Alamanda Weekly Inspection

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Communications Room

• Air Conditioner 1

  Safe

  At Risk

  N/A

• Air Conditioner 2

  Safe

  At Risk

  N/A

• Other items or issues noted?

  Yes

  No

  N/A

Mechanical Ventilation Switch Board - Managers Office

• AC 1

  Safe

  At Risk

  N/A

• AC 2

  Safe

  At Risk

  N/A

• AC 3

  Safe

  At Risk

  N/A

• AC 4

  Safe

  At Risk

  N/A

• AC 5

  Safe

  At Risk

  N/A

• AC 6

  Safe

  At Risk

  N/A

• EF 1

  Safe

  At Risk

  N/A

• EF 2

  Safe

  At Risk

  N/A

• Other items or issues noted?

  Yes

  No

  N/A

Pool Rescue Equipment

• Life Guard Reach Pole/s

  Yes

  No

  N/A

• Rescue Tube and Throw Rope

  Yes

  No

  N/A

• Other items or issues noted?

  Yes

  No

  N/A

Fire Hose Reel and Portable Extinguishers

• Fire Hose Reel

  Yes

  No

  N/A

• A:B(E) Dry Chemical - Function Room (inside amplifier cupboard)

  Yes

  No

  N/A

• A:B(E) Dry Chemical - Store Room

  Yes

  No

  N/A

• A:B(E) Dry Chemical - Pool Plant Room (mounted on wall near pool pump, next to cool room)

  Yes

  No

  N/A

• A:B(E) Dry Chemical - Cafe Kitchen

  Yes

  No

  N/A

• Wet Extinguisher - Cafe Kitchen

  Yes

  No

  N/A

• A:B(E) Dry Chemical - Cafe Entry

  Yes

  No

  N/A

• A:B(E) Dry Chemical - Managers Office

  Yes

  No

  N/A

• A:B(E) Dry Chemical - Wall Adjacent to Toilets

  Yes

  No

  N/A

• CO2 - Wall Adjacent to Toilets

  Yes

  No

  N/A

• CO2 - Gymnasium

  Yes

  No

  N/A

• Other items or issues noted?

  Yes

  No

  N/A

Safety Equipment

• PPE - Rear Store Room

  Yes

  No

  N/A

• Defibrillator

  Yes

  No

  N/A

• Eye Wash Stations

  Yes

  No

  N/A

• Other items or issues noted?

  Yes

  No

  N/A

Gymnasium Cardio

• Treadmill (TM1)

  Safe

  At Risk

  N/A

• Treadmill (TM2)

  Safe

  At Risk

  N/A

• Treadmill (TM3)

  Safe

  At Risk

  N/A

• Treadmill (TM4)

  Safe

  At Risk

  N/A

• Treadmill (TM5)

  Safe

  At Risk

  N/A

• Treadmill (TM6)

  Safe

  At Risk

  N/A

• LCD Bike (LCB1)

  Safe

  At Risk

  N/A

• LCD Bike (LCB2)

  Safe

  At Risk

  N/A

• LCD Bike (LCB3)

  Safe

  At Risk

  N/A

• Cross Trainer (XT1)

  Safe

  At Risk

  N/A

• Cross Trainer (XT2)

  Safe

  At Risk

  N/A

• Cross Trainer (XT3)

  Safe

  At Risk

  N/A

• Cross Trainer (XT4)

  Safe

  At Risk

  N/A

• Recumbent Bike (RB1)

  Safe

  At Risk

  N/A

• Recumbent Bike (RB2)

  Safe

  At Risk

  N/A

• Classic Bike (CB1)

  Safe

  At Risk

  N/A

• Classic Bike (CB2)

  Safe

  At Risk

  N/A

• Stepper (STEP1)

  Safe

  At Risk

  N/A

• Stepper (STEP2)

  Safe

  At Risk

  N/A

• Rowers (ROW1)

  Safe

  At Risk

  N/A

• Rowers (ROW2)

  Safe

  At Risk

  N/A

• Other items or issues noted?

  Yes

  No

  N/A

Gym Weight Area

• Assisted Dip/Chin

  Safe

  At Risk

  N/A

• Lat Pull Down

  Safe

  At Risk

  N/A

• Shoulder Press

  Safe

  At Risk

  N/A

• Dumbbells and Stand

  Safe

  At Risk

  N/A

• Bench

  Safe

  At Risk

  N/A

• Seated Row

  Safe

  At Risk

  N/A

• Pectoral Fly

  Safe

  At Risk

  N/A

• Barbells and Stand

  Safe

  At Risk

  N/A

• Bicep Curl

  Safe

  At Risk

  N/A

• Chest Press

  Safe

  At Risk

  N/A

• Bench Press

  Safe

  At Risk

  N/A

• Leg Curl

  Safe

  At Risk

  N/A

• Hammer Strength

  Safe

  At Risk

  N/A

• Hammer Strength Bench

  Safe

  At Risk

  N/A

• Smith Machine

  Safe

  At Risk

  N/A

• Smith Machine Bench

  Safe

  At Risk

  N/A

• Cable Motion

  Safe

  At Risk

  N/A

• Leg Extension

  Safe

  At Risk

  N/A

• Leg Press

  Yes

  No

  N/A

• Swiss Balls

  Safe

  At Risk

  N/A

• Stretch Mats

  Safe

  At Risk

  N/A

• Water Bubbler

  Yes

  No

  N/A

• Other items or issues noted?

  Yes

  No

  N/A

Signatory

• I hereby advise that the above inspections have been completed and that the information provided is true and correct.

  Sign