Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Add Photo

  • Address
  • Enter time and date

STATUTORY INSPECTION CHECKLIST

  • 1. Fixed Electrical Wiring inspection and testing up to date

  • 2. Portable electrical equipment (anything with a plug on)

  • 3. Gas Boiler (If there is one onsite)

  • 4. Fire extinguishers

  • 5. Fire alarm System service

  • 6. Emergency Lighting

  • 7. Asbestos Survey

  • Legionella

INTERNAL INSPECTION/CHECK

  • 9. Internal Visual Fire extinguisher checks

  • 10. Internal Fire Alarm test

  • 11. Internal Emergency Lighting test

  • 12. Internal First Aid check

  • 13. Internal Legionella check (Flush little used outlets, confirm stable temperature is attained after 1 minute)

  • 14. Are fire evacuation drills being undertaken?

  • 15. Housekeeping checks (Areas tidy, clean and well organised)

SAFETY SYSTEM

  • 16. Are risk assessments in place?

  • 17. Has a Fire risk assessment (FRA) being undertaken? (All actions closed out from FRA)

  • 18. Has a Legionella Risk assessment being undertaken? (All actions closed out)

  • 19. Have Display Screen equipment (DSE) Risk assessments being undertaken of all DSE users?

  • 20. Are COSHH risk assessments in place?

TEAM SAFETY

  • 22. Do all personnel know the evacuation procedures?

  • 21. Is the gym free from Physical hazards?

  • 23. Are fire exits clearly marked and unobstructed throughout the gym?

  • 24. Data Protection Accident compliant book in place?

TEAM SECURITY

  • 25. Access to the Gym is fully controlled?

  • 26. CCTV is fully operational?

  • 27. Minimum cash/banking is being carried out?

STORAGE

  • 28. Storage facilities clean and tidy?

  • 30. Exit routes kept clear?

GYM EQUIPMENT

  • instructions and pictures covering any unusual hazards or complicated features on the equipment?

  • 32. Have users of the equipment been given adequate training in correct use, risks and precautions? (This should be part of gym induction)

  • 33. Is all equipment being used in appropriate locations?

  • 29. Waste disposed of correctly?

  • 34. Has all gym staff been instructed on how to instruct the public of the use of the equipment?

  • 35. Is the equipment within visual range of a member of staff?

  • 36. Are there clear warning notices and correct using techniques?

  • 37. Have clear maintenance instructions been given to those responsible for maintaining the equipment?

  • 38. Is there sufficient general, and where, necessary local lighting?

  • 39. Are all dangerous parts of the equipment guarded?

  • 40. Is there a readily accessible stop device that stops the machine in a safe way fitted in fully working order on all relevant machines?

TOILETS

  • 44. Toilets checked hourly and recorded?

  • 45. Staff trained in the use of the cleaning chemicals used in the toilets?

DOCUMENTATION

  • 46. Health and safety law poster on display in the workplace with relevant sections filled in?

  • 47. Is the Personal Responsibility statement on display and visible?

  • 48. Have all team members received health and safety training and are all records kept?

  • 49. Is the employers liability certificate displayed and in date in the gym?

  • Is their documented evidence that staff have signed to say they have read and understand the Health and safety policy and risk assessments?

  • 51. Has last month’s Health and Safety audit been reviewed and has all action items been closed out?

General

  • 52. Are No Smoking signs on display?

  • 53. Is there a Health and Safety management plan in place?

  • 54. Is there evidence of consultation with employees?

  • 55. Has the defibrillator been tested?

  • 58. Are there trained 1st aiders?

  • 60. Is Manual handling risk training in place?

  • Risk Rating

  • Signature of Manager

  • Signature of Assessor

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.