Claremont Park - Weekly Building Checks

• Document No.

• Client / Site Club Claremont PS511697G

• Conducted on

  Date

• Prepared by

• Location 34-40 Papillon Parade, Tarneit
  Address

Main Building

• Front Entry Doors Operational?

  Yes

  No

  N/A

• Access Control and Press to Exit Button Operational?

  Yes

  No

  N/A

• Break Glass Intact?

  Yes

  No

  N/A

• Pool Side Doors Operational?

  Yes

  No

  N/A

• Access Control and Press to Exit Button Operational?

  Yes

  No

  N/A

• Break Glass Intact?

  Yes

  No

  N/A

• Lounge Seats and Table Sets in The Pavilion Clean and Free of Damage?

  Yes

  No

  N/A

• Paths of Travel Clear and Safe?

  Yes

  No

  N/A

• CCTV Cameras Visually Clean and Operational?

  Yes

  No

  N/A

• Mechanical Ventilation Operational?

  Yes

  No

  N/A

• Lockers Operational?

  Yes

  No

  N/A

• First Aid Kit Fully Stocked?

  Yes

  No

  N/A

• Incident Report Forms in Mailbox to Notify Centre Manager Available?

  Yes

  No

  N/A

• A:B(E) Dry Chemical Main Entry

  Safe

  At Risk

  N/A

• A:B(E) Dry Chemical Cardio Corridor

  Safe

  At Risk

  N/A

• Area Compliant or Other Items / Issues Noted

  Compliant

  Non-Compliant

Centre Manager's Office

• Centre Managers Office Clean, Safe and Secure?

  Yes

  No

  N/A

• Security DVR Operational?

  Yes

  No

  N/A

• Security Computer Operational?

  Yes

  No

  N/A

• Contractors Log Book Available?

  Yes

  No

  N/A

• First Aid Stock & Forms Available?

  Yes

  No

  N/A

• Completed Forms Avaliable?

  Yes

  No

  N/A

• Personal Protective Equipment (PPE) for Fire Wardens Avaliable?

  Yes

  No

  N/A

• MSDS Available and Current?

  Yes

  No

  N/A

• Palintest Pooltest Professional Plus 9 (for pool water testing) and Log Book Available?

  Yes

  No

  N/A

• Area Compliant or Other Items / Issues Noted

  Compliant

  Non-Compliant

Female Bathroom Change Area

• Bathrooms Clean and Free of Debris?

  Yes

  No

  N/A

• Safety Signage Visible?

  Yes

  No

  N/A

• Exhaust Fans Clean and Operational?

  Yes

  No

  N/A

• Area Compliant or Other Items / Issues Noted

  Compliant

  Non-Compliant

Male Bathroom Change Area

• Bathrooms Clean and Free of Debris?

  Yes

  No

  N/A

• Safety Signage Visible?

  Yes

  No

  N/A

• Exhaust Fans Clean and Operational?

  Yes

  No

  N/A

• Area Compliant or Other Items / Issues Noted

  Compliant

  Non-Compliant

Disabled Bathroom

• Bathrooms Clean and Free of Debris?

  Yes

  No

  N/A

• Baby Change Table Clean and in Good Working Order?

  Yes

  No

  N/A

• Safety Signage Visible?

  Yes

  No

  N/A

• Exhaust Fans Clean and Operational?

  Yes

  No

  N/A

• Area Compliant or Other Items / Issues Noted

  Compliant

  Non-Compliant

Cleaners Store Room

• Cleaning Chemicals Labeled Correctly?

  Yes

  No

  N/A

• Cleaning Equipment Safe and in Good Working Order?

  Yes

  No

  N/A

• Shelving Clean and Safe?

  Yes

  No

  N/A

• Exhaust Fans Clean and Operational?

  Yes

  No

  N/A

• Area Compliant or Other Items / Issues Noted

  Compliant

  Non-Compliant

Gymnasium Cardio

• Paths of Travel Clear and Safe?

  Safe

  At Risk

  N/A

• Gymnasium

  Safe

  At Risk

  N/A

• Treadmill 1 (TWT124437) Operational?

  Yes

  No

  N/A

• Treadmill 2 (TWT122206) Operational?

  Yes

  No

  N/A

• Treadmill 3 (TWT124349) Operational?

  Yes

  No

  N/A

• Treadmill 4 (TWT115217) Operational?

  Yes

  No

  N/A

• Treadmill 5 (TWT115234) Operational?

  Yes

  No

  N/A

• Cross Trainer 1 (XTM112653) Operational?

  Yes

  No

  N/A

• Cross Trainer 2 (XTM127301) Operational?

  Yes

  No

  N/A

• Recumbent Bike (CLQ104174) Operational?

  Yes

  No

  N/A

• Keiser Spin Bike below TV (141110-98728) Operational?

  Yes

  No

  N/A

• Keiser Spin Bike (140924-93870) Operational?

  Yes

  No

  N/A

• Rower : Concept 2 (1124140-2711-4300) Operational?

  Yes

  No

  N/A

• CCTV Cameras Visually Clean and Operational

  Yes

  No

  N/A

• Antibacterial Spray and Paper Towels Available?

  Yes

  No

  N/A

• Samsung LCD TV and remote control

  Safe

  At Risk

  N/A

• Mechanical Ventilation Operational

  Yes

  No

  N/A

• Area Compliant or Other Items / Issues Noted

  Compliant

  Non-Compliant

Gymnasium Weights Room

• Paths of Travel Clear and Safe?

  Safe

  At Risk

  N/A

• Gymnasium

  Safe

  At Risk

  N/A

• Functional Trainer (101502700009) Operational?

  Yes

  No

  N/A

• Multi Press (101426710878) Operational?

  Yes

  No

  N/A

• Leg Press (101432712102) Operational?

  Yes

  No

  N/A

• Lat Pulldown (101436713649) Operational?

  Yes

  No

  N/A

• Adjustable Incline Bench (101421708632) Operational?

  Yes

  No

  N/A

• Dumbells Set in Good Working Order?

  Yes

  No

  N/A

• Gym Body Ball x3

  Safe

  At Risk

  N/A

• Gym Mats x 2

  Safe

  At Risk

  N/A

• Samsung LCD TV in Good Working Order?

  Safe

  At Risk

  N/A

• Speakers (ceiling mounted) and Control Operational?

  Yes

  No

  N/A

• CCTV Cameras Visually Clean and Operational?

  Yes

  No

  N/A

• Antibacterial Spray and Paper Towels Available?

  Yes

  No

  N/A

• Mechanical Ventilation Operational?

  Yes

  No

  N/A

• Area Compliant or Other Items / Issues Noted

  Compliant

  Non-Compliant

Kitchen

• Hot/Chilled Drink Water Tap : Zip HydroTap Operational?

  Yes

  No

  N/A

• Exhaust Fan Clean and Operational?

  Yes

  No

  N/A

• A:B(E) Dry Chemical Kitchen

  Safe

  At Risk

  N/A

Store/ Switchboard Room

• Electricity Switchboard Safe and in Good Working Order?

  Yes

  No

  N/A

• Radio/ sound system unit ( note speakers are in Gym Weights Room) Operational?

  Yes

  No

  N/A

Plant Room 1 Main and Lap Pool

• Eye Wash Station Fully Stocked?

  Yes

  No

  N/A

• Pool Pumps Operational?

  Yes

  No

  N/A

• Pool Dosing System - Lap Pool Operational?

  Yes

  No

  N/A

• Pool Dosing System - Main Pool Operational?

  Yes

  No

  N/A

• Surrounds

  Safe

  At Risk

  N/A

• Pool Heater Operational?

  Yes

  No

  N/A

• Solar Controller Operational?

  Yes

  No

  N/A

• Area Compliant or Other Items / Issues Noted

  Compliant

  Non-Compliant

Plant Room 2 Toddlers Pool

• PPE in Store Room Available?

  Yes

  No

  N/A

• Eye Wash Station Fully Stocked?

  Yes

  No

  N/A

• Spill Kit Fully Stocked and Available?

  Yes

  No

  N/A

• Pool Pumps Operational?

  Yes

  No

  N/A

• Pool Dosing System - Toddler Pool Operational?

  Safe

  At Risk

  N/A

• Pool Auto Filler - Toddler Pool Operational?

  Yes

  No

  N/A

• Surrounds

  Safe

  At Risk

  N/A

• Area Compliant or Other Items / Issues Noted

  Compliant

  Non-Compliant

Pool Side

• CCTV Cameras Visually Clean and Operational?

  Yes

  No

  N/A

• Tables and Chairs Clean and Safe?

  Yes

  No

  N/A

• Access Door - Pool Side Operational?

  Yes

  No

  N/A

• Pool Gate Lock Operational?

  Yes

  No

  N/A

• Door Mechanism Working Correctly and Doors Self Closing?

  Yes

  No

  N/A

• Toddler Access Door - Pool Side Operational?

  Yes

  No

  N/A

• Pool Gate Lock Operational?

  Yes

  No

  N/A

• Door Mechanism Working Correctly and Doors Self Closing?

  Yes

  No

  N/A

• Life Guard Reach Pole/s Available?

  Yes

  No

  N/A

• CPR Signage Visible?

  Yes

  No

  N/A

• Rescue Tube and Throw Rope Avaliable?

  Yes

  No

  N/A

• Any Visible Issues with Pool and or Surround Lighting?

  Yes

  No

  N/A

• Area Compliant or Other Items / Issues Noted

  Compliant

  Non-Compliant

Tennis Courts

• Tennis Court Access Gate

  Safe

  At Risk

  N/A

• Tennis Court Fencing In Good Condition?

  Yes

  No

  N/A

• Tennis Court Nets and Surface in Good Condition?

  Yes

  No

  N/A

• CCTV Cameras Visually Clean and Operational?

  Yes

  No

  N/A

• Area Compliant or Other Items / Issues Noted

  Compliant

  Non-Compliant

External

• Perimeter Fencing and Gates In Good Condition?

  Yes

  No

  N/A

• CCTV Cameras Visually Clean and Operational?

  Yes

  No

  N/A

• Car Park and Garden Lights In Working Order?

  Yes

  No

  N/A

• Ashtray Cleaned and Empty?

  Yes

  No

  N/A

• Area Compliant or Other Items / Issues Noted

  Compliant

  Non-Compliant

• I hereby advise that the inspections above have been undertaken and that the answers and information given are true and correct.

• Inspectors signature:

  Sign