Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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I confirm that I have completed all items on list list myself PRIOR to leaving the building:
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I have Checked out all my Clients for today's Sessions
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I have Confirmed all of my Clients/Booking for tomorrow
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Turn on Report any injuries or incidents
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Name of injured Person
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Please briefly detail the injury that occurred.
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Select date
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What First Aid or Medical attention was required if any?
- First Aid
- Ambulance attendance
- None
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Name of person who provided First Aid
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Please detail actions taken by the First Aider
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What time did the Ambulance/Paramedics attend
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Please provide relevant details of what was reported TO the Paramedics and FROM the paramedics.
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What steps have to put in place to ensure this incident DOES NOT get repeated.
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Incident reported to: (Manager Name)
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I have also completed a PHYSICAL copy of this incident on paper and had it witnessed/signed by a supervisor.
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I have physically walked around the Venue to confirm that all equipment used has been put back where it belongs.
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Are you the last session being run in the studio for the next few hours?
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Have you completed the CLOSE STUDIO Checklist?
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Please complete the CLOSE STUDIO CHECKLIST prior to leaving the building.
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I confirm that I WILL complete the CLOSE STUDIO CHECKLIST prior to leaving the building.
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I confirm that I HAVE complete the CLOSE STUDIO CHECKLIST prior to leaving the building.
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Is all equipment working and in a "Safe to Use" condition
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Please provide details of the equipment / issue:
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Which supervisor has this been reported to?
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Please sign
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I have Cashed-out/Checked-out all unpaid sessions from all of my sessions in Mindbody to date
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I have logged out of MindBody on all PCs and iPads?
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Have you returned all of your personal belongings back to your locker (water bottles, shakers, etc)
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Other Notes
