Monthly Fire Safety Checks

Date & Time Completed
Fire Safety Checks

What to check on the Fire Exits, Fire Doors & Fire Extinguishers

Fire Checks Info
Ground Floor

(FD1) School Entrance Door (Fire Door)

(FD2) Public Entrance (Fire Door)

Corridor - 1x 6L H2O (Extinguisher 104)

(FD3) Male Changing Rooms Entrance (Fire Door)

(FD2) Female Changing Rooms Entrance (Fire Door)

(FD4) Male Changing Rooms Pool Door (Fire Door)

(FD5) Female Changing Rooms Pool Door (Fire Door)

Office - 1x 2Kg CO2 (Extinguisher 102)

Office - 1x 6L H2O (Extinguisher 103)

(FE1) Poolside (Fire Exit Door)

(FD6) Plant Room (Fire Door)

Plant Room - 1x 2Kg CO2 (Extinguisher 105)

(FD7) Boiler Room (Fire Door)

Boiler Room - 1x (Extinguisher ###)

Any Action Point / Further Comments / Information

Write Name & Signature Of Person Completing Check

Monthly Evac+Chair Check

Date & Time Completed
Evac+Chair Safety Check

Chair is located in correct location

Signage to the designated place of relative safety is in place

Signage is located above the evac chair

Ensure that the straps and buckles are not damaged

Check the belts are intact and no signs of damage

Check all 4 wheels and the brakes on the smaller 2 wheels

Check there is no sign of damage to the fabric of the seating area

Any Action Point / Further Comments / Information

Write Name & Signature Of Person Completing Check

Monthly First Aid Stock Check

Date & Time Completed
First Aid Stock Check

Ensure All Expiry Dates Are Checked

First Aid Box Stock

Accident Forms & Head Injury Forms Are Saved Onto The System

HSE Sterile Dressings (Large 18cm) (Min 3)

Order Is Required

HSE Sterile Dressings (Medium 12cm) (Min 3)

Order Is Required

Sterile Triangular Bandages (Min 2)

Order Is Required

Eye Pads (Min 2)

Order Is Required

Medi Wipes (Box) (Min Packs 1)

Order Is Required

Face Shields (Min 2)

Order Is Required

Safety Pins (Packs) (Min 1 Pack Of 6)

Order Is Required

Fabric Strapping (Individual Rolls) (Min 3)

Order Is Required

Eye Wash (Individual Sachets) (Min 5)

Order Is Required

Selection Of Plasters (1 Box)

Order Is Required

Heat Retaining Blankets (Min 2)

Order Is Required

Gloves (Box) (Min 1 Box)

Order Is Required

Ice Packs (Min 1 Box)

Order Is Required

First Aid Box Seals (Pack) (Min 1 Pack)

Order Is Required

Face Mask (Min 1)

Order Is Required

Spare AED Pads - Check & Record Expiry Dates (Min 1)

Order Is Required

Burns Kit Stock

Burnshield Hydrogel (Min 1)

Order Is Required

Burnshield Burn Blott (Min 2)

Order Is Required

Blue Detectable Waterproof Tape (Min 1)

Order Is Required

Tuff Kutt Scissors (Min 1)

Order Is Required

Limb Dressings (Min 2)

Order Is Required

Conforming Bandages (Min 1)

Order Is Required

Bio-Hazard Kit Stock

Bio Hazard Bags (Pk 25) (Min 1 Pack)

Order Is Required

Absorbent Granules (Min 1 Tube)

Order Is Required

One Use Body Fluid Kit (Min 2)

Order Is Required

Response Sharps Refill Kit (Min 2 Packs)

Order Is Required

Disinfectant Spray (Min 2)

Order Is Required

Write Name & Signature Of Person Completing Check

Monthly PPE Check

Date & Time Completed
General Manager - Lewis Freeman

Facemask Record Cartridge Expiry Date and confirm type (ABEK P3)
Is it clean and free from chemical residues?
Is it in good condition and free from cracks, splits?
Are they head strap and clips in good condition?

Gloves
Are they clean and free from chemical residues?
Are they in good condition, free from holes or tears?
Are they stored in an individual plastic bag?

Wellington Boots
Are They Present, Clean & Serviceable?

Overall's
Are they clean and free from chemical residues?
Are they free from rips and tears?

Apron
Are they clean and free from chemical residues?
Are they free from rips and tears?

Safety Goggles / Face Shield
Are they stored in an individual plastic bag?
Are they clean and free from chemical residues?

Deputy General Manager - Chris Corcoran

Facemask Record Cartridge Expiry Date and confirm type (ABEK P3)
Is it clean and free from chemical residues?
Is it in good condition and free from cracks, splits?
Are they head strap and clips in good condition?

Gloves
Are they clean and free from chemical residues?
Are they in good condition, free from holes or tears?
Are they stored in an individual plastic bag?

Wellington Boots
Are They Present, Clean & Serviceable?

Overall's
Are they clean and free from chemical residues?
Are they free from rips and tears?

Apron
Are they clean and free from chemical residues?
Are they free from rips and tears?

Safety Goggles / Face Shield
Are they stored in an individual plastic bag?
Are they clean and free from chemical residues?

Deputy General Manager - Dan Flippance

Facemask Record Cartridge Expiry Date and confirm type (ABEK P3)
Is it clean and free from chemical residues?
Is it in good condition and free from cracks, splits?
Are they head strap and clips in good condition?

Gloves
Are they clean and free from chemical residues?
Are they in good condition, free from holes or tears?
Are they stored in an individual plastic bag?

Wellington Boots
Are They Present, Clean & Serviceable?

Overall's
Are they clean and free from chemical residues?
Are they free from rips and tears?

Apron
Are they clean and free from chemical residues?
Are they free from rips and tears?

Safety Goggles / Face Shield
Are they stored in an individual plastic bag?
Are they clean and free from chemical residues?

Deputy General Manager - Milena Eblowska

Facemask Record Cartridge Expiry Date and confirm type (ABEK P3)
Is it clean and free from chemical residues?
Is it in good condition and free from cracks, splits?
Are they head strap and clips in good condition?

Gloves
Are they clean and free from chemical residues?
Are they in good condition, free from holes or tears?
Are they stored in an individual plastic bag?

Wellington Boots
Are They Present, Clean & Serviceable?

Overall's
Are they clean and free from chemical residues?
Are they free from rips and tears?

Apron
Are they clean and free from chemical residues?
Are they free from rips and tears?

Safety Goggles / Face Shield
Are they stored in an individual plastic bag?
Are they clean and free from chemical residues?

Deputy General Manager - Tracey Blair

Facemask Record Cartridge Expiry Date and confirm type (ABEK P3)
Is it clean and free from chemical residues?
Is it in good condition and free from cracks, splits?
Are they head strap and clips in good condition?

Gloves
Are they clean and free from chemical residues?
Are they in good condition, free from holes or tears?
Are they stored in an individual plastic bag?

Wellington Boots
Are They Present, Clean & Serviceable?

Overall's
Are they clean and free from chemical residues?
Are they free from rips and tears?

Apron
Are they clean and free from chemical residues?
Are they free from rips and tears?

Safety Goggles / Face Shield
Are they stored in an individual plastic bag?
Are they clean and free from chemical residues?

Senior Membership Advisor - Dan Worth

Facemask Record Cartridge Expiry Date and confirm type (ABEK P3)
Is it clean and free from chemical residues?
Is it in good condition and free from cracks, splits?
Are they head strap and clips in good condition?

Gloves
Are they clean and free from chemical residues?
Are they in good condition, free from holes or tears?
Are they stored in an individual plastic bag?

Wellington Boots
Are They Present, Clean & Serviceable?

Overall's
Are they clean and free from chemical residues?
Are they free from rips and tears?

Apron
Are they clean and free from chemical residues?
Are they free from rips and tears?

Safety Goggles / Face Shield
Are they stored in an individual plastic bag?
Are they clean and free from chemical residues?

Write Name & Signature Of Person Completing Check

Monthly Pool Inspection

Pool

Check Completed By:-

Observations

Attach Any Photos Here

If Any Defects Identified, Inform The Duty Manager / Operations Manager

Write Name & Signature Of Person Completing Check

Monthly Work Equipment

Henry Hoover (Cleaning Cupboard)

Are the casing and cables in good condition?

Is the item clean? (check filters and blockages)

Check operation

Henry Hoover (Gym Office)

Are the casing and cables in good condition?

Is the item clean? (check filters and blockages)

Check operation

Handheld Hoover (Gym Office)

Are the casing and cables in good condition?

Is the item clean? (check filters and blockages)

Check operation

Does the unit charge when plugged into the base?

Steam Cleaner (Cleaning Cupboard)

Check all cables and wires for damage

Check frame for cracks and broken parts

Check handle is secure and not worn

Check the machine runs and in good working order

Check lance / hose not worn or damaged

Check machine is clean

Write Name & Signature Of Person Completing Check
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.