsibly, and with the spirit of sportsmanship.

2. Three additional staff members will be on hand to monitor spectators in the bleachers and patrol the lobby.

3. Before their first shift, all staff members must complete appropriate training and be certified in CPR and First Aid; the rink manager must have documentation of completion of training (see Appendix Form 12), as well as CPR and First Aid certification (see Appendix Form 11).

4. Before their first shift, the rink manager must file proof of employees’ facility emergency procedures training.

5. Rink managers must conduct monthly performance evaluations (see Appendix Form 10) on each rink employee to ensure that they are adequately fulfilling their duties and helping maintain a safe, healthy environment for spectators, players, and coaches.

6. Rink managers should ensure that appropriate emergency procedures and rink policies are posted around the rink, lobby, and locker room. Rink employees are responsible for ensuring that spectators, players, and coaches follow these policies before, during, and after the game or tournament.

7. Safety checklists will be readily available for staff members regarding the following: a. Rink safety: boards should be intact, rink entry gates should remain open, and

any large dents should be filled and bumps cleared

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b. Spectator safety: bleachers should be inspected before and after every game c. Coach, player, and spectator behavior: anyone exhibiting unsafe or

unsportsmanlike behavior should be dismissed from the ice by the rink manager

d. First aid kits: each staff member and manager should have a first aid kit on hand, which should be checked and replenished if needed before every tournament

Lobby

1. During business hours, at least two rink employees will be on duty to supervise skaters and spectators.

2. Before their first shift, employees must complete appropriate training. Employees must also be certified in CPR and First Aid; the rink manager must have documentation of completion of training (see Appendix Form 12), as well as CPR and First Aid (See Appendix Form 11).

3. Before their first shift, the auxiliary manager must file proof of employees’ emergency training.

4. Before their first shift, employees must understand and sign their job description. These documents will be filed appropriately by the auxiliary manager.

5. The auxiliary manager must conduct monthly performance evaluations (see Appendix Form 10) of all rink employees to ensure they are fulfilling all documented job responsibilities and facilitating a safe environment for skaters and spectators.

6. The auxiliary manager should ensure that appropriate emergency procedures are posted around the lobby. Employees are responsible for ensuring participants are aware of these signs and that they remain posted and visible to all users.

7. Safety checklists will be readily available for employees regarding the following: a. General safety policies: i.e., no scooters, bikes, or skateboards are allowed in

the lobby at any time, clean and clear flooring b. User behavior: skaters and spectators must respect SLO Ice Arena’s policies

and the employees enforcing them c. First aid kits: employees should be aware of the location of the first aid kit,

which should be checked and replenished if needed before opening every day

Party Room

1. While the party room is in use, one rink employee will be on duty to supervise users.

2. Before their first shift, employees must complete appropriate training. Employees must also be certified in CPR and First Aid; the rink manager must have documentation of completion of training (see Appendix Form 12), as well as CPR and First Aid (see Appendix Form 11).


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5. The auxiliary manager must conduct monthly performance evaluations (see Appendix Form 10) of all rink employees to ensure they are fulfilling all documented job responsibilities and facilitating a safe environment for users.

6. The auxiliary manager should ensure that appropriate emergency procedures are posted in the party room. Employees are responsible for ensuring users are aware of these signs and that they remain posted and visible.

7. Safety checklists will be readily available for employees regarding the following: a. General safety policies: maximum capacity of 30 people b. First aid kits: employees should be aware of the location of the first aid kit,

which should be checked and replenished if needed before opening every day. Snack Shack

1. During business hours, two rink employees will staff the snack shack. 2. Before their first shift, employees must complete appropriate training. Employees

must also be certified in CPR and First Aid; the rink manager must have documentation of completion of training (see Appendix Form 12), as well as CPR and First Aid (see Appendix Form 11).



5. The auxiliary manager must conduct monthly performance evaluations (see Appendix Form 10) of the rink employees to ensure they are fulfilling all documented job responsibilities and operating the snack shack efficiently.

6. Safety checklists will be readily available for employees regarding the following: a. Food safety: all food should be inspected before sale to ensure intact

packaging b. Security: manager must unlock and lock the Snack Shack before and after

every shift, employee must count money before and after every shift c. First aid kits: employees should be aware of the location of the first aid

kit, which should be checked and replenished if needed before opening every day.

Admissions and Skate Rental

1. During business hours, the auxiliary manager and one rink employee will staff the admissions counter and skate rental.

2. Before their first shift, employees must complete appropriate training. Employees must also be certified in CPR and First Aid; the rink manager must have documentation of completion of training (see Appendix Form 12), as well as CPR and First Aid (see Appendix Form 11).

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5. The auxiliary manager must conduct monthly performance evaluations (see Appendix Form 10) of all rink employees to ensure they are fulfilling all documented job responsibilities and facilitating a safe environment for users.

6. Safety checklists will be readily available for employees regarding the following: a. Equipment safety: skates should be inspected for wear and tear before and

after rental, blades should be sharpened every month b. Security: counter should be locked and unlocked before and after every shift,

money should be counted before and after every shift c. First aid kits: employees should be aware of the location of the first aid kit,

which should be checked and replenished if needed before opening every day Locker Rooms and Restrooms

1. During business hours, a custodial employee will check the locker rooms and bathrooms every three hours for cleanliness.

2. Before their first shift, custodians must complete appropriate training; the rink manager must have documentation of completion of training (see Appendix Form 12).



5. The auxiliary manager must conduct monthly performance evaluations (see Appendix Form 10) of all rink custodians to ensure they are fulfilling all documented job responsibilities and maintaining a safe and clean environment for users.

6. Safety checklists will be readily available for employees regarding the following: a. Facility safety: when mopping, custodians must use “wet floor” signs,

bathrooms should be closed during cleaning b. Security: locking mechanisms in lockers must be checked weekly to make

sure they work c. Health safety: custodial cleaning substances must be stored safely in the

maintenance closet d. Facility efficiency: check stock of toilet paper, soap, and paper towels daily

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Step 7: Establishment of Safety Rules, Regulations, and Procedures

To ensure safe and efficient delivery of all our programs, we have established rules, regulations, and procedures for each of our program areas. In addition to our own, facility-specific policies, our rink and auxiliary managers will stay updated on current national safety standards as specified by the US Figure Skating Association, USA Hockey, and STAR (Serving The American Rinks) and revise rules, regulations, and procedures as necessary. These changes will be communicated to our rink staff during weekly meetings. One of the most important components of safety rules, regulations, and procedures is communicating them to users and employees through efficient, visible signage. Rink rules and regulations, as well as safety and emergency procedures will be posted in all areas of the facility: the rink, the rental/admission counter, the snack shack, the lobby, the locker rooms/restrooms, the Zamboni storage room, and the mechanical room. The auxiliary and rink managers will review these signs on a monthly basis for currency and condition. Everyday, staff should also ensure that signage is visible at all times. Rules and regulations will be strictly enforced by managers and employees. Anyone found in violation of facility rules will be given one warning. Another violation will result in dismissal from the facility. SLO Ice Arena takes its rules and regulations seriously in order to maintain a safe facility at all times.

The following establishes the rules, regulations, and procedures that SLO Ice Arena has adopted in response to threats, emergencies, and general participant safety. For additional policies regarding safe operations and program delivery, please see Step 5: Program Development. General Safety Rules and Regulations

• All employees will attend weekly staff meetings with the rink or auxiliary manager to stay informed and updated on policies, safety procedures, any changes, and other important information.

• All employees and volunteers of SLO Ice Arena are CPR and First Aid certified (see Appendix Form 11) to ensure a safe environment for all guests.

• All employees and volunteers undergo thorough job/volunteer training and a background check (see Appendix Form 20) before being hired or volunteering at the rink.

• To ensure the safety of everyone in the facility, guests and employees are subject to random security searches.

• All areas of the facility, excluding locker rooms and restrooms, are under surveillance at all times.

• A security guard is on the premises during business hours. • In case of a natural disaster or emergency, proper escape routes will be posted and

clearly visible throughout the facility.

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Weather and Natural Disasters Wind

SLO Ice Arena is located on Madonna Road in San Luis Obispo, an area that occasionally experiences high winds. Although rare, wind gusts in this area can cause damage to both people and property. SLO Ice Arena has adopted the following rules, regulations and procedures to help minimize damage to both people and property.

• The SLO Ice Arena auxiliary manager is responsible for following wind patterns on a daily basis and making sure that employees are aware of any high wind advisories.

• All items in the parking lot such as trashcans, lighting fixtures, and signs should be properly secured and checked every year by our maintenance staff at the direction of the auxiliary manager.

• A notice that customers are parking at their own risk should be clearly visible upon entering the parking lot.

• In case of strong winds, all customers will be warned upon admission that their vehicles may be subject to damage and that they are parking at their own risk.

• In situations in which wind has caused injury see Step 10: Emergency Procedures, for the appropriate response.

• In situations in which wind has caused damage to property Step 9: Accident Reporting, for the appropriate response.

Earthquakes

Our facility has been constructed to be earthquake safe. However, we still have a rigorous earthquake policy in place that begins with training and preparedness to ensure that staff is knowledgeable and able to respond in case of emergency.

Responsibilities of the Rink Managers:

• Ensure that employees know emergency procedures and the location of emergency exits and alarms.

• Hold weekly staff meetings to discuss emergency procedures and the course of action to be taken during emergencies.

• Encourage employees to reduce potential earthquake hazards by securing furniture, heavy equipment, chemicals in the maintenance room, and facility decor. We are also committed to pre-earthquake safety by ensuring proper emergency supplies are on hand in each main area of the facility. Emergency supplies include:

• Basic first-aid kit and Red Cross first aid handbook. In addition, all employees are required to be certified in First Aid, CPR, and AED use before being hired.

• Flashlight and portable battery operated radio for each manager • Extra batteries

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For detailed emergency procedures in event of an earthquake, please see Step 10: Emergency Procedures.

Societal Threats

SLO Ice Arena recognizes the possible threats presented by gangs and other criminal activity, as well as other negative or threatening user behavior (see Appendix Form 13 for Suspicious Behavior Report Form). We have a zero tolerance rule for any activity that could be construed as criminal or gang related in nature. SLO Ice Arena is committed to creating a safe, comfortable, and enjoyable experience for patrons. If an actual crime, high or low severity, occurs, we have appropriate emergency response procedures in place, provided in Step 10: Emergency procedures. However, our entire staff will proactively intervene to prevent crimes from occurring and to support an environment where all members and guests can enjoy the facilities and programs free from the following behaviors: • foul/abusive language or obscene gestures • intoxication or other signs of impairment related to alcohol consumption or illegal

drug use • any violent activity, including but not limited to fighting, taunting, or threatening

remarks or gestures • horseplay posing safety risks to other rink users and staff • mistreating of any equipment • obscene or indecent clothing • unsportsmanlike conduct • possession of weapons, actual or implied

SLO Ice Arena also has an emergency procedure established for response to terror

threats. Please see Step 10: Emergency Procedures for more detail. Given the severity of these threats, anyone found in violation of the above rules will be escorted from the facility by the rink or auxiliary manager. Threats to Children SLO Ice Arena is fully committed to providing a safe, family-friendly facility for use by children and adults alike. Because of this, we place extreme value on the safety of minors and their ability to enjoy and use the facility with minimal risk. SLO Ice Arena has the following policies in place regarding child safety. Hiring and Firing Employees and volunteers are an integral part of our facility, and many times they interact on a one-to-one basis with participants.

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Inappropriate conduct of any sort - verbal, physical, mental, or emotional - with minors will not be tolerated at any time.

• All employees and volunteers are required to undergo a thorough background check before being hired.

• Monthly and yearly evaluations will be performed on all rink employees by their respective managers.

• Staff is encouraged to report any instances of suspicious behavior to the rink administrator, who will then be responsible for filing a report (see Appendix Forms 13 and 15) with the authorities.

• Anyone suspected of inappropriate conduct regarding minors will be immediately suspended and investigated. If it is determined that he or she is a threat to participants, he or she will be immediately relieved of rink duties.

Bullying

Bullying (see Appendix Form 14) is a serious issue considered to be a threat to the physical, mental, and emotional health of all participants, especially children. It will not be tolerated at any time.

• If bullying behavior is exhibited by program participants, they will be given one warning and a chance to improve behavior. Another violation will result in immediate dismissal from the rink without a refund.

• If bullying behavior is exhibited by rink staff members, they will be given one warning and a chance to improve their behavior. Another violation will result in suspension and investigation into the issue.

Rink Safety Maintenance

For detailed information on rink maintenance and inspection schedules and checklists, please see Step 8: Safety Inspections and Investigations. Programs

The following rules, regulations, and procedures address skater and spectator conduct and safety, supervision and instruction, and registration and eligibility requirements that will facilitate and maintain a safe rink environment for all users and staff.

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Please see Step 5: Program Development for the rules, regulations, and procedures that address each of the following programs:

• Public Skating • Figure Skating and Hockey Lessons • Freestyle Sessions • Hockey Games and Tournaments • Competitions

Program Support Areas Parking

• SLO Ice Arena is not responsible for theft or damages to any vehicles or property in our parking lot.

• The parking lot has clearly marked handicapped spaces and all entrances/exits are wheelchair accessible.

• If extra assistance is needed to enter and/or exit the facility, the rink user is required to contact SLO Ice Arena prior to arrival so we can make proper arrangements.

• The parking lot will be maintained with the most reasonable standard of care possible, but if a guest notices any sort of hazard, they are encouraged to notify staff immediately. The problem will be assessed and proper action taken right away.

• To ensure facility and user safety and security, the parking lot will be fully lit from sunset until 12:00 PM on a daily basis.

• SLO Ice Arena has 24-hour surveillance on the parking lot. • Overnight parking is not permitted.

Lobby

The lobby is used by vendors, spectators, skaters, and staff. It requires daily maintenance and supervision to ensure a safe environment and positive user behavior. At least one employee will be stationed in the lobby area at all times during hours of operation for the purposes of user assistance, emergency response, and general supervision. The following policies apply to lobby use and operation:

• Food and drink is allowed in the lobby area. • Spectators may use the lobby area free of charge to watch skaters on the ice. • No smoking is allowed in the lobby at any time. • SLO Ice Arena is not responsible for the loss or theft of any personal items left in

the lobby. • The lobby is open for public use at any time during public skating sessions,

hockey games, competitions, and freestyle sessions. It will be closed to the public during private bookings.

• No skateboards, roller skates, bikes, or scooters are allowed in the lobby.

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• No running is allowed. • Possession of alcohol is prohibited. • Possession of weapons is prohibited.

Locker Rooms

The locker rooms are a support area essential for all facility users. Lockers are available for rent during public skating sessions. They are also used by hockey teams during games and tournaments as well as skaters during competitions and ice shows. Locker rooms require daily cleaning to meet health standards. Locker inspections are also included on safety checklists (Step 8: Safety Inspections and Investigations) to prevent damage to or theft of personal items.

It is the responsibility of the admissions office to make sure that all rink users are aware of the locker room/restroom policies that are posted outside both the men’s and women’s locker rooms/restrooms.

• Food and drink is not allowed at any time in the locker rooms. • Smoking is prohibited in the locker rooms. • Guests are encouraged to inspect their locker upon arrival and inform staff of any

problems with the locker. • To reduce the risk of theft, all personal items must be stored completely in a

locker and secured with a lock. SLO Ice Arena is not responsible for the loss or theft of any personal items.

• The locker rooms are open for public use at any time during public skating sessions. It will be closed to the public during private bookings, freestyle sessions, competitions, and tournaments.

• No skateboards, roller skates, bikes, or scooters are allowed in the locker rooms. • Possession of alcohol is prohibited. • Possession of weapons is prohibited. • Locker rooms and restrooms will be checked every three hours by custodial staff

and will be cleaned daily. • Lockers are for day use only and locks will be cut nighty to remove items and

clean out each locker. Items inside lockers as well as the locks must be removed from lockers fifteen minutes prior to closing.

• Children 5 years and older are expected to use appropriate locker room and restroom accompanied by a same sex adult.

• For privacy reasons, cell phones and other devices that have recording capabilities is not permitted for use inside the locker rooms or restrooms.

Admissions, Skate Rental, and Snack Shack Safety The admissions, skate rental, and snack shack area are is the first space a user will encounter when entering SLO Ice Arena.

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It must be well maintained to present a safe environment for staff and positive first impression for users.

• The admissions and skate rental area and the Snack Shack will be unlocked and locked before and after every shift. These areas are to remain locked after business hours.

• Only qualified, trained staff members are allowed in these areas. • The auxiliary manager and one rink employee will staff the admissions/skate

rental area at all times. Two rink employees will staff the snack shack at all times.

• All food at the Snack Shack will be inspected to ensure intact packaging and safety for consumption before sale.

• Cash registers will be locked and keys made available only to qualified, trained employees and managers.

• Before rental, skates and equipment will be inspected for safety by a rink employee. Upon return, skates and equipment will be cleaned and sanitized with an industry approved cleaner. Equipment will be inspected for broken hooks, excessive wear and tear, and chipped blades. Any skates requiring repair will be set aside and repaired before being rented.

Mechanical and Zamboni Room Safety The mechanical room and Zamboni room house important systems for maintaining the safety and quality of the rink. Because of the risks associated with these areas, they are only accessible to qualified and trained employees.

• The mechanical room and Zamboni room will be locked at all times, before, during, and after business hours. Only trained maintenance employees and Zamboni operators will be given keys to these areas.

• Warning signs will be posted both outside and inside the mechanical and Zamboni storage rooms.

• An emergency alarm system will be installed in the mechanical room to detect and warn of toxic chemical leaks associated with the mechanical refrigeration component of rink maintenance.

Employee Treatment and Safety While user safety is our number one priority, employee safety is also of utmost concern at SLO Ice Arena. We work to maintain a safe, healthy, and rewarding working atmosphere for all our staff members.

• All employees will receive thorough job training before their first shift. • All employees will receive thorough training in emergency procedures to ensure

they are confident with and capable of carrying out emergency responses to protect themselves, fellow staff, and users.

• Only qualified staff will be allowed to access the mechanical room, custodial closet, and Zamboni storage room.

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• Facility managers will ensure an area is never understaffed to protect employees and users.

• Facility managers will examine workplace conditions on a monthly basis to make sure they conform to applicable OSHA standards.

• Facility managers will ensure employees have and use safe tools and equipment and properly maintain this equipment.

• SLO Ice Arena will make use of color codes, posters, labels or signs to warn employees of potential hazards.

• Proper operating procedures will be communicated to employees during weekly meetings so employees are aware of and follow safety and health requirements.

• Safety training will be provided in a clear and understandable manner. • An OSHA poster will be placed in the admissions/rental area to inform employees

of their rights and responsibilities. • SLO Ice Arena will report to the nearest OSHA office within 8 hours any fatal

accident or one that results in the hospitalization of three or more employees. • SLO Ice Arena will maintain records of work-related injuries and illnesses. • SLO Ice Arena will not discriminate against employees who exercise their rights

under the OSHA Act. • SLO Ice Arena is an equal opportunity employer operating under Title VII of the

Civil Rights Act and will not discriminate during any point of the hiring or employment process on the basis of age, gender, religion, abilities, or any other factors.

• All employees will be evaluated on a regular basis at the same time to ensure they are fulfilling their job duties in a safe and efficient manner. Again, to ensure all of the above rules, regulations, and procedures are

communicated and observed, signs will be posted throughout the facility and reviewed on a monthly basis by our auxiliary and rink managers. Any changes in accordance with national safety standards will be taken into account and signs revised. SLO Ice Arena considers safety to be a top priority and is committed to delivering programs and services within a facility operating at the best, most reasonable standard of care possible. Because of this, the rink administrator, facility managers, and all employees and volunteers will strictly enforce our rules, regulations, and procedures on a one warning basis. Step 8: Safety Inspections and Investigations SLO Ice Arena acknowledges that its facility requires regular inspections and maintenance to maintain a safe environment for employees and users. Copies of all safety inspections and reports will be filed in the administrative office for safekeeping. The rink and auxiliary manager are responsible for safety inspections in general program areas. A qualified, contracted maintenance expert will conduct inspections regarding the Zamboni and mechanical room. The following details what areas require inspections and how frequently inspections must take place (see Appendix Form 16).

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Daily

• Rink surface and environment (air quality): before opening • Equipment (skates, aids, hockey sticks, etc.): before and after every use • General program areas (cleanliness): throughout the business day • Mechanical room (condition of refrigeration system): at the beginning and end of

every day

Weekly

• Lobby (flooring, seating) • Rink surface (thickness) • Rink boards and gates • Zamboni (blade)

Monthly

• Ventilation • Zamboni (exhaust levels) • Spectator bleachers • Facility equipment (P.A. system, scoreboard) • Admissions/Skate Rental/Snack Shack • Locker rooms • Signage • Wall-mounted fixtures • Parking lot (lighting, surfaces, lines) • Employee safety

Bi-annually

• Emergency alert systems (sirens, lights, and exit doors and signs) • Emergency response support equipment (fire extinguishers, AED) • Security system (surveillance, locks, and alarms)

Annually

• Spectator bleachers • General facility maintenance (floors, plumbing, lighting)

Inspection Checklists Daily

1. Ice surface free of dents and bumps 2. Air quality is measured and levels of nitrogen dioxide and carbon monoxide are

minimal and do not exceed safety standards 3. Rental skate blades, hooks, laces, and boots are clean and in good repair 4. Skating aids, hockey nets, pucks, and sticks are in good repair

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5. All facility first aid kits are fully stocked 6. Flashlights, walkie-talkies, and extra batteries are available in every program

support and program delivery area 7. Lobby floor and entrance area are clean and unobstructed 8. Spills and puddles on floor are promptly cleared and marked until dry 9. Handrails are wiped down if slippery 10. Restroom floors are cleared of garbage and water 11. Emergency exits and signs are unobstructed 12. Flammable liquids are safely contained and stored away from potential sources of

ignition 13. Refrigeration system is functioning properly; no leaks or punctures in equipment

are visible Weekly

1. Lobby seating and tables are stable and in good repair 2. Lobby floor is free of dents and other tripping hazards 3. Ice is appropriate thickness 4. Rink boards are sturdy and free of exposed nails and screws 5. Rink gates open and close easily 6. Rink gates are sturdy; locking mechanisms are functioning 7. Zamboni blade is changed by certified technician to maintain a safe, smooth ice

surface Monthly

1. Facility managers will consult HVAC engineer and local air quality official to ensure building ventilation is adequate for staff and user safety

2. Zamboni exhaust pollutant levels are safe 3. Zamboni is serviced 4. Zamboni lash valve is evaluated to make sure it is burning fuel properly 5. Bleachers are free of exposed nails and screws 6. Grip tape is new and present on all bleachers 7. P.A. system and scoreboard will be serviced by certified technician 8. Wall-mounted fixtures are hung safely and securely 9. Locks for admission/skate rental/snack shack are functioning properly 10. Lockers will be inspected to ensure that locking mechanisms are functioning

properly to prevent theft 11. Facility warning/informational/directional/emergency signs are posted in all

program and maintenance areas 12. Signs are current and visible 13. Lines in parking lot are clear and visible 14. Parking lot surface is well maintained and free of potholes and cracks 15. Lighting in parking lots is fully functioning 16. Rink managers will inspect work areas to ensure that they conform to OSHA

standards

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Bi-annually

1. Fire and earthquake alarm systems are functioning properly 2. PA system is fully functioning 3. Emergency lighting works properly 4. Emergency exits open and close easily, and all exit signs are lit 5. Fire extinguishers are operational and AED works properly 6. Door and window locks are functioning 7. Surveillance cameras are in good condition 8. Security alarms are working properly

Annually

1. Bleachers are sturdy; barrier on top bleacher and railings are secured 2. Flooring in locker rooms and restrooms is non-slip and in good condition 3. Flooring in lobby and party room is in good condition 4. Plumbing and electricity is working in the restrooms, locker rooms, party room,

and lobby

Inspection schedules will be enforced by the rink administrator and fulfilling them is an essential duty of the rink and auxiliary managers. In case of a frequently occurring problem, the rink administrator will conduct a thorough investigation into the issue to determine whether additional repair or replacement is required. Reporting In the event that a safety issue is identified during any inspection, it should be reported immediately in written form (see Appendix Form 17). The report should be addressed to the rink administrator and should include: what the issue is, where it is, when it was identified, and why it needs to be addressed. The rink administrator will then identify the appropriate course of action required to address the issue and file the report in the administrative office as in-progress.

All safety issues are considered high priority and will be addressed immediately. If repair is required, user and staff access will be prohibited during repair. If the issue is rink-wide, the rink will be closed until it is addressed and completely safe for users and staff.

After repair, the rink or auxiliary manager will move the report from in-progress to complete, and the report will remain easily accessible for later review. In the case of a repeat issue, the report should be referenced for the required course of action. If the issue seems unusually common, the rink administrator will conduct an in-depth investigation to determine whether a greater safety issue is behind the problem.

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Step 9: Accident Reporting and Analysis Reporting Accidents

The purpose of this policy is to establish a consistent means of recording accident/incident investigation information in an emergency situation and prevent a recurrence of the same or similar accidents. An accident report form (see Appendix Form 18) will be filed for any injury resulting from participation in lessons, activities, or events held at or sponsored by SLO Ice Arena.

To minimize risk and ensure safety for all participants, SLO Ice Arena devotedly follows an extensive risk management plan. All employees and volunteers have been trained in First Aid and CPR and understand emergency procedures. In the event of injury or emergency, we are prepared to call 911 and provide appropriate care until police and/or medical assistance arrives. If an accident is to occur at SLO Ice Arena, the following steps will be taken:

• Call 911 if there is serious bodily injury or significant property damage • Notify a manager as soon as possible • The manager should notify the rink administrator:

o immediately if there is serious bodily injury, or significant property damage

o within 24 hours if no serious injury or significant property damage occurred

For the written portion of the report:

The accident report form (see Appendix Form 18) should be filled out by the employee/ volunteer on the scene as soon as possible. The form MUST BE completed by an employee or volunteer and filed with management within 48 hours of the accident (guests are NOT to fill out report forms).

• Based upon the nature of the incident/accident, the rink administrator and managers will investigate and may provide recommendations or request repairs, notify insurers, etc.

Rink users should report emergency incidents and accidents by contacting SLO Police Department or notifying rink management in non-emergency situations. Management will follow up with appropriate procedure regarding the reported incident.

Step 10: Emergency Procedures

In the event of an emergency, SLO Ice Arena has implemented policies and procedures regarding facility and employee safety and responses. In developing these policies, we consulted with the local paramedics, hospital, police and fire department, and EMTs to ensure that our plan is accurate and comprehensive.

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To take extra precaution and ensure all employees and volunteers are knowledgeable and capable of responding in the event of emergency, all part-time and full-time staff and volunteers are required to present proof of First Aid and CPR certification before being hired.

SLO Ice Arena also has first aid kits available in all areas of the facility: the mechanical room, the skate rental/admission area, the Snack Shack, the party room, the ice rink, the Zamboni room, and the locker rooms. During training, all employees should be informed of the specific location of each first aid kit. The rink and auxiliary managers are responsible for checking the first aid kits every day to make sure they are safe and properly stocked. Included in every first aid kit is a sheet with the basic emergency procedures SLO Ice Arena employees have been trained in and expected to follow. General Evacuation Procedures

1. All employees and volunteers are trained in emergency evacuation procedures. 2. Emergency evacuation routes will be posted in all areas of the facility: locker

rooms, restrooms, the lobby, the party room, the rink, the Zamboni storage room, the maintenance room, the Snack Shack, and the skate rental and admission counter.

3. In the event of an emergency, the rink administrator or manager will immediately call 911 and make an announcement over the P.A. system for all participants to follow the direction of uniformed employees.

4. Employees should lead rink users to the emergency exits and proceed into the parking lot, where they should calm users and keep them in one, contained area.

5. Before the last employee leaves the facility, all public areas should be quickly checked to ensure no users are left behind.

General Injury Procedures

1. The first-responding employee will assess the situation and call 9-1-1 if necessary.

a. If emergency assistance is required, provide the following information: i. Identify yourself

ii. General information about the injury or situation iii. What happened, how many people were involved iv. Where you are: SLO Ice Arena

100 Madonna Road San Luis Obispo, CA 93405

(805) 784-2410 v. A phone number for them to reach you

vi. Any additional information that may be requested vii. *BE THE LAST TO HANG UP!*

2. The employee should provide first aid and CPR if necessary while waiting for emergency assistance.

a. Note: Any staff member dealing with an open cut or wound MUST wear latex gloves provided in all first aid kits.

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3. When emergency assistance arrives, an employee will meet and direct the ambulance.

4. The rink and auxiliary managers will control the injury site and deny access to onlookers and excess care providers, etc.

5. Managers should assist EMS with care as directed. 6. The rink administrator should document the incident on an injury report as

detailed in Step 9: Accident Reporting and Investigations.

Chemical Spills and Maintenance Emergencies

In case of a chemical spill or toxic leak resulting from mechanical failure, SLO Ice Arena has the following procedures in place:

1. A SLO Ice Arena certified maintenance technician should contact the Environmental Health and Safety (EH&S) Department, which is responsible for responding to chemical spills and leaks and overseeing cleanup. Contact number: 7-2273.

2. While waiting for EH&S, the maintenance technician will assess the magnitude of spill or leak and the associated level of hazard. Before assessing the leak or spill, the technician should be properly equipped with adequate personal protective equipment and spill treatment materials.

3. The rink should be immediately evacuated according to general evacuation procedures detailed at the beginning of Step 10: Emergency Procedures, if the spill or leak is deemed hazardous to human health.

4. If EH&S finds the issue to be rink-wide, SLO Ice Arena will remain closed until the facility is safe for use.

Natural Disasters Earthquakes

In the event of an earthquake, the rink administrator (if present) or the auxiliary and rink managers will be responsible for coordinating the emergency response.

1. If present, the rink administrator will make an announcement over the PA system directing all individuals to follow the instruction of uniformed employees until further notice. All skaters will also be asked to evacuate the ice immediately. If the rink administrator is not present, the auxiliary manager will be responsible for making this announcement.

2. Employees will immediately make their way to facility entrances/exits to prevent people from dispersing. Most injuries occur from falling glass, fixtures, plaster, bricks, debris, and electrical lines as people are leaving buildings.

3. One ice rink monitor will be stationed at each of the two rink entries to control the flow of and assist people as they leave the ice.

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4. Rink staff should guide users to safe places against walls, inside doorways, and under tables and benches. Staff should ensure people stay away from all glass surfaces, including windows and mirrors.

5. Staff should be alert for injury. If someone is injured, the staff member should follow the injury response policy under Step 10: Emergency Responses.

After an earthquake

1. Aftershocks may occur at any moment with nearly the same force as the original quake. The rink administrator should make another announcement over the PA system asking users to move cautiously and remain away from heavy equipment, windows, and other hazards.

2. At this time, rink staff will continue to check for injuries and provide first aid, and call 911 if necessary.

3. If any staff member or user detects gas or any foreign odors, rink staff should not use any matches or candles. Staff should open windows, shut off power, evacuate the building immediately according to general evacuation procedures included at the beginning of Step 10: Emergency procedures, and report the problem to authorities.

4. When it is deemed safe by authorities to leave the facility area, users will be asked to go home. The facility will be inspected for damage and necessary repair before re-opening for operation.

Fire

SLO Ice Arena is equipped with the most sophisticated fire prevention and alarm system available, and fire sprinklers are located throughout the facility. We train all employees using the following fire prevention plan. Fire Prevention Plan:

1. Make sure all employees know the locations of fire extinguishers 2. Make sure all employees are able to use a fire extinguisher 3. Provide three feet around all electrical equipment, fire protection devices, and

heating equipment to reduce fire hazards 4. Store all flammable materials away from possible sources of ignition

In case of a fire, to ensure that staff and users are able to respond appropriately, a

sign with the following information will remain posted by every fire extinguisher, emergency exit, and the women’s and men’s locker rooms:

1. In the event of a fire, follow the "RACE" procedure: a. R: Remove anyone from immediate danger b. A: Activate the building fire alarm system and call 911 c. C: Confine the fire by closing all windows and doors d. E: Evacuate, leave the building

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While we have taken every step possible to avoid fire hazards, we are aware that it remains a possibility and have outlined an appropriate emergency response procedure. The rink manager and the auxiliary manager are responsible for making sure that all employees are aware of the procedure and are competent to perform in the event of an emergency.

1. When the fire alarm sounds, the fire department is automatically notified, but the following actions should be taken if possible.

a. Evacuate all customers immediately at the closest exit. Users with physical impairments should be assisted first.

b. When leaving the building, close all windows and doors. This will stop the spread of fire.

c. If you encounter smoke, drop down to the floor and stay low until you reach the exit.

d. Meet in the parking lot at least 50 feet from building. e. Corral customers and keep them in one designated area of the lot until

emergency assistance arrives. f. Give first aid assistance as needed.

Societal Threats Terror Threats

We believe it is important to have procedures in place that detail an appropriate response in case of a bomb threat. Any threat will be taken extremely seriously to ensure the safety of employees, customers and other innocent bystanders.

1. If a staff member receives a threatening call, he/she should keep the caller on the line and obtain as much information as possible (such as accent, background noise, and location of bomb, time set to explode, and who, what, when, where, why).

2. The staff member should immediately notify the supervising manager. 3. The manager will call 911 immediately. 4. Managers and law enforcement officers will decide whether to evacuate the

facility. 5. In the case of an evacuation, the general evacuation policy at the beginning of

Step 10: Emergency Procedures, will be followed. 6. Police and the facility managers will conduct the room-to-room search for a

device.

If a suspected device or actual bomb is found:

1. Do not touch the suspected explosive device or bomb. Do not use a portable phone or handheld radio/walkie-talkie in the building.

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2. Evacuate the building immediately by using the general evacuation policy at the beginning of Step 10: Emergency Procedures. Following the evacuation, the rink managers should lock the facility to prevent any unauthorized entry.

3. Call the local police. Advise the authorities that an explosive device/bomb has been found.

4. Wait for a trained explosive demolition team to examine and dispose of the explosive device/bomb.

*Note: Do not announce that any evacuation is due to a bomb threat. Every precaution should be taken to avoid panic, which could bring injury to staff and guests.

Abductions

In the case of child abduction, SLO Ice Arena will do everything possible to ensure a safe return for the child. The purpose of this policy is to ensure that adequate procedures are in place to:

• Facilitate the speedy return of the child to a place of safety • Ensure that staff are deployed effectively to conduct a search and cooperate with

the police • Ensure that staff is fully aware of their roles and responsibilities • Ensure that the parents/family of an abducted child are kept fully informed of the

situation and are appropriately supported

Procedures are as follows:

1. If an abduction has occurred, facility managers should immediately call the police.

2. Any staff witnessing the abduction should cooperate with the police and facility managers will close off the facility until police have had a chance to investigate and question rink users.

3. Facility managers will implement the public relations response plan detailed in Step 14: Public Relations, to address the emergency.

Gun Threats

It is our policy to maintain a work environment that is safe for users and staff. To do so, SLO Ice Arena is committed to a strong stand against firearms and weapons in the work environment. All staff and users are prohibited from possessing firearms, explosives, or weapons on the property. The only individuals authorized to bring such weapons on the premises are law enforcement agencies.

1. In the event of a gun threat, a staff member should immediately call 911. 2. Nearby staff should attempt to clear the area around the gunman and evacuate as

many people as possible using the general evacuation procedure.

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3. If a shooting occurs, staff should try to administer first aid if it does not present further threat to rink users.

4. Facility managers should cooperate with police as soon as they arrive to protect staff and rink users.

Organized Crime

Organized and/ or hate crime will not be tolerated to any extent. SLO Ice Arena prohibits gang signs, symbols, or related attitudes in the facility. If any of these behaviors are seen by SLO Ice Arena guests or staff, the individual will be asked to leave the arena immediately and authorities will be notified. Federal law defines a hate crime as a criminal act committed against someone because of that person’s race, religion, sexual orientation, national origin, gender, or disability. Hate crimes can include assault, vandalism of property, threats, and harassment. Not only do they cause emotional and psychological harm, but they also can exacerbate racial, religious, or ethnic tensions in the community. If employees witness or are victims of such a crime, the following steps apply:

• Retain any information that you can about the incident and/ or the person being accused (facial features, tattoos, photos, etc.)

• Report the crime immediately to the authorities, who will handle the situation from there

Robbery

SLO Ice Arena employees are responsible for taking preventive measures to reduce the likelihood of a robbery, including:

• Constantly remaining aware of their surroundings • Carefully following facility entry and exit safety measures • Observing, acting upon and reporting any unusual incidents and behavior • Practicing safe cash-handling and transfer operations • Not discussing personal and business issues with non-employees, including:

o Institution and employee information o Physical layout of the arena’s offices o Personal matters o Details of cash- and document-handling procedures o Security procedures

During a robbery, employees are responsible for taking appropriate measures to protect themselves, users, and to assist a law enforcement agency by:

o Staying calm and obeying the suspect's orders exactly o Asking permission to act before complying o Doing exactly what the offender commands, including:

§ Repeating the commands back to the offender § Not making any comments that threaten the offender § Agreeing to do whatever the offender commands

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§ Promising not to call the police § Remaining as the offender's contact person for the duration of the

incident o Keeping his/her hands in plain view and avoiding rapid movements or

actions that may be misinterpreted o Activating any alarms or cameras only when it is safe to do so o Being observant concerning the physical details of the suspect o Keeping any notes or other items received from or left behind by the

suspect, and remembering which areas of the facility were touched by the suspect, if it's possible;

o Observing the suspect's direction of travel, number of accomplices and their descriptions, and any other pertinent information

o Remembering that no employee is to act in any way that might endanger his/her safety, or the safety of another person, including attempting to go to the aid of another employee being robbed

If possible, staff members witnessing the robbery should attempt to clear the area around the robber and should call 911 immediately. After a robbery, employees are responsible for taking appropriate and timely measures to protect themselves and users and to assist a law enforcement agency by:

• Locking and leaving the facility and moving to a safe location. • Contacting the San Luis Obispo Police Department by a cellular or a landline

telephone and following any instructions from the dispatcher. • Asking any witnesses to stay until the police arrive. Try to make them as

comfortable as possible while they wait. • Protecting the crime scene. Do not allow anyone to touch anything that might be

considered evidence, and do not resume business until the police are finished. • Use the Violent Incident Report (see Appendix Form 18) to record information

and share it with the police; then give it to your supervisor or employer. • Referring all requests for interviews by the media to the law enforcement agency.

As noted in Step 16: Periodic Review, the rink administrator will review all

emergency procedures for currency and effectiveness every six months. He/she should consult with the local police and fire department, hospital, paramedics, and emergency squad personnel to make sure that our plans and procedures are comprehensive.

Step 11: Releases, Waivers, and Agreements to Participate

To ensure that SLO Ice Arena is protected from lawsuits, participants are required to complete, sign, and date the “SLO Ice Arena’s Assumption of Risk and Release of Liability Form” (see Appendix Form 1). This is important for protecting SLO Ice Arena in the event of an accident and to prove that the participant was not forced onto the ice. Participants who choose to not fill out the form properly will not be allowed to use the facility or equipment.

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SLO Ice Arena utilizes waivers and release forms to protect both the employees and the participating guests. We want to ensure that our facility is in prime safety conditions at all times and also that our staff is taking the proper precautions. All of our forms are reviewed by the rink administrator and managers, as well as the Law Offices of David G. Concannon, LLC. All of our forms can be located at the front desk, as well as in a file cabinet the management office. The employee working the front desk should have complete understanding of each of these forms and know when each of the forms should be handed out. Misuse of this authority may result in termination.

Annually, SLO Ice Arena and Law Offices of David G. Concannon, LLC will review all documents in current use. We will discuss whether or not the language is explicit enough and sufficient for our jurisdiction and if any revisions should be made. We will also review the statute of limitations in our jurisdiction and if our documents are deemed appropriate. No revisions or additions will be made without prior consultation of the Law Offices of David G. Concannon, LLC.

Step 12: Methods of Insuring Against Risk SLO Ice Arena’s method of insuring against potential risks and liabilities varies according to the level of severity and frequency of these risks and liabilities. Below, specific risks in the categories of facility, financial, personal, and program are identified under the insurance method SLO Ice Arena has deemed appropriate. Avoidance

The following risk was deemed high severity. To eliminate risk of injury associated with alcohol consumption, alcohol is prohibited on the property.

• Alcohol usage: impairment could result in user injury or damage to the facility

Transfer

The following risks were deemed high severity, low frequency, meaning they pose a large financial threat to our organization but do not occur on a regular basis. To insure against these risks and liabilities, SLO Ice Arena has established a RinkGuard insurance policy through Willis Programs. Please see Step 15: Outside Specialists, for details on policy coverage.

• Inadequate ice thickness and quality: could result in user injury and financial loss • Malfunctioning refrigeration system: poses a health hazard for users and staff • Malfunctioning Zamboni (high levels of toxic exhaust): poses a health hazard for

users and staff • Poor building ventilation and air quality: poses a health hazard for users and staff • Electrical system failure: could result in financial loss • Malfunctioning emergency response equipment (fire alarms and sprinklers): could

result in user injury • Earthquakes: could result in user injury

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• Participant health issues: health hazard for users and could result in financial loss • Terror threats: poses a safety threat to users and staff • Inadequate supervision: could result in user injury • Irregular/inadequate maintenance procedures for facility and equipment: could

result in user injury, poses a health hazard for users and staff, and could result in financial loss

• Employee injuries: could result in financial loss • User injury and legal suits: could result in financial loss

Reduction

The following risks were deemed low severity, low frequency or high severity, low frequency. SLO Ice Arena has chosen to take steps to reduce these risks and liabilities by implementing policies and procedures that can be referenced throughout our plan.

• Inadequate/poorly maintained parking lot: could result in user injury • Improper, dirty or obstructed flooring: could result in user injury • Broken lockers: could result in damage to personal or employee property • Hiring/firing standards (high security, low frequency): could result in financial

loss • Poor staffing policies (high security, low frequency): could result in user injury • Employee and user theft: safety risk for users and staff • User injury from malfunctioning equipment: health hazard for users and possible

financial loss Retention

The following risks were deemed low severity, low frequency or high severity, low frequency. Because of the low level of frequency and liability, we have chosen to self-insure against these risks and take steps to reduce them by implementing policies and procedures that can be referenced throughout our plan.

• Inadequate signage (includes safety and warning signs): could result in staff or user injury

• Program safety o Program capacity (high security, low frequency): too many participants

could result in injury o Mixing skater skill levels (high security, low frequency): could result in

user injury o Negative user behavior (high security, low frequency): could result in user

injury or financial loss

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Step 13: In-service Training Before hiring, all employees and volunteers must complete a job application, undergo a thorough background check, and sign a job agreement (see Appendix Form 20). To ensure that SLO Ice Arena delivers quality programs and operates at the most reasonable standard of care possible, we have developed a comprehensive in-service training program for all our employees and volunteers. No matter the position, all employees will be trained in the following areas:

• Knowledge of SLO Ice Arena’s risk management plan • Emergency response procedures • Location of first-aid kits (before hiring, all employees must be certified in first-

aid, CPR, and AED use) The following details training goals and objectives specific to each position at SLO Ice Arena. Audience: Rink Administrator Goal: To have the Rink Administrator knowledgeable and aware of all major aspects of the SLO Ice Arena’s system of operation Objectives: Within the first three days of employment, the Rink Administrator will be acquainted with and aware of the following:

1. Legal provisions, authority to operate, provisions of governing statutes, or corporate by-laws

2. SLO Ice Arena’s philosophy and policy statements, objectives, and history 3. Duties, responsibilities, and authority 4. SLO Ice Arena organizational structure 5. Personnel policies and practices 6. List of staff names and positions 7. List of facilities spaces, including size, type, location, etc. 8. List of programs, services, and events and the policies and procedures associated

with each 9. Provisions governing finances, planning, programs, and public relations 10. SLO Ice Arena’s plans and procedures for managing risk

Audience: Rink/ Auxiliary Manager Goal: To have each manager knowledgeable of all major job requirements.

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Objectives: Within the first week of employment, each manager should have the knowledge of all the duties listed below. (Please note that items 1-4 apply to the Rink Manager, items 5-8 apply to the Auxiliary Manager, and items 9-12 are the responsibility of both managers):

1. Manages ice rink and enforces skating rules and regulations 2. Inspects ice surface and mechanical systems to identify maintenance needs 3. Establishes hours that rink is open for business 4. Arranges for individual or group skating instruction 5. Coordinates and manages activities of workers engaged in selling admission

tickets and renting skates and other equipment to patrons 6. Arranges private parties 7. Purchases skates and skating supplies 8. Repairs skates 9. Plans and initiates promotional projects to advertise establishment 10. Manages budget 11. Inspects building to identify maintenance needs 12. Supervises employees to ensure they are fulfilling their responsibilities safely and

efficiently

Audience: Coaches and Instructors Goal: To make sure that our coaches and instructors are aware of and confident about fulfilling job requirements. Objectives: Before a coach is allowed to work by themselves, they need to shadow a

current coach for three sessions and have knowledge the following job requirements:

1. Conducting practices and games in a safe physical environment 2. Use of current and proper knowledge, skills, and methods of instruction 3. Use of safe and appropriate equipment 4. Proper short and long-term planning 5. Proper matching of athletes in practices and games by size, experience, and ability 6. Provision of adequate supervision of athletes 7. Provide warnings to parents and athletes regarding risks inherent in sport

participation 8. Sensitivity to the health and well-being of athletes under a coach’s care 9. Provision of appropriate emergency care

Audience: Ice Maintenance Technicians and Equipment Operators Goal: To have each ice maintenance technician and equipment operator knowledgeable of all major aspects of the system.

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Objectives: Within the first three weeks of their employment, IMTEO’s should be

proficient in the following areas:

1. Circle checking 2. Zamboni history 3. Zamboni mechanics and required maintenance 4. Fuel safety 5. Safe Zamboni operation and storage 6. Water systems 7. Drive systems 8. On-ice operations 9. Mechanics of ice refrigeration 10. Indoor air quality 11. Required ice maintenance

Audience: Ice Monitors

Goal: To ensure each ice monitor is knowledgeable regarding all major aspects of the SLO Ice Arena’s operations and programs. Objectives: Within the first three weeks of their employment, ice monitors should be

proficient in the following areas:

1. Ice rules and regulations 2. Supervising and regulating skater behavior 3. Ensuring that skaters who fall are not injured 4. First aid response for falls 5. Maintaining the surface condition of the ice and raising any concerns with the

rink manager 6. Notifying maintenance technicians of any issues that require attention

Audience: Support Staff Goal: To have every SLO Ice Arena employee knowledgeable of all aspects of their job. Objectives: Within the first three months of employment, staff should be proficient in the

following areas:

1. The philosophy, mission, and policies of SLO Ice Arena 2. Operating a till and handling cash 3. Operating the rental counter and inspecting equipment before and after renting 4. General housekeeping duties 5. Working in all weather conditions to maintain the condition of the ice and the

safety of customers 6. Assisting in creating a positive experience for our ice rink customers

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7. Supervising and ensuring customers use the rink safely and according to guidelines

8. Complying with the Data Protection Act at all times 9. Attending training and weekly staff meetings as required 10. Observing SLO Ice Arena’s Fire and Health & Safety Policies 11. Carrying out any other duties within the scope, spirit and purpose of the job, and

the title of the post as requested by the manager

Audience: Volunteers Goal: All volunteers should be knowledgeable of all duties and limitations. Objectives: To have all volunteers trained and ready to perform their duties before their

first shift. This includes:

1. First aid qualification training 2. Signing a volunteer waiver (see Appendix Form 22) 3. Meeting with the rink or auxiliary manager and receiving specifics of duties

All staff members are required to attend weekly staff meetings to remain updated of any events or changes in rink programs, policies, or procedures. Any additions to or revisions of job duties and requirements covered in training will be communicated to staff during these meetings.

Step 14: Public Relations Crisis management is a critical function for SLO Ice Arena. We recognize that failure to properly address accidents and emergencies can result in harm to stakeholders, participant, and our organization.

A crisis is an event or situation that causes, or has the potential to cause, public or media concerns. The event could result from an accidental death, reports of abuse, severe injury, or criminal activity that has occurred on SLO Ice Arena’s property. The following public relations response plan is tailored specifically to accidents that lead to severe injury or death and should be followed in the event of an accident or emergency. Pre-Crisis Prevention involves reducing known risks that could lead to a crisis. All risks are listed in the risk management plan; schedules for review of each section of the plan are included in Step 16: Periodic Review. The Rink Administrator should also ensure that both managers and employees have fully read and understood SLO Ice Arena’s risk management plan, and understand company policy. Our public relations response plan begins with establishing a response team, which is listed below. The Rink Administrator will be in charge of implementing of the response plan, unless the Rink Administrator is unavailable in which case the responsibility will move down the list in sequential order.

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Public Relations Response Team

1. Rink Administrator 2. Rink Manager 3. Auxiliary Manager

Crisis Phase During a crisis, all employees should follow policies included in sections 7, 9 or 10 of SLO Ice Arena’s risk management plan. Post-Crisis The Rink Administrator will act as the public relations spokesperson, unless the Rink Administrator is unavailable in which case the next person on the crisis management team list will become the spokesperson. The spokesperson should talk to media between twenty-four and forty eight hours after the incident and should, at all times, follow the basic rules established below. The spokesperson should NOT:

1. Release victim information 2. Speculate on causes, damages, liability or anything else until verified by officials 3. Fix blame on others or mislead public 4. Speak off the record

The spokesperson should:

1. State the facts surrounding the incident 2. Highlight positive response and emergency plan implementation 3. Highlight positive safety record 4. Utilize media time to express regret and support of the victims family 5. Balance any false statements made by the public or media 6. Make known that public safety the number one priority of SLO Ice Arena

In case of a serious injury to a customer that requires hospitalization, the rink administrator should personally write a letter of support and deliver it to the injured party. The letter should show support of the victim, and highlight the fact that we appreciate our customers and that their well-being is our number one priority. If a death has occurred, a letter, with similar content, shall be given to the victim’s family. In the case of injury or death, the letter must be sent to and approved by The Law Offices of David G. Concannon, LLC prior to delivery.

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Step 15: Outside Specialists, Legal/Insurance Legal SLO Ice Arena works with and under the legal advice of The Law Offices of David G. Concannon, LLC. Concannon and SLO Ice Arena worked in unison to develop this risk management plan, and Concannon is SLO Ice Arena’s official counselor for all legal issues. The Law Offices of David Concannon, LLC is among the leaders in sports and recreation law. Their attorneys are nationally respected for their innovative and effective strategies in litigation, trial work, appellate work, and risk management. Contact Information: Law Offices of David G. Concannon, LLC 200 Eagle Road, Suite 116 Wayne, Pennsylvania 19087 Phone: (610) 293-8084 Fax: (610) 293-8086 http://www.davidconcannon.com/practiceareas/sportsrecreation.html Insurance RinkGuard is an insurance program tailored to the needs of ice rink owners and operators. It is provided by Willis Programs, a specialty insurance firm. Insurance through Willis Programs includes:

• General Liability o No general liability aggregate limit o Non-auditable, abuse and molestation coverage (no deductible and

includes mental anguish) o Crisis response coverage

• Property o Includes replacement cost coverage on buildings and contents o Coverage provided for buried piping o Enhanced coverage form o Equipment breakdown coverage (includes coverage for buried pipes,

excavation costs are included) • Inland Marine

o Covers mobile equipment including the ice resurfacing equipment o Replacement cost endorsement is available o Automobile o Umbrella/Excess o Workers compensation

In addition to the coverage above, RinkGuard provides in-house claim handling and loss control.

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To apply for coverage through RinkGuard, we will submit the following to Timothy Barnhorst, Associate Producer of Willis Programs:

• Completed RinkGuard supplemental applications (see Appendix Form 23), signed by the insured including complete information specific to rink revenue.

• Certificates of insurance with additional insured status for vendors, concessionaries and special events when available.

• Verification of USA Hockey membership for youth hockey activities. • Copies of releases used (if any). • Completed Accord applications, signed by the insured, including detailed

property information to include construction, occupancy, square footage, protection and age of respective buildings to be insured.

• 5 years of recently valued insurance company loss runs • Details on any losses over $10,000 • Expiring premiums and target premiums for all lines of coverage being submitted • Current annual P&L statement • Web site address, brochures and photos if available

Step 16: Periodic Review Procedures The rink administrator will be responsible for reviewing and documenting, in writing, the extent and efficiency of the risk management plan on a regular basis (see Appendix Form 24). Any revisions will also be documented in writing, in the risk management plan.

On January 1 of every year, the rink administrator should consult the general timetable for periodic review, seen below. The administrator will schedule specific dates to evaluate the steps of the risk management plan and the extent to which SLO Ice Arena has is fulfilling those steps. Quarterly Step 6: Supervision

1. Read SLO Ice Arena’s Supervision Policy Statements. 2. Review the current supervision plan to ensure the highest standards of care are

being fulfilled by current supervisors. 3. If rink administrator feels higher standard of care needs to be met by facility

supervisors, he/she should adjust policies accordingly and inform managers so they can communicate policy changes to employees during staff meetings.

Step 13: In-Service Training

1. Review current training programs established for all rink employees. 2. Test employees on necessary job skills to evaluate effectiveness of training

programs.

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3. Randomly select one employee from each program area for an interview regarding their opinion on the training process.

4. If any changes are deemed necessary, hold a meeting with rink and auxiliary managers to update them of these changes.

Step 15: Outside Specialist - Legal/Insurance

1. Review potential facility risk and liability areas. 2. Compare risk and liability areas with the RinkGuard insurance plan to ensure all

potential risks are covered. 3. If coverage is lacking, consult Willis Programs to update the insurance policy.

Bi-Annually Step 4: Site and Facility Development

1. Walk through the facility and look for any new, unaddressed hazards and risks. 2. Meet with the rink and auxiliary managers to decide how to best address the risk

or hazard. 3. Take action immediately and communicate any policy changes to employees at

the next weekly staff meeting. Step 5: Program Development

1. Read and review SLO Ice Arena’s policies for each program area. 2. Observe one session of each program for safety and efficiency and to ensure

policies are being met. 3. If any policy revisions are deemed necessary, hold a meeting with rink and

auxiliary managers to update them of any changes and instruct them to communicate these changes to the appropriate employees, instructors, and coaches.

Step 10: Emergency Procedures

1. Read and review SLO Ice Arena’s emergency response procedures. 2. Compare procedures with other facilities and national standards to ensure

currency and efficiency. 3. If any revisions are deemed necessary to improve procedures, hold a meeting with

rink and auxiliary managers to update them of any changes. 4. Schedule an employee training session to educate employees on new procedures. 5. Schedule an employee drill for each new procedure.

Step 11: Releases, Waivers, and Agreements to Participate

1. Read SLO Ice Arena’s risk management plan section on Releases, Waivers, and Agreements to Participate.

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2. The rink administrator should meet with both the rink manager and auxiliary manager to ensure that waivers and release forms currently used are up to date and provide complete coverage.

3. If changes are necessary, the rink administrator should contact The Law Offices of David G. Concannon, LLC to revise SLO Ice Arena’s current Release, Waiver, and Agreement to Participate forms.

Annually Step 1: Philosophy and Policy

1. Read SLO Ice Arena’s Philosophy/ Policy Statements 2. Update statements if SLO Ice Arena has undergone changes that would warrant a

revision. Step 3: Goals and Objectives

1. Read SLO Ice Arena’s Goals and Objectives. 2. If a new Risk Management plan has not been implemented than nothing further

needs to be done. 3. Update Goals and Objectives if SLO Ice Arena has undergone changes that would

warrant a revision. Step 7: Safety Rules, Regulations, and Procedures

1. Read SLO Ice Arena’s Safety Rules, Regulations, and Procedures. 2. Compare rink rules and procedures with national standards to determine whether

any revisions or improvements should be made. 3. If changes are deemed necessary, hold a meeting with rink and auxiliary

managers to update them of any changes made and instruct them to communicate changes to the appropriate employees at the next weekly staff meeting.

Step 8: Safety Inspections and Investigations

1. Read SLO Ice Arena’s Safety Inspections and Investigations. 2. Compare SLO Ice Arena’s inspection schedule and safety checklist with national

standards to determine whether any revisions or improvements should be made. 3. If changes are deemed necessary, hold a meeting with rink and auxiliary

managers to update them of any changes made and instruct them to communicate changes to the appropriate employees at the next weekly staff meeting.

Step 9: Accident Reporting and Analysis

1. Read SLO Ice Arena’s Accident Reporting and Analysis. 2. Compare SLO Ice Arena’s methods for accident reporting with national and

industry standards to determine whether any revisions or improvements should be made.

53

3. If changes are deemed necessary, hold a meeting with rink and auxiliary managers to update them of any changes made and instruct them to communicate changes to the appropriate employees at the next weekly staff meeting.

Step 12: Methods for Insuring Against Risk

1. Read SLO Ice Arena’s plan section on Methods for Insuring Against Risk 2. Review all insurance claims filed during the year prior to the review. 3. Contact The Law Offices of David G. Concannon, LLC and have them compare

SLO Ice Arena’s current Methods for Insuring Against Risk to all insurance claims previously filed.

4. Take recommendation from David G. Concannon, and contact Willis Programs if there are any insurance policy changes needed.

Step 14: Public Relations

1. Read SLO Ice Arena’s policies for Public Relations. 2. If the policy needs to be revised to meet public safety requirements, contact The

Law Offices of David G. Concannon, LLC and for help in reviewing and updating SLO Ice Arena’s the public relations response plan.

While the schedule above is followed faithfully, in case of an emergency or significant legal proceedings that affect the operations of SLO Ice Arena, the rink administrator will immediately review and evaluate all steps of the risk management plan and make revisions as necessary. Prior to making any changes to the risk management plan, the rink administrator will contact The Law Offices of David G. Concannon, LLC.

54

APPENDIX Form Number Title of Form 1: Assumption of Risk 2: Needs Assessment Chart 3: Ice Thickness Chart 4: Air Quality Monitoring Chart 5: Program Registration Form 6: Medical/Liability Release 7: Program Evaluation Form 8: Party Room Rental Agreement 9: Vendor Agreement 10: Employee Performance Evaluation 11: Documentation of First Aid and CPR Certification 12: Documentation of Completion of Training 13: Suspicious Behavior Report 14: Bullying Report Form 15: Abuse Report Form 16: Safety Inspection Checklist 17: Malfunctioning Equipment Report Form 18: Accident Report Form 19: Violent Incident Report 20: Job Application, Background Check Authorization, and Hiring

Agreement 21: Photo Release Form 22. Volunteer Waiver Form 23: Insurance Application 24: Documentation for Recording Periodic Evaluations

55

SLO ICE Form 1

Ice Skating Assumption Of Risk And Release Of Liability

PLEASE FILL IN ALL INFORMATION AND PRINT AS NEATLY AS POSSIBLE.

NAME OF PARTICIPANT:

STREET ADDRESS:

CITY: STATE:

AGE:

I understand and am aware that ice skating is a HAZARDOUS ACTIVITY. I understand that ice skating involves certain risks of injury to my body, including but not limited to: falling, changing weather conditions, existing and changing ice conditions, collisions with natural and man-made objects and with others, collisions with the ice, equipment failure, equipment malfunction, my own improper use of equipment, tripping, loss of balance, marked and unmarked obstacles, slick or uneven walking surfaces, surfaces covered with ice, strenuous activity, hypothermia, worn and/or damaged equipment, other participants falling, my own physical condition, my choice of route, my choice of tricks, wet equipment, wet surfaces, and slick surfaces. I hereby freely and expressly assume and accept responsibility for any and all risks of injury or death while participating in this activity.

I agree to hold harmless and indemnify SLO Ice Arena and its owners and employees, as well as the equipment manufacturers and distributors, for any and all loss or damage I may cause to person or property while engaged in ice skating activities. This includes, but is not limited to, any and all claims for personal injury, death and/or property damage that may in any way arise out of my use of the skating rink, skates or any other equipment, regardless of whether such loss or damage be caused to myself or to others.

I hereby release SLO Ice Arena and its owners employees, as well as the equipment manufacturers and distributors, from any and all liability for damage and personal injury to me or my property which may occur while I am participating in this ice skating activity, including any claims related to their negligence, that is, their failure to use reasonable care in any way in the design or operation of this ice skating facility or in the selection, maintenance and adjustment and of any rental ice skates.

This agreement is governed by the applicable law of California. If any part of this agreement is determined to be unenforceable, all other parts shall be given full force and effect.

I agree that there have been no warranties, expressed or implied, which have been made to me which extend beyond the description of the equipment listed on this form. I, the

56

SLO ICE Form 1

undersigned, acknowledge that I have carefully read this assumption of risk and release of liability and I understand its contents. I understand that my signature below expressly waives any rights I may have to sue SLO Ice Arena for injuries and damages related to this ice skating activity.

I hereby agree that the exclusive jurisdiction for any claims I may bring against SLO Ice Arena, its employees related to this activity is in the Superior Court of San Luis Obispo, California.

In the case of a minor Participant, the Undersigned parent or legal guardian acknowledges that he/she is not only signing this agreement on his/her behalf, but that he/she is also signing on behalf of the minor and that the minor shall be bound by all the terms of this Agreement. Additionally, by signing this Agreement as the parent or legal guardian of a minor Participant, the parent or legal guardian understands that he/she is also waiving certain rights on behalf of the minor that the minor otherwise may have. The Undersigned parent or legal guardian agrees that but for the foregoing, the minor Participant would not be permitted to participate in the Activity.

USER’S SIGNATURE: DATE:

____________________________________ ______________________ (Parent or Legal Guardian’s Signature if participant is a minor)

57

SLO ICE Form 2

Needs Assessm

ent

58

SLO ICE Form 3

Ice Thickness Measurements Date of last inspection _____________________________________________ Date of current inspection ________________________________________ Time of measurement _____________________________________________ Location on ice:

• Upper left quadrant, outer edge ___________

• Upper left quadrant, center ___________

• Upper right quadrant, outer edge ___________

• Upper right quadrant, center ___________

• Center ice ___________

• Lower left quadrant, outer edge ___________

• Lower left quadrant, center ___________

• Lower right quadrant, outer edge ___________

• Lower right quadrant, center ___________ Signature of Certified Maintenance Technician _________________________________________________________________ Signature of Rink Administrator _________________________________________________________________

59

SLO ICE Form 4

Air Quality Monitoring Chart

60

SLO ICE

Form 5

2012-13 Ice Skating Program and Registration Form Please select below the SESSION(s), and PROGRAM for which you wish to register. A non-refundable, $25.00 registration fee must accompany your completed registration form. This will reserve space for your skater and is deducted from the total cost of the session. The balance is due on or before the first class, or if you prefer, you may send the entire session amount with your registration. This will save you time waiting in line on the first day of skating classes. Please mail completed form and check (payable to SLO Ice Arena) to 100 Madonna Rd. San Luis Obispo, CA. 93405. 805-784-2410 Please indicate below, which SESSION(s) and PROGRAM(s) you wish to register for. You can visit the Programs page for a complete description of each. HOCKEY PROGRAM: SUNDAY SESSIONS: Duration and dates – SUNDAYS ____ Session 1: 6 weeks - Oct. 7, 14, 21, 28; Nov. 4, 11, 2012 ____ Session 2: 6 weeks - Nov. 18, 25; Dec. 2, 9, 16, 30, 2012 ____ Session 3: 7 weeks - Jan. 6, 13, 20, 27; Feb. 3, 10, 24, 2013 ____ Session 4: 8 weeks – Mar. 3, 10, 17, 24; Apr. 7, 14, 21, 28, 2013 PROGRAMS: Times and costs ____ Learn-To-Skate (ages 3-5), 4:15-4:45 PM (group lesson - no practice included) 6 weeks - $78.00; 7 weeks - $90.00; 8 weeks - $105.00 ____ Basic Skating Skills (ages 5-adult), 4:15-5:15 PM (group lesson plus practice time) 6 weeks - $95.00; 7 weeks - $110.00; 8 weeks - $125.00 ____ Beginning Freestyle (more advanced figure skating skills, all ages), 5:15-6:15 PM 6 weeks - $105.00; 7 weeks - $120.00; 8 weeks - $135.00 ____ Open Freestyle (ice time only, no instruction included) full session package rates, 5:15-6:45 PM 6 weeks- $120.00; 7 weeks- $140.00; 8 weeks- $160.00 ____ Open Freestyle hourly buy-on rate, all sessions: $16.00/hr ICE RINK: MONDAYS SESSIONS: Duration and dates – MONDAYS

____ Session 1: 7 weeks – Nov. 5, 12, 19, 26; Dec. 3, 10, 17, 2012 ____ Session 2: 9 weeks – Jan. 7, 14, 21, 28; Feb. 4, 11, 18, 25; Mar. 4, 2013

61

SLO ICE Form 5

PROGRAMS: Times and costs ____ Learn-To-Skate (ages 3-5), 6:45-7:10 PM (group lesson only – no practice included) 7 weeks - $90.00; 9 weeks - $115.00 ____ Beginning Freestyle (more advanced figure skating skills), 6:45-7:35 PM 7 weeks - $120.00; 9 weeks - $150.00 ____ Basic Skating Skills (ages 5–adult), 7:10-8:00 PM (group lesson plus practice/games time) 7 weeks - $110.00; 9 weeks - $140.00 SLO Ice Arena: FRIDAYS SESSIONS: Duration and dates - FRIDAYS ____ Session 1: 6 weeks - Nov. 30; Dec. 7, 14, 21, 2012; Jan. 4, 11, 2013 ____ Session 2: 7 weeks - Jan. 18, 25; Feb. 1, 8, 15, 22; Mar. 1, 2013 PROGRAMS: Times and costs ____ Learn-To-Skate (ages 4-5), 5:15-5:45 PM (group lesson only – no practice included) 6 weeks - $70.00; 7 weeks - $80.00 ____ Basic Skills (ages 5–adult) 5:15-6:15 PM (group lesson plus practice/games time) 6 weeks - $85.00; 7 weeks - $100.00 ____ Beginning Freestyle (more advanced figure skating skills), 5:45-6:45 PM 6 weeks - $85.00; 7 weeks - $100.00 PLEASE FILL OUT COMPLETELY, SIGN, DATE & MAIL WITH PROGRAM & SESSION SELECTIONS & DEPOSIT/PAYMENT, ALONG WITH COMPLETED MEDICAL/LIABILITY RELEASE FORM TO: SLO Ice Arena, 100 Madonna Rd. San Luis Obispo, CA. 93405. Phone # 805-784-2410 SKATER’S NAME__________________________________________ AGE________________ ADDRESS______________________________________________________________ ________________________________________________________________________

62

SLO ICE Form 5

PARENT/GUARDIAN NAME_____________________________________________ PHONE #______________________ EMAIL_________________________________________ PRIOR SKATING EXPERIENCE (if any)__________________________________________ SKATING LEVEL (if applicable) _________________________________________________

63

SLO ICE Form 6

MEDICAL/LIABILITY RELEASE

In consideration of participating in SLO Ice Arena ice skating and related activities, I acknowledge that I understand the nature of the activity and that I and/or my minor child is in good health, and in proper physical condition to participate in such activity. I fully understand that ice skating involves risks of serious bodily injury, and I fully accept and assume all such risks and all responsibility for losses, costs, and damages I and/or my minor child incur as a result of participation in the activity. Aware of the risks and willing to assume them, I hereby waive, release and agree to hold harmless SLO Ice Arena, the ice rink facility, their respective owners, administrators, directors, agents, officers, coaches, volunteers, employees, and other participants from any and all claims by me or on my behalf for any liability, injury, loss or damage in any way connected with my participation in the activity. I currently have, and agree to maintain throughout the time of participation, valid and sufficient medical and accident insurance. I understand that this is my sole responsibility and I release all persons and entities from providing this coverage for me. I have read this release and waiver of liability, assumption of risk and indemnity and fully understand it. ______________________________________________________________ SIGNATURE OF PARTICIPANT (OR PARENT OR GUARDIAN, IF UNDER 18 YRS. OF AGE) Date___________________

64

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In an effort to better serve the community and to ensure utmost quality of our programs, SLO Ice Arena would like for you to take a moment and assess the

activity or sport you or your child participated in.

SLO ICE Form 7

64

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SLO ICE Form 7

66

SLO ICE Form 8

Party Room Rental Contract

I agree to rent SLO Ice Arena’s party room for a period commencing

on_____________________ at the Madonna Road location for the purpose of

_______________________________________________________________________.

I agree that during the time I have rented SLO Ice Arena’s party room facility, I shall assume full responsibility for my invited guests. This includes damages to the property, building and contents.

I agree to pay all charges incurred for this event. I also agree to abide by the payment schedule listed below.

I agree that a final confirmation of the number of guests is required 7 days prior to the event.

I further agree that the down payment is not refundable to renter should this engagement be cancelled and it is not possible to re-book this date. Only after said date will 50% of the down payment be rendered back to renter if the date is filled.

(Renter Signature)__________________________________

(Co-Signer Signature)________________________________

(Phone #)_______________________

(Address)__________________________________________

(City/State/Zip)______________________________________

(Tax Exempt #)___________________ (If Applicable)

Information & Payment Schedule

(To be completed by SLO Ice Arena)

A 2% processing fee will be charged to all credit card payments.

67

SLO ICE Form 9

VENDOR AGREEMENT This Agreement is entered into this ____day of_________, 20___, between SLO ICE ARENA, hereinafter called "LEASOR", and______________________________, hereinafter called "VENDOR". WHEREAS, SLO ICE ARENA has agreed to permit temporary vendor sales in the facility as defined in the policy and procedures; WHEREAS, vendor desires to sell merchandise at SLO ICE ARENA and vendor has secured a SLO ICE ARENA rink sponsor; and WHEREAS, SLO ICE ARENA has established regulations concerning the sale of merchandise at UCI. Conditioned upon final sponsoring department approval, SLO ICE ARENA grants vendor permission to sell merchandise under the following requirements:

1. VENDOR is considered an invited guest in the rink and is responsible for keeping their assigned vending site neat, orderly and free from trash.

2. VENDOR confirms that the merchandise meets SLO ICE ARENA Vendor Sales Policy and all applicable state and/or federal requirements.

3. VENDOR confirms that he/she has the legal right to sell the merchandise and that the merchandise may be legally sold in California.

4. VENDOR in the capacity of a seller is not acting as an employee or agent of SLO ICE ARENA and shall make no representations which may indicate an endorsement or guarantee by SLO ICE ARENA of the merchandise sold.

5. VENDOR shall defend, indemnify, and hold harmless SLO ICE ARENA, its officers, employees, and agents from and against any losses and expenses, claims, suits, or other liability including product liability resulting from injury to any person or damage to property arising out of or in any way connected with the VENDOR's exercise of this Agreement, provided such injuries to persons or damage to property are due to the acts or omissions of VENDOR, its officers, employees or agents, or the products manufactured or sold by them.

6. Upon department approval, VENDOR shall be issued a copy of the Temporary Vendor Permit which specifies date and location for the sale of merchandise, with an approved copy posted at the vending site.

7. VENDOR must prominently display at all times their policy regarding returns, refunds and/or exchange of merchandise.

8. If VENDOR violates the SLO ICE ARENA Vendor Sales Policy, or any law applicable to VENDOR's activities at SLO ICE ARENA, this Agreement shall be terminated and the SLO ICE ARENA Temporary Vendor Permit revoked.

9. This Agreement shall automatically terminate upon expiration of the Temporary Vendor Permit.

IN WITNESS WHEREOF, the parties hereto have caused this agreement to be executed as of the day and year herein above mentioned. Vendor Signature________________________________ Rink Administrator Signature__________________________________

68

Rink Administrator___________________________________

INSTRUCTIONS Review the rating scale and the factors listed below before completing the form. Supervisor’s comments are viewed as critical to an effective appraisal.

FAR EXCEEDS EXPECTATIONS: INDIVIDUAL SHOWS EXTREMELY HIGH ACHIEVEMENT OR SERVICE TO THE PUBLIC; SUCH PERFORMANCE NOT ONLY EXCEEDS JOB CLASSIFICATION AND STANDARDS, BUT ALSO DEMONSTRATES ABILITIES/RESPONSES BEYOND WHAT MAY BE EXPECTED. ROUTINELY PROVIDES SUPPORT AND ASSISTANCE TO OTHER CITY EMPLOYEES. EXCEEDS EXPECTATIONS: INDIVIDUAL GIVES VALUABLE SERVICE TO THE ORGANIZATION AND/OR PUBLIC; SUCH PERFORMANCE CONSISTENTLY EXCEEDS WHAT IS REASONABLY EXPECTED IN THIS JOB CLASSIFICATION. MEETS EXPECTATIONS: INDIVIDUAL SHOWS PRINCIPAL JOB RESPONSIBILITIES ARE FULLY PERFORMED AS EXPECTED FROM A WELL TRAINED, MOTIVATED AND DEPENDABLE EMPLOYEE. INDIVIDUAL KEEPS CURRENT AND SUPPORTS NEW POLICIES AND PROCEDURES. DOES NOT MEET EXPECTATIONS: THE INDIVIDUAL DOES NOT CONSISTENTLY MEET POSITION RESPONSIBILITIES, FOLLOW POLICIES AND PROCEDURES, COMPLETE ASSIGNED TASKS, OR PRODUCE ACCEPTABLE WORK.

Performance Factor Summary/Brief Comments

FAR

EXC

EED

S EX

PEC

TATI

ON

S

EXC

EED

S EX

PEC

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ON

S

MEE

TS E

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S

DO

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OT

MEE

T EX

PEC

TATI

ON

S

1. Job Knowledge:

2. Quality of Work:

3. Quantity of Work:

4. Customer Service:

5. Ability to Work With Others:

6. Safety:

7. Personal Neatness, Care of Tools, Etc:

8. Initiative:

9. Problem Solving:

10. Dependability:

11. Adaptability:

12. Attendance and Punctuality:

13. Supervisory Effectiveness:

14. Job Specific Items:

EMPLOYEE:

DEPARTMENT:

POSITION:

EVALUATION DATE: EVALUATION PERIOD COVERED:

CURRENT SALARY RANGE & STEP:

Evaluation Only

CITY OF SAN DIMAS ANNUAL PERFORMANCE EVALUATION

SHORT FORM

SLO Ice Arena

Annual Employee Evaluation SLO ICE Form 10

68

69

GOALS AND OBJECTIVES ACHIEVED/EXPECTED: Performance Evaluation PAGE 2

CERTIFICATES, AWARDS, COURSES COMPLETED AND/OR RECOMMENDED:

SUPERVISOR COMMENTS - SIGNATURE DATE:

EMPLOYEE COMMENTS – SIGNATURE DATE:

DEPARTMENT HEAD COMMENTS – SIGNATURE DATE:

CITY MANAGER COMMENTS – SIGNATURE DATE:

RINK ADMINISTRATOR COMMENTS ‒ SIGNATURE _______________________DATE:

MANAGER COMMENTS ‒ SIGNATURE ______________________________DATE:

SLO ICE Form 10

69

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SLO ICE Form 11

PROOF OF CPR CERTIFICATION

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72

SLO ICE Form 12

Verification of Completion of Training

By signing below, you are verifying that you have completed an appropriate in-‐service training program administered by SLO Ice Arena. This program is meant to fully prepare you to fulfill your job duties, respond in the event of an emergency, and supervise and assist customers with the most reasonable standard of care possible for our organization. Employee Name ________________________________________________________ Date ___/___/___ Employee Signature ______________________________________________________________________ Manager Name _________________________________________________________ Date ___/___/___ Manager Signature ______________________________________________________________________

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SLO ICE Form 13

Suspicious Behavior Report Form Date of observation _____________________________________________ Time of observation _____________________________________________ Where did observation occur? (Check all that apply.)

• Parking lot _______ • Facility entrance _______ • Admissions counter _______ • Skate rental counter _______ • Snack Shack _______ • Lobby _______ • Locker/restrooms _______ • Party Room _______ • Ice rink _______ • Spectator bleachers _______

Description of observation and why it made you suspicious: _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ Name of reporter _____________________________________________ Signature of reporter _________________________________________ Phone number _________________________________

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BULLYING INCIDENT REPORT FORM

Date of Incident: ________________ Time of Incident: ____________ Repeat infraction? YES NO Location of Incident (circle all that apply): Hallway Restroom Classroom Gym Lunch Room Playground Locker Room Bus Stop On Bus Parking Lot To/From School After School Program School Sponsored Event Text/Phone/Internet/Social Media Other: ______________ Name of victim(s): Name of student(s) bullying: Name(s) of witnesses/bystanders: __________________________ __________________________ __________________________ __________________________ __________________________ __________________________ __________________________ __________________________ __________________________ Type of Bullying:

Verbal !Physical: Result in injury? YES NO Reported to School Nurse? YES NO Reported to Police? YES NO Relational

Bullying Behaviors (circle all that apply): Shoved/Pushed Hit, Kicked, Punched Threatened Stole/Damaged Possessions Excluded Taunting/ridiculing Writing/Graffiti Told Lies or False Rumors Staring/Leering Intimidation/Extortion Demeaning Comments Inappropriate touching Cyber-bullying using: Text messages Website Email Other: _____________________________________ Racial, Sexual, Religious or Disability Circle one and describe: ______________________________________________________ Reported to school by (circle all that apply): Teacher Student Bystander Victim/Target Parent Bus Driver Anonymous Other: _______________________________ Describe the incident: _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ Physical Evidence? Notes Email Graffiti Video/audio Website Other:_______________________________

Actions Taken (see Protocol for Guidelines): Consequences: ____________________________________________________________________________________________ Remediation: ______________________________________________________________________________________________ Referral for additional support services: _________________________________________________________________________

Parent Contact: Date ____________ Time ____________ Person making contact: _____________________________________

Result: ________________________________________________________________________________________

Today’s Date: _________ Reported by: ________________________ Signature: ___________________________

SLO ICE Form 14

___________________________________________________________________________

Name of victim(s) Name of perpetrator(s) Name of witness(es)

Reported to Rink Administrator by:

Staff Member Bystander Participant

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NAME OF MANDATED REPORTER TITLE MANDATED REPORTER CATEGORY

REPORTER'S BUSINESS/AGENCY NAME AND ADDRESS Street City Zip DID MANDATED REPORTER WITNESS THE INCIDENT?

! YES ! NO

REPORTER'S TELEPHONE (DAYTIME) SIGNATURE TODAY'S DATE

( )

! LAW ENFORCEMENT ! COUNTY PROBATION AGENCY

! COUNTY WELFARE / CPS (Child Protective Services)

ADDRESS Street City Zip DATE/TIME OF PHONE CALL

OFFICIAL CONTACTED - TITLE TELEPHONE

( )

NAME (LAST, FIRST, MIDDLE) BIRTHDATE OR APPROX. AGE SEX ETHNICITY

ADDRESS Street City Zip TELEPHONE

( )

PRESENT LOCATION OF VICTIM SCHOOL CLASS GRADE

PHYSICALLY DISABLED? DEVELOPMENTALLY DISABLED? OTHER DISABILITY (SPECIFY) PRIMARY LANGUAGE

"! YES ! NO ! YES ! NO SPOKEN IN HOME

IN FOSTER CARE? IF VICTIM WAS IN OUT-OF-HOME CARE AT TIME OF INCIDENT, CHECK TYPE OF CARE: TYPE OF ABUSE (CHECK ONE OR MORE)

! YES ! DAY CARE ! CHILD CARE CENTER ! FOSTER FAMILY HOME ! FAMILY FRIEND ! PHYSICAL ! MENTAL ! SEXUAL ! NEGLECT

! NO ! GROUP HOME OR INSTITUTION ! RELATIVE'S HOME ! OTHER (SPECIFY)

RELATIONSHIP TO SUSPECT PHOTOS TAKEN? DID THE INCIDENT RESULT IN THIS

! YES ! NO VICTIM'S DEATH? ! YES ! NO ! UNK

NAME BIRTHDATE SEX ETHNICITY NAME BIRTHDATE SEX ETHNICITY

1. 3.

2. 4.


ADDRESS Street City Zip HOME PHONE BUSINESS PHONE

( ) ( )


ADDRESS Street City Zip HOME PHONE BUSINESS PHONE

( ) ( )

SUSPECT'S NAME (LAST, FIRST, MIDDLE) BIRTHDATE OR APPROX. AGE SEX ETHNICITY

ADDRESS Street City Zip TELEPHONE

( )

OTHER RELEVANT INFORMATION

IF NECESSARY, ATTACH EXTRA SHEET(S) OR OTHER FORM(S) AND CHECK THIS BOX IF MULTIPLE VICTIMS, INDICATE NUMBER:

DATE / TIME OF INCIDENT PLACE OF INCIDENT

NARRATIVE DESCRIPTION (What victim(s) said/what the mandated reporter observed/what person accompanying the victim(s) said/similar or past incidents involving the victim(s) or suspect)

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SUSPECTED CHILD ABUSE REPORT

DEFINITIONS AND INSTRUCTIONS ON REVERSE

DO NOT submit a copy of this form to the Department of Justice (DOJ). The investigating agency is required under Penal Code Section 11169 to submit to DOJ a

Child Abuse Investigation Report Form SS 8583 if (1) an active investigation was conducted and (2) the incident was determined not to be unfounded.

WHITE COPY-Police or Sheriff's Department; BLUE COPY-County Welfare or Probation Department; GREEN COPY- District Attorney's Office; YELLOW COPY-Reporting Party

SS 8572 (Rev. 12/02)

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CASE NAME:

CASE NUMBER:

To Be Completed by Mandated Child Abuse Reporters

Pursuant to Penal Code Section 11166

PLEASE PRINT OR TYPE

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SLO ICE Form 15

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76

Safety Inspections Inventory Daily Inspections: Date __________________________ Rink Surface and Environment Completed (✓) 1. Ice surface free of dents and bump ____________

2. Air quality is measured and levels of nitrogen dioxide

and carbon monoxide are minimal and do not exceed safety ____________ standards

Equipment Completed (✓) 1. Rental skate blades, hooks, laces, and boots are clean and in ____________

good repair

2. Skating aids, hockey nets, pucks, and sticks are in good repair ____________ 3. All facility first aid kits are fully stocked

4. Flashlights, walkie-‐talkies, and extra batteries are available in ____________

every program support and program delivery area General Facility Cleanliness and Safety Completed (✓) 1. Lobby floor and entrance area are clean and unobstructed ____________

2. Spills and puddles on floor are promptly cleared and marked ____________

until dry

3. Handrails are wiped down if slippery ____________

4. Restroom floors are cleared of garbage and water ____________

5. Emergency exits and signs are unobstructed ____________

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Mechanical Room Completed (✓) 1. Flammable liquids are safely contained and stored away from ____________

potential sources of ignition

2. Refrigeration system is functioning properly; no leaks or punctures ____________ in equipment are visible

Name of Rink Manager __________________________________________________ Signature of Rink Manager _____________________________________________ Weekly Inspections: Date __________________________ Lobby Completed (✓) 1. Lobby seating and tables are stable and in good repair ____________ 2. Lobby floor is free of dents and other tripping hazards ____________ Rink Surface and Barriers Completed (✓) 1. Ice is appropriate thickness ____________

2. Rink boards are sturdy and free of exposed nails/screws ____________

3. Rink gates open/close easily ____________

4. Rink gates are sturdy; locking mechanisms are functioning ____________

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Zamboni Maintenance Completed (✓) 1. Zamboni blade is changed by certified technician to maintain ____________

safe, smooth ice surface

Name of Rink Manager __________________________________________________ Signature of Rink Manager _____________________________________________ Monthly Inspections: Date __________________________ Ventilation Completed (✓) 1. Facility managers has consulted HVAC engineer and local ____________

air quality official to ensure adequate building ventilation

Zamboni Maintenance Completed (✓) 1. Zamboni exhaust levels are safe ____________

2. Zamboni is serviced by certified maintenance technician ____________

3. Zamboni lash valve is evaluated to ensure it’s burning fuel ____________

properly Spectator Bleachers Completed (✓) 1. Bleachers are free of exposed nails and screws ____________

2. Grip tape is new and present on all bleachers ____________

Facility Equipment Completed (✓) 1. P.A. system and scoreboard serviced by certified maintenance ____________

technician

2. Wall-‐mounted fixtures are hung safely and securely ____________

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3. Locking mechanisms on lockers are functioning ____________ Admissions Counter/Snack Shack Completed (✓) 1. Locks on doors and windows are functioning properly ____________

2. Cash register locks and is operating properly ____________ Signage Completed (✓) 1. Facility warning/informational/directional/emergency ____________

signs are posted in all program and maintenance areas

2. Signs are current and visible ____________ Parking Lot Completed (✓) 1. Lines in parking lot are clear and visible ____________

2. Parking lot surface is well-‐maintained and free of potholes/cracks ____________

3. Lighting is fully functioning ____________ Employee Safety Completed (✓) 1. Work areas conform to OSHA standards ____________

Name of Rink Manager __________________________________________________ Signature of Rink Manager _____________________________________________ Bi-‐annual Inspections: Date __________________________ Emergency Alert Systems Completed (✓) 1. Fire and earthquake alarm systems are functioning ____________

properly

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Emergency Response Support Systems Completed (✓) 1. P.A. system is fully functioning ____________

2. Emergency lights work ____________

3. Emergency exits open and close easily; all exit signs are lit ____________

4. Fire extinguishers and AED are operational ____________ Security System Completed (✓) 1. Door and window locks are functioning ____________

2. Surveillance cameras are in good condition ____________

3. Security alarms work properly ____________

Name of Rink Manager __________________________________________________ Signature of Rink Manager _____________________________________________ Annual Inspections: Date __________________________ Spectator Bleachers Completed (✓) 1. Bleachers are sturdy; railings and barrier on top bleacher are ____________

secured General Facility Maintenance Completed (✓) 1. Flooring in locker rooms/restrooms in non-‐slip and in good ____________ condition 2. Flooring in lobby and party room is in good condition ____________

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3. Plumbing and electricity is working in restrooms, locker rooms, ____________ party room, and lobby

Name of Rink Manager __________________________________________________ Signature of Rink Manager _____________________________________________

SLO ICE Form 16

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SLO ICE Form 17

Safety Inspection Issue Report Form Date hazard was identified: ____/_____/_____ Time hazard was identified: _______:________ a.m. p.m. Location of hazard: (circle all that apply) Maintenance room Lobby Party Room Locker room/restroom Parking lot Bleachers Ice rink Zamboni storage area Snack Shack Admissions Skate rental Description of safety hazard: __________________________________________________________________________________________________________________________________________________________________________________________ Severity (circle one): Low Medium High Why hazard must be addressed: __________________________________________________________________________________________________________________________________________________________________________________________ Date of last hazard of same type (if applicable): ____/_____/_____ Response Steps taken to minimize duration of failure: __________________________________________________________________________________________________________________________________________________________________________________________

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SLO ICE Form 17

Action taken to correct failure: __________________________________________________________________________________________________________________________________________________________________________________________ Steps taken to prevent recurrence of failure: __________________________________________________________________________________________________________________________________________________________________________________________ Name of reporter: ____________________________________________________________ Signature: _____________________________________________________________________

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SLO ICE Form 18

Incident/Accident/Injury Report Form

Name of Injured:________________________________ Age:__________

Date:______________ Time:__________ Staff Present:_______________

Type of Incident (Circle one): Incident Accident Illness Behavior

Location where the incident/accident occurred:______________________

Equipment involved:___________________________________________ Part of body involved:__________________________________________ Description of injury:___________________________________________

How did the incident/injury occur:_________________________________ ____________________________________________________________

First aid given:________________________________________________ Treatment given by whom:______________________________________ Corrective action needed to prevent reoccurrence:____________________ ____________________________________________________________

Type of Illness:________________________________________________

Action taken by staff:___________________________________________

Type of behavior:______________________________________________

Action taken by staff:___________________________________________

Name of person notified:________________________________________

Time notified:_______________ Notified by:______________________

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SLO ICE Form 18

____________________________________ __________________

Staff Signature Date

____________________________________ __________________


____________________________________ __________________


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SLO ICE Form 19

Violent Incident Report Form

Check as many of the following as required:

Aggressive/Threatening Behaviour Threatening/Obscene Phone Call

Mentally Disturbed Behaviour General Disturbance

Alcohol/Drug Use Weapons Use

Verbal Abuse Intimidation Fighting

Theft Harassment Other

Name of Staff Member:_______________________________________

Incident Description – Use another sheet, if required

Date:

Time:

Name of person(s) involved, if known:

Address:

Phone:

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SLO ICE Form 19

COMPLETE THE FOLLOWING IF THE PERSON IS UNKNOWN

Male Female

Age: ________ Clothing: ___________________________________

Hair color/style:

Distinguishing characteristics:

Was the aggressor involved in any previous incident with the staff? Were Emergency Services called?

911 Police Fire Did Emergency Services respond? Yes No

Attending Officer’s name:

How many staff were involved in bringing this incident to a close?

Estimate the length of all staff time required to deal with this incident:

Staff Signature ______________________________Date ___________

Supervisors Signature ________________________ Date____________

Facial Hair: Yes No

Investigation / Follow-Up

Action taken:

What measures are in place to prevent a similar incident? What steps have been taken to help employees deal with trauma/stress?

Supervisor’s Signature __________________________________________

Date Investigation Completed ____________________________________

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SLO ICE Form 20

Employment Application

SLO Ice Arena is an equal opportunity employer. This application will not be used for limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law. Applicants requiring reasonable accommodation in the application and/or interview process should notify a representative of the organization. Please print and fill out all sections Applicant Information Applicant Name _____________________ Home Phone _______________________ Other ____________________________ Email Address _____________________ Current Address: Number and street ____________________ City__________________ State & Zip ____________________________ How were you referred to Company?___________________________ Employment Positions Position(s) applying for:________________________________ Are you applying for: • Temporary work – such as summer or holiday work? [ ] Y or [ ] N • Regular part-time work? [ ] Y or [ ] N • Regular full-time work? [ ] Y or [ ] N What days and hours are you available for work?_______________________________ If applying for temporary work, when will you be available? ___________________________________________ If hired, on what date can you start working? ___ / ___ / ___ Can you work on the weekends? [ ] Y or [ ] N Can you work evenings? [ ] Y or [ ] N

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Are you available to work overtime? [ ] Y or [ ] N Salary desired: $________________________________ Personal Information: Have you ever applied to / worked for Company before? [ ] Y or [ ] N If yes, please explain (include date): ________________________ Do you have any friends, relatives, or acquaintances working for Company? [ ] Y or [ ] N If yes, state name & relationship: ________________________________ If hired, would you have transportation to/from work? [ ] Y or [ ] N Are you over the age of 18? (If under 18, hire is subject to verification of minimum legal age.) [ ] Y or [ ] N If hired, would you be able to present evidence of your U.S. citizenship or proof of your legal right to work in the United States? [ ] Y or [ ] N If hired, are you willing to submit to and pass a controlled substance test? [ ] Y or [ ] N Are you able to perform the essential functions of the job for which you are applying, either with / without reasonable accommodation? [ ] Y or [ ] N If no, describe the functions that cannot be performed _____________________________________________________________ (Note: Company complies with the ADA and considers reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions. It is possible that an applicant may be tested on skill/agility and may be subject to a medical examination conducted by a medical professional.) Have you ever been convicted of a criminal offense (felony/misdemeanor)? [ ]Y or [ ]N If yes, please describe the crime - state nature of the crime(s), when and where convicted and disposition of the case_________________________________________________ (Note: No applicant will be denied employment solely on the grounds of conviction of a criminal offense. The date of the offense, the nature of the offense, including any significant details that affect the description of the event, and the surrounding circumstances and the relevance of the offense to the position(s) applied for may, however, be considered.)

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Education, Training and Experience High School: School name: ________________________ School address:________________________ School city, state, zip:________________________________ Number of years completed: _______________ Did you graduate? [ ] Y or [ ] N Degree/diploma earned: _______________ College / University: School name: __________________________ School address:________________________ School city, state, zip:________________________________ Number of years completed: ________ Did you graduate? [ ] Y or [ ] N Degree/diploma earned: __________________ Vocational School: Name: ________________________ Address:______________________ City, state, zip:________________________________ Number of years completed: ________ Did you graduate? [ ] Y or [ ] N Degree/diploma? : __________________ Military: Branch: ________________________ Rank in Military:________________________ Total Years of Service: ________ Skills/duties: ________ Related details:________________________________

SLO ICE Form 20

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Employment Agreement

This Employment Agreement is made and entered into on ____________ between SLO Ice Arena whose principal place of business is located at 100 Madonna Rd. San Luis Obispo Ca. (hereinafter referred to as “employer”) and ________________. In consideration of the mutual covenants set forth below, Employer agrees to hire Employee and Employee agrees to work for Employer as set forth in this Agreement. 1. DESCRIPTION OF DUTIES A. Name of Position

The Employee shall be employed in the capacity of: B. Essential Job Functions and Duties The essential job functions or duties of this position are as follows: Employee shall also perform such other duties as are customarily performed by other persons in similar such positions, as well as such other duties as may be assigned from time to time by the Employer. C. Duty of Loyalty and Best Efforts Employee shall devote all of his/her working time, attention, knowledge, and skills to Employer's business interests and shall do so in good faith, with best efforts, and to the reasonable satisfaction of the Employer. Employee understands that they shall only be entitled to the compensation, benefits, and profits as set forth in this Agreement. Employee agrees to refrain from any interest, of any kind whatsoever, in any business competitive to Employer’s business. The Employee further acknowledges they will not engage in any form of activity that produces a “conflict of interest” with those of the Employer unless agreed to in advance and in writing D. Place and Hours of Employment Employee agrees that their duties shall be primarily rendered at Employer’s business premises or at such other places as the Employer shall in good faith require. Full time service for the Employee is expected which requires a minimum of hours per week, exclusive of vacation, or any other form of leave as described within this Agreement. 2. BENEFITS A. Insurance Employer will supply [health, dental, vision, disability, life other] insurance benefits after [90] days of employment.

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B. Professional Licenses and Memberships Employee is obligated to maintain any of those professional licenses necessary for the carrying out the functions and duties set forth in this Agreement. Said licenses include, but are not limited to, the following: Employer also encourages Employee to gain membership in associations related to our industry or that of our clientele. Employer may, at its discretion, assist with payment for those licenses or memberships which both parties consider to be essential to performance of the job. C. Vacation Employer’s vacation policy is as follows: [Place in here the anticipated vacation schedule, if different from the Employee Handbook.] after after [Vacation may not be used until Employee has been employed for at least six (6) months. Vacation does not begin to accrue least six (6) months after the commencement of employment. Please refer to the Employee Handbook for more specifics regarding vacation. Vacation benefits should be used annually. There is a “cap” on accrual, which prevents it from accumulating beyond a total of _____ weeks. Employee must provide at least two (2) weeks notice of their intent to take vacation unless there are emergency circumstances.] 3. TERMINATION A. “At Will” Employment Employee’s employment with Employer is “at will.” “At will” is defined as allowing either Employee or Employer to terminate the Agreement at any time, for any reason permitted by law, with or without cause and with or without notice. 4. COVENANTS

A. Non-Disclosure of Trade Secrets, Customer Lists and Other Proprietary Information

Employee agrees not to use, disclose or communicate, in any manner, proprietary information about Employer, its operations, clientele, or any other proprietary information, that relate to the business of Employer. This includes, but is not limited to, the names of Employer’s customers, its marketing strategies, operations, or any other information of any kind which would be deemed confidential or proprietary information of Employer including but not limited to: Employee acknowledges that the above information is material and confidential and that it affects the profitability of Employer. Employee understands and that any breach of this provision, or of any other Confidentiality and Non-Disclosure Agreement, is a material breach of this Agreement. To the extent Employee feels that they need to disclose confidential information, they may do so only after being authorized to so do in writing by Employer.

SLO ICE Form 20

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B. Non-Solicitation Covenant Employee agrees that for a period of following termination of employment, for any reason whatsoever, Employee will not solicit customers or clients of Employer. By agreeing to this covenant, Employee acknowledges that their contributions to Employer are unique to Employer’s success and that they have significant access to Employer’s trade secrets and other confidential or proprietary information regarding Employer’s customers or clients. C. Non-Recruit Covenant Employee agrees not to recruit any of Employer’s employees for the purpose of any outside business either during or for a period of after Employee’s tenure of employment with Employer. Employee agrees that such effort at recruitment also constitutes a violation of the non-solicitation covenant set forth above. D. Adherence to Employer's Policies, Procedures, Rules and Regulations Employee agrees to adhere by all of the policies, procedures, rules and regulations set forth by the Employer. These policies, procedures, rules and regulations include, but are not limited to, those set forth within the Employee Handbook, any summary benefit plan descriptions, or any other personnel practices or policies or Employer. To the extent that Employer’s policies, procedures, rules and regulations conflict with the terms of this Agreement, the specific terms of this Agreement will control. E. Covenant to Notify Management of Unlawful Acts or Practices Employee agrees to abide by the legal and ethics policies of Employer as well as Employer’s other rules, regulations, policies and procedures. Employer intends to comply in full with all governmental laws and regulations as well as any ethics code applicable to their profession. In the event that Employee is aware of Employer, or any of its officers, agents or employees, violating any such laws ethics codes, rules, regulations, policies or procedures, Employee agrees to bring forth all such actual and suspected violations to the attention of Employer immediately so that the matter may be properly investigated and appropriate action taken. 5. MEDIATION AND BINDING ARBITRATION Employer and Employee agree to first mediate and may then submit to binding arbitration any claims that they may have against each other, of any nature whatsoever, other than those prohibited by law or for workers compensation, unemployment or disability benefits, pursuit to the rules of the American Arbitration Association. Employee agrees to sign the attached Agreement to Mediate/Arbitrate claims as conditions of employment. 6. LIMITATION OF DAMAGES Employee agrees and stipulates that any remedies they may have for the breach of any employment related obligation, whether under law or by way of contract, shall be limited to the equivalent of six (6) months salary of Employee where allowed by law. This limitation is inclusive of any claims for special damages, general damage, compensatory damage, and loss of income, emotional damage, or punitive damages.

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7. ATTORNEYS’ FEES AND COSTS Employee and Employer agree that should any action be instituted by either party against the other regarding the enforcement of the terms of this agreement, the prevailing party will be entitled to all of its expenses related to such litigation including, but not limited to, reasonable attorneys' fees and costs, both before and after judgment. 8. MISCELLANEOUS PROVISIONS A. Accuracy of Representations Employee understands that any projections regarding the financial status or potential for growth of this Employer are matters of opinion only and do not constitute a legally binding representation. Employee agrees that they have had the opportunity to conduct due diligence of Employer and are satisfied with the representations that have been made. B. Notices Employee agrees that any notices that are required to be given under this Agreement shall be given in writing, sent by certified mail, return receipt requested, to the principal place of business of the Employer or residence of the Employee as set forth herein. C. Entire Agreement This Agreement represents the complete and exclusive statement of the employment agreement between the Employer and Employee. No other agreements, covenants, representations or warranties, express or implied, oral or written, have been made by the parties concerning their employment agreement. D. The Effect of Prior Agreements or Understandings This Agreement supersedes any and all prior Agreements or understandings between the parties, including letters of intent or understanding, except for those documents specifically referred to within this Agreement. E. Modifications Employee and Employer agree that this writing, along with those Agreements referred to within it, including, but not limited to, the Employee Handbook and [Non-Disclosure Agreement], constitutes the entirety of the Employment Agreement between the parties. Any modifications to this Agreement may only be done in writing and must be signed by [an officer] of Employer. F. Severability of Agreement To the extent that any provision hereof is deemed unenforceable, all remaining provisions of this Agreement shall not be affected thereby and shall remain in full force and effect. G. Waiver of Breach The waiver by Employer of a breach of any provision of this Agreement by Employee shall not operate as a waiver of any subsequent breach by the Employee. No waiver shall be valid unless placed in writing and signed by [an officer] of Employer.

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H. Ambiguities Related to Drafting Employer and Employee agree that any ambiguity created by this document will not be construed against the drafter of same. I. Choice of Law, Jurisdiction and Venue Employee agrees that this Agreement shall be interpreted and construed in accordance with the laws of the State of [California] and that should any claims be brought against Employer related to terms or conditions of employment it shall be brought within a court of competent jurisdiction within the county of [Orange, California]. Employee also consents to jurisdiction of any claims by Employer related to the terms or conditions of employment by a court of competent jurisdiction within the county of [Orange, California]. J. Submission to Drug Testing Employee agrees and understands that it is the policy of Employer to maintain a drug-free work place. Employee consents to a pre-hire drug test. Employee understands that Employer has the right, upon reasonable suspicion, to demand that Employee immediately undergo testing for the presence of illegal or inappropriate drug usage. K. Statute of Limitations Employee has a one-year statute of limitation for the filing of any requests for mediation, or arbitration, or for any lawsuit related to this Agreement or the terms and conditions of their employment. If said claim is filed more than one year subsequent to Employee’s last day of employment it is precluded by this provision, regardless of whether the claim had accrued at that time or not. L. Attorney Review Employee warrants and represents that Employee in executing his Agreement has had the opportunity to rely on legal advice from an attorney of Employee’s choice, so that the terms of this Agreement and their consequences could have been fully read and explained to Employee by an attorney and that Employee fully understands the terms of this Agreement. Employee Name ___________________________________ Date __/__/__ Employee Signature ____________________________________________ Rink Administrator _________________________________ Date __/__/__

SLO ICE Form 20

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DSHS 09-653 (REV. 01/2008)

Background Authorization

Read the attached instructions before completing this form. SECTION 1. ENTITY INFORMATION (COMPLETED BY DSHS STAFF, PROVIDER, APPLICANT, LICENSEE, AND/OR CONTRACTOR) 1A. GIVE NAME OF PERSON OR ENTITY REQUESTING THIS BACKGROUND CHECK

1B. SEE INSTRUCTIONS: GIVE ENTIRE ADDRESS OF PERSON OR ENTITY REQUESTING THE CHECK

1C. REQUIRED BY CHILDREN’S ADMINISTRATION ONLY: GIVE NAME OF FACILITY/FOSTER HOME

2. NAME AND SIGNATURE OF PERSON REQUESTING THE BACKGROUND CHECK

PRINTED NAME:

SIGNATURE: 3. A. REQUIRED ONLY FOR ECONOMIC SERVICES ADMINISTRATION: WorkFirst contract Protective Payee In-home relative In loco parentis B. REQUIRED ONLY FOR CHILDREN’S ADMINISTRATION: State foster care Private agency foster care Adoption DCFS relative placement Contracts Subject of (or related to) CPS investigation Residential facility or child placing agency employee C. REQUIRED ONLY FOR ADULT PROTECTIVE SERVICES: Subject involved in (or related to) APS investigation per RCW 74.34 D. REQUIRED ONLY FOR DSHS STATE EMPLOYMENT:

DSHS POSITION NUMBER

(WRITE NONE IF NONE) DSHS JOB CLASSIFICATION:

PERSONNEL IDENTIFICATION NUMBER:

Permanent appointment Non-permanent appointment Work study Volunteer Student internship Layoff On-Call 4. SEE INSTRUCTIONS: BCCU ACCOUNT NUMBER

5A. SEE INSTRUCTIONS: DSHS ID NUMBER OR NAME

5B. FOR WEB SERVICE FINGERPRINT CHECK: BCCU INQUIRY ID NUMBER

SECTION 2. THIS SECTION IS FOR APPLICANT INFORMATION ONLY (THE PERSON TO BE CHECKED IS THE APPLICANT) 6. SEE INSTRUCTIONS: SOCIAL SECURITY NUMBER

7. PRINT YOUR DATE OF BIRTH (MM/DD/YYYY)

8A. SEE EXAMPLE IN INSTRUCTIONS: PRINT YOUR LAST NAME AS IT IS NOW (WRITE NONE IF NONE)

SEE EXAMPLE IN INSTRUCTIONS: PRINT YOUR FIRST NAME AS IT IS NOW (WRITE NONE IF NONE)

SEE EXAMPLE IN INSTRUCTIONS: PRINT YOUR MIDDLE NAME AS IT IS NOW (WRITE NONE IF NONE)

8B. PRINT YOUR LAST NAME AT BIRTH (WRITE NONE IF NONE)

PRINT YOUR FIRST NAME AT BIRTH (WRITE NONE IF NONE)

PRINT YOUR MIDDLE NAME AT BIRTH (WRITE NONE IF NONE)

9. PRINT OTHER LAST NAMES YOU HAVE USED AND LAST NAMES YOU HAVE BEEN KNOWN BY (WRITE NONE IF NONE)

10. PRINT YOUR NICKNAMES AND ALL OTHER FIRST NAMES YOU HAVE USED AND HAVE BEEN KNOWN BY (WRITE NONE IF NONE)

11A. Have you been convicted of any crime? If yes, fill in the blanks below. Add a page if you need more room. ................................. Yes No

Felony and gross misdemeanor crimes:

Degree:

State:

Conviction date:

11B. Do you have charges (pending) against you for any crime? If yes, fill in the blanks below. Add a page if you need more room. .................................................................................................. Yes No

Felony and gross misdemeanor crimes:

Degree:

State:

12. Have you ever received a notice from a court or state agency stating that you have sexually abused, physically abused,

neglected, abandoned, or exploited a child, juvenile, or adult? ........................................................................................................... Yes No 13. Has a court or state agency ever denied you a contract or license; terminated, revoked or suspended your contract or license; or have you ever given up your contract or license because a court or agency was taking action against you? ................ Yes No 14. Has a court ever written an order of protection or a restraining order lasting more than 30 days against you for abuse, neglect, financial exploitation, domestic violence, or abandonment of a vulnerable adult, juvenile, or child? ......................... Yes No 15. PRINT YOUR DRIVER’S LICENSE OR STATE IDENTIFICATION NUMBER (WRITE NONE IF NONE)

PRINT THE NAME OF THE STATE ON YOUR LICENSE OR ID

16. How many years have you lived in Washington State without living in another state?

Years /

Months

17. A. PRINT THE STREET ADDRESS WHERE YOU LIVE NOW CITY STATE ZIP CODE COUNTY

B. SEE INSTRUCTIONS: PRINT THE STREET ADDRESS WHERE YOU LIVED BEFORE YOUR CURRENT ADDRESS

CITY STATE ZIP CODE COUNTY

C. SEE INSTRUCTIONS: GIVE THE DAYTIME AREA CODE AND TELEPHONE NUMBER WHERE YOU CAN BE REACHED

18. I am the person named above. If I do not tell the whole truth on this form, I understand I can be charged with perjury and I may not be allowed to work with vulnerable adults, juveniles or children. My signature in box number 19 means: • I give DSHS permission to check my background with any governmental entity and law enforcement agency. • If a founded finding is identified, I give DSHS permission to give only my name and that a founded finding was identified to any persons or entities

in Section 1. • I give DSHS permission to give all my other background information to the persons or entities named in Section 1. • This permission is good for 90 days from the date signed. I can change my mind about this permission in writing at any time.

19. REQUIRED: YOUR SIGNATURE. YOUR PARENT OR GUARDIAN’S SIGNATURE IF YOU ARE UNDER 18.

20. REQUIRED: TODAY’S DATE (MM/DD/YYYY)

FOR USE BY CHILDREN’S ADMINISTRATION STAFF ONLY

CAMIS files checked by

on date

No information found Information available

SLO ICE Form 20

97

SLO ICE Form 21

Photo Release Form

SLO Ice Arena

Permission to Use Photograph

Program: ___________________________________________

Location: __________________________________________

I grant SLO Ice Arena’s representatives and employees the right to take photographs of me and my property in connection with the above-identified subject. I authorize SLO Ice Arena to copyright, use, and publish the same in print and/or electronically.

I agree that SLO Ice Arena may use such photographs of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content.

I have read and understand the above statement:

Signature _________________________________

Printed name ______________________________

Date _____________________________________

__________________________________________ (if under age 18)

Signature, parent or guardian

98

SLO ICE Form 22

SLO Ice Arena Volunteer Liability Release Form

In consideration of my desire to serve as a volunteer at the SLO Ice Arena. I hereby assume all responsibility for any and all risk of property damage or bodily injury that I may sustain while participating in any voluntary effort, including the use of equipment and facilities of SLO Ice Arena. Further, I, for myself and my heir, executors, administrators and assigns, hereby release, waive and discharge SLO Ice Arena and its officers, directors, employees, agents and volunteers of and from any and all claims which I or my heirs, administrators and assigns ever may have against any of the above for, on account of, by reason of or arising in connection with such volunteer efforts or my participation therein, and hereby waive all such claims, demands and causes of action. Further, I expressly agree that this release, waiver and indemnity agreement is intended to be as broad and inclusive as permitted by the State of California, and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect. I currently have no known mental or physical condition that would impair my capability for full participation as intended or expected of me. I have carefully read the foregoing release and indemnification and understand the contents thereof and sign this release as my own, free act. Signature: Date: _________________________________________ Print Name: _______________________________________

99

1

RinkGuardSupplemental

GENERAL INFORMATION Proposed Effective Date ____________

Rink Name (DBA):_____________________________________________________________

Corporate name: _______________________________________________________________

Mailing address: _______________________________________________________________ (Street) (City) (State) (Zip)

Location address (if different): ____________________________________________________ (Street) (City) (State) (Zip)

FEIN: _____________________________

Rink phone #: ________________________ Office Phone #: _____________________

Cell phone #: _________________________ Fax #: _____________________________

Website: _____________________________ Email: _____________________________

Applicant is: Corporation ____ Partnership ____ LLC ____ LLP ____ Not for Profit ____ Other ____

Do you own or least the premises? Own ___ Lease ___ If leased, what are the other occupancies/tenants in the building, if any?

List skating associations of which you are a member (e.g. ISI/STAR/NEISMA/MIRMA, etc):

Is this a new operation? Yes ____ No ____ Number years in business at this location (operated by you): _____

List other locations owned or operated: ______________________________________________

Do you run programs in your rink under another business name? Yes ___ No ___

IF SO, PLEASE PROVIDE NAME(S):_______________________________________________

Do you conduct any other business under the named insured on this application? Yes ___ No ___

IF SO, PLEASE DESCRIBE:

SLO ICE Form 23

99

100

2

ANNUAL GROSS RECEIPTS BREAK DOWN

Receipts ($) (If n/a, please so indicate)

General Admissions

Open Public Skate

Skate Rental

Ticket Sales to Spectators

Waiver/disclaimer used on ticket?

(If yes, provide copy)

Broomball Are waivers signed by participants? (If yes, attach copy)

Rink Sponsored Lessons Figure Skating Are participants members of:

USFSA____ ISI ____

Do you collect certificates of insurance from instructors?

Do Participants sign individual waivers? Learn to Skate Are participants members of:

USFSA____ ISI ____


Do Participants sign individual waivers? Hockey Are participants members of:

USAH____ ISI ____


Do Participants sign individual waivers? Other: Camps Clinics

Are participants members of: USFSA____ ISI ____ USAH_____


Do Participants sign individual waivers? Rentals

League Hockey Are participants members of: USAH____Other: _____________

Do you collect certificates of insurance?

Do Participants sign individual waivers? Youth Hockey Are participants members of:

USAH _____Other: _____________


Do Participants sign individual waivers?

SLO ICE Form 23

100

101 3

Open Hockey Are participants members of: USAH _______ Other: _____________


Do Participants sign individual waivers? Figure Clubs/Events Are participants members of:

USFSA___ ISI____ Other: _____________



Tournaments/shows Are participants members of: USFSA____ ISI____USAH____ Other:_______



In-line Hockey Are participants members of: USAH _____Other: _____________



Dry Floor Describe dry floor activities. Attach separate sheet if necessary.

Other Revenues

Pro Shop Do you operate?

If not, provide total area:

If leased, do you collect certificate of insurance?

Skate Sharpening Do you operate?


Snack Bar Do you operate?


Restaurant Do you operate?


Liquor Sales Do you operate?


Are all servers TIPS trained?

Long term leases (tenants)

$________________ rent Leased space ___________ Sq ft

Do you collect certificate(s) of insurance? If yes, attach copies of each.

Arcade/Vending

Other – please indicate

Describe:

SLO ICE Form 23

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4

PHYSICAL PLANT AND MAINTENANCE INFORMATION Number of stories: __________________ Total square footage: ____________________________

# of Skating surfaces: ____________ Length: ______ x Width _______ = ______________ SQ FT

Height of boards: ____________ Height of glass at sides: __________ Height of at ends: _________

Do you have netting? Yes ____ No ____ Describe: _____________________(full/ends/other) Surface Composition under ice: _________ Type of other floor surfaces: _______________________ Date these were last resurfaced: _________ Condition: _____________________________________

Is the rink: Indoor ____ Outdoor ____ If outdoor: Describe how you monitor ice quality: _____________________________________

Describe how you secure rink when closed: _________________________________ Maximum occupancy rate: _________________________ per fire code Describe the ventilation system at your rink: ______________________________________________

Age of building: _____________ If over 25 years old, year updated: Electrical ______ HVAC: _____

Do you have any spectator seating? Yes ____ No ____ Type of Construction: ______________________________________ Age: _____________________ Total Seating Capacity: _______________________________________________________________ Do you have the following: (if yes, please attach copies for underwriting)

Rink rules posted? Yes ____ No ____ Skaters Code of Conduct posted? Yes ____ No ____ Written emergency plan(s)? Yes ____ No ____ Safety inspection checklist? Yes ____ No ____ Skate maintenance log? Yes ____ No ____ Ice resurfacing log? Yes ____ No ____ Video Surveillance? Yes ____ No ____ Describe areas of coverage _____________________________________________________ Incident Investigation Report Yes ____ No ____

Please describe regular maintenance on rink: ______________________________________________ Do you document this maintenance in writing? Yes ____ No ____ If yes, describe:

Have you installed a fire alarm? Yes ____ No ____ Have you install a burglar alarm/motion detector? Yes ____ No ____ Are they central station? Yes ____ No ____ Do you have outside security? Yes ____ No ____ If so, how many? _____ Are they armed? Yes ____ No ____ Are there panic bars on exit doors? Yes ____ No ____ Do you have safety emergency lights? Yes ____ No ____ Who maintains your parking lot and sidewalks? ___________________________ Do you have certified first aid personnel? Yes ___ No____ CPR____

First Aid___ Number per session: ____ Do you have an AED? Yes ___ No ___ Number of personnel trained to use: ___

Restaurant/Snack Bar: Do you have a deep fryer or grill? Yes ____ No ____ If yes, is it approved by the Fire Marshall? Yes ____ No ____ How often is the system cleaned? ________________ Is there seating in the restaurant/snack bar? Yes ____ No ____ Table service provided? Yes ____ No ____

SLO ICE Form 23

103 5

Ice Resurfacing Equipment:

Year Make RC Value Fuel Source________ ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

RINK USE INFORMATION

Maximum # of skaters per floor guard: ______ Maximum capacity of rink: _____________________

Do you have special programs? Yes ____ No ____ If yes, please describe: ________________________________________________________________

Do you have banquets or dances? Yes ____ No ____ If yes, please describe: _______________________________________________________________

Do you have skating competitions? Yes ____ No ____ If yes, are there sponsoring or sanctioning organizations? Yes ____ No ____ If yes, please provide names: ___________________________________________________________

Do you have any of the following or conduct the following on your premises? Travel hockey Yes ____ No ____ Other events off your premises Yes ____ No ____ If yes, describe: ________________________ Speed Skating Yes ____ No ____ Broomball Yes ____ No ____ In-Line Skating Yes ____ No ____ Exercise/Dance Yes ____ No ____ Equipment Sales Yes ____ No ____ Equipment Rental Yes ____ No ____ Type: On Premises ___ Outside of Rink: ___ Equipment Repair Yes ____ No ____ Day Care Yes ____ No ____ Laser Tag Yes ____ No ____ Bus, car or transportation service Yes ____ No ____ Bounce House Yes ____ No ____ Fitness Center Yes ____ No ____ Soccer or other sports Yes ____ No ____ Dry floor events Yes ____ No ____ If yes, describe: ________________________ Other Activities Yes ____ No ____ If yes, please explain:

STAFFING INFORMATION

Total number of staff: ____________ Full time (40 hours): _____________ Part time: ____________

Minimum age of skate guards: ______________

Owner’s name: _______________________________________ Years Experience: _________

Manager’s Name: _____________________________________ Years Experience: _________

SLO ICE Form 23

104

6

CONTINUING EDUCATION/CERTIFICATIONS:

Has your staff taken any continuing education courses? Yes ____ No ____

Name of course(s): _________________________________________ _________________________________________

Sponsoring Organization(s): ___________________________________________________________ ***ATTACH CERTIFICATES OF COMPLETION***

Are instructors/coaches: Employees ____ Independent Contractors ____ (f so, attach contract)

Do you have volunteers working for you? Yes ____ No ____ IF SO, PLEASE DESCRIBE: __________________________________________________________

CLAIMS AND INCIDENT REPORT DATA

Average number of incidents and/or claims for the last three (3) years: Per week: __________ per month: __________ per : __________

List any CLAIMS/LOSS HISTORY for the last five (5) years, in which the loss paid or reserved is in excess of $10,000. Use separate sheet if necessary & include circumstances concerning alleged injury, amount paid, facts about the case.

2006 – 2007 _________________________________________________________ 2005 – 2006 _________________________________________________________ 2004 – 2005 _________________________________________________________ 2003 – 2004 _________________________________________________________ 2002 – 2003 _________________________________________________________

PLEASE ATTACH 5 YEARS CURRENTLY VALUED INSURANCE COMPANY LOSS RUNS.

On a separate sheet of paper give a full description of EACH loss over $5,000 (circumstances concerning alleged injury, amount paid, facts about the case)

PLEASE ATTACH TO THIS AND INDICATE ATTACHMENTS:

• COPY(IES) OF ALL CERTIFICATES OF INSURANCE• COPY(IES) OF CONTRACT RENTALS’ CERTIFICATES OF INSURANCE?• COPY(IES) OF WAIVER(S) USED• COPY(IES) OF PROGRAM REGISTRATIONS• COPY(IES) OF ICE RENTAL AGREEMENT• COPY(IES) OF TENANT’S LEASE• COPY OF YOUR LEASE

SLO ICE Form 23

104

105

7

WARRANTY It is hereby understood and agreed that if insurance is issued by virtue of completing this application, the insurance is only issued on the reliance on the applicant’s warranty of the accuracy of answers to the questions above. If at the time a certificate/policy is issued and ANY OF THE ABOVE WARRANTIES IS IN ANY RESPECT INCORRECT, INCLUDING CLAIMS OR GROSS RECEIPTS, THE COVERAGE AFFORDED UNDER THIS CERTIFICATE/POLICY SHALL, without notice to the applicant, immediately and automatically cease, and the certificate/policy shall BECOME NULL AND VOID. Warranties will survive a certificate/policy if issued. The undersigned being authorized by and acting on behalf of the applicant and all persons or concerns seeking insurance, has read and understand this proposal and declares all statements set for herein are true, complete and accurate. The undersigned further declares and represents that any occurrence or event taking place prior to the inception of the policy applied for which may render inaccurate, untrue, or incomplete any statement made herein will immediately be reported in writing to the insurer. The undersigned acknowledges and agrees that the submission and the insurer’s receipt of such report prior to the inception of the policy applied for is a condition precedent to coverage. It is understood and agreed that the completion of this application shall not be binding either to the Proposed Insured or to the Company until accepted by the Company or Companies. I UNDERSTAND THAT ANY FALSE OR MISLEADING INFORMATION ON AN APPLICATION MAY BE SUBJECT TO CRIMINAL AND CIVIL PENALTIES. _____________ ______________________________ __________________ Date Signature Title ______________________________ Printed Name Send complete submission to: RinkGuard Underwriter Willis of New Hampshire One New Hampshire Avenue, Suite 200 Portsmouth, NH 03801 Phone: 800-765-0634 Fax: 603-334-3090

SLO ICE Form 23

105

106

SLO ICE Form 24

Quarterly Evaluation of SLO Ice Arena’s Risk Management Plan

Date of Evaluation __________________________ Section Needs improvement 1. Step 6: Supervision Yes No

2. Step 13: In-‐Service Training Yes No

3. Step 15: Outside Specialist – Legal/Insurance Yes No Name of Rink Administrator __________________________________________________ Signature of Rink Administrator _____________________________________________

107

SLO ICE Form 24

Bi-‐annual Evaluation of SLO Ice Arena’s Risk Management Plan

Date of Evaluation __________________________ Section Needs improvement 4. Step 4: Site and Facility Development Yes No

5. Step 5: Program Development Yes No

6. Step 10: Emergency Procedures Yes No

7. Step 11: Releases, Waivers, and Agreements Yes No

Name of Rink Administrator __________________________________________________ Signature of Rink Administrator _____________________________________________

108

SLO ICE Form 24

Annual Evaluation of SLO Ice Arena’s Risk Management Plan

Date of Evaluation __________________________ Section Needs improvement 8. Step 1: Philosophy and Policy Yes No

9. Step 3: Goals and Objectives Yes No

10. Step 7: Safety Rules and Regulations Yes No

11. Step 8: Safety Inspections and Investigations Yes No

12. Step 9: Accident Reporting and Analysis Yes No

13. Step 12: Methods for Insuring Against Risk Yes No

14. Step 14: Public Relations Yes No

Name of Rink Administrator __________________________________________________ Signature of Rink Administrator _____________________________________________

109

References Athletic Business Media Inc. (2013). Understanding recreational ice refrigeration. Retrieved from http://www.athleticbusiness.com/articles/article.

aspx?articleid=13&zoneid=24 Connecticut Department of Public Health. (2010, January). Guidance on maintaining indoor quality in indoor ice rinks for managers, owners, and coaches. Retrieved from http://www.ct.gov/dph/lib/dph/environmental_health/eoha/pdf/

ice_rink_guidance2011.pdf LexisNexis. (2013). California personal injury. Retrieved from

http://www.attorneys.com/personal-injury/california/ Rubber Flooring Direct. (n.d. a). Rubber flooring maintenance. Retrieved from

http://www.rubberflooringdirect.com/rubber-flooring-rolls-ice-rink.html Rubber Flooring Direct. (n.d. b). Rubber flooring rolls - commercial fitness flooring - ice rink hockey. Retrieved from http://www.rubberflooringdirect.com/

rubber-flooring-rolls-ice-rink.html Sport Ngin. (2013). Frequently asked questions. Retrieved from rinkfinder.com U.S. Figure Skating. (2010). Coaches. Retrieved from http://www.usfsa.org/ content.asp?menu=coaches Zamboni. (n.d.) Safety and machine operations. Retrieved from

http://www.zamboni.com/owners/safety/ Zamboni. (2010). Zamboni safety bulletin [Brochure]. Retrieved from

http://zamboni.com/wp-content/uploads/2011/08/Safety_Mailing_2010.pdf