Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Free weight area

Proper spacing of racks and weights to allow access at all times

  • Yes

  • No

All equipment returned to storage after use to avoid obstruction

  • Yes

  • No

Safety equipment used and returned

  • Yes

  • No

Workout surfaces that contact human skin cleaned and disinfected daily

  • Yes

  • No

Securing bolts and apparatus parts tightly fastened

  • Yes

  • No

Non functional and broken equipment removed

  • Yes

  • No

Gym equipment with electrical supply

Operate machines to ensure they're running safely

  • Yes

  • No

General cleaning: switch off and unplug the machine from the wall socket. Clean all external parts with a damp cloth

  • Yes

  • No

Electrical supply, screen, elevator, belt, pedals, straps, start up process, grips, heart rate sensors.

  • Yes

  • No

Yoga and stretching area

Mats free of weight, benches and equipment

  • Yes

  • No

Mats free of tears

  • Yes

  • No

Area swept and disinfected daily

  • Yes

  • No

Stretching tools, yoga mats, foam rollers, medicine balls and all related equipment properly stored after use

  • Yes

  • No

Resistance machine area

Ensure easy access to each work station. (Spacious and area free of loose bolts, screws, cables and chains)

  • Yes

  • No

Proper pins used

  • Yes

  • No

Parts and surfaces properly lubricated and cleaned 2-3 times per week and smooth functioning

  • Yes

  • No

Protective padding free of cracks or tears

  • Yes

  • No

Surfaces that contact human skin cleaned and disinfected daily

  • Yes

  • No

No worn parts (frayed cables, loose chains, worn belts, etc.)

  • Yes

  • No

No protruding screws, or parts that need to be tightened or removed

  • Yes

  • No

Belts, chains and cables aligned with machine parts

  • Yes

  • No

Spinning area

Inspect major moving parts that require constant proper toque and which, if ignored, can cause injury or result in damage to the bike

  • Yes

  • No

Wiping down the bike at the end of each day will prevent rust and other forms of corrosion to build up

  • Yes

  • No

What to wipe down: Using an absorbent cloth, focus on all areas where perspiration can settle. Raise all posts to the highest setting to expose this moisture

  • Yes

  • No

Non electrical strength range machines

Check the applicable items for general wear and tear and operational faults

  • Yes

  • No

Cables: Ensure the cables are not worn. Ensure the cables are in the pulley slots correctly. Ensure the cable tension is correct, not too loose or too tight

  • Yes

  • No

Selector pin: Ensure the selector pin is available at each machine. Ensure the selector pin slides smoothly in and out to change the desired weight

  • Yes

  • No

Seat and height adjustment: Ensure the adjustment of all possible areas is smooth and easy to operate. Ensure all selector pins available at each machine.

  • Yes

  • No

General cleaning: Clean guide rods, if dirty. Use disinfectant to wipe all of the upholstery. Clean all exterior and and chrome parts with damp cloth

  • Yes

  • No

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.