Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
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Picture of Front of Site
RECEPTION
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Is entrance way free from dust, cobwebs and dirt?
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Have all desktops, counters and shelves been dusted or wiped down WEEKLY if paperwork has been removed?
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Are all bins being emptied, wiped down and lined with a new liner daily?
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Has carpet been vacuumed?
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Have hard surface areas been mopped?
GYM FLOOR (GENERAL)
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Have floors mopped using chemical floor cleaners on all non-carpeted areas daily?
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Have floors been vacuumed?
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Has a feather duster been used to go over all non-equipment surfaces (eg. windowsills / pillars) on a fortnightly basis? (lockers not included)
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Has all internal glass below 2-metre been cleaned and free of marks and smudges?
EQUIPMENT
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Have the machine seating, handles, frames and plates been wiped and disinfected WEEKLY on a FRIDAY?
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Have the weight plates, trees, dumbbells fixed bars and racks been wiped and disinfected WEEKLY on a FRIDAY?
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Have the medicine balls, kettlebells and racks been wiped and disinfected WEEKLY on a FRIDAY?
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Have the non-powered cardio equipment (eg. assault bikes / rowers) been wiped and disinfected WEEKLY on a FRIDAY?
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Has the carpet / vinyl under cardio equipment been vacuumed weekly , free of dust, dirt and any rubbish?
BATHROOMS AND SHOWERS
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Are toilets / urinals and waterless urinals clean and sanitised?
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Are mirrors and glass clean and free from streaks?
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Are showers cleaned thoroughly, tiles clean and all surfaces (including doors)?
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Are shower grates free from hair and build up?
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Are floors clean including free from mould, grease, grime and hair?
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Are shower curtains clean and free of grime?
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Are vanities, basins, sinks clean and free of soap scum and hair?
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Are all the soap, shampoo and conditioner dispensers, toilet roll holders and hand towel dispensers fully stocked daily?
CLEANERS ROOM
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Are the WH&S Guidelines displayed?
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Are all chemicals placed in bottles that are labelled and stored safely?
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Are Material Safety Data Sheets (MSDS) visible?
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Are stock levels sufficient?
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Are coloured mops / buckets being used?
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Are all equipment stored neatly or put away?
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Is area free of rubbish?
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Photo of the Evacuation Site Plan
Client Sign Off
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FLG Representative Sign Off
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FLG Representative Name and Signature
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Dimeo Area Manager Name and Signature