Health and Safety Club Audit V7

• Club Name

• Conducted on

  Date

• Personnel Present

• Prepared by

1. ESSENTIAL SERVICES/EMERGENCY PROCEDURES

• Is there a programmed preventative maintenance schedule in place for all Fire Safety Measures ( essential services ) in club?<br>- Fire Extinguishers/ Hose Reels / Hydrants / Fire Doors / Sprinkler / Smoke Alarm system <br>- Manager must be able to explain schedule and reference Maintenance /Service Program and records keeping requirements.<br>- Manager must know what Goodlife is responsible for servicing and what centre is responsible for. <br>

  2

  1

  0

  N/A

• Enter date of last service record for Fire Extinguishers , Hose reels and Hydrants ( service required 6 monthly -ensure you have sighted service report )

  Date

• Enter date of last service record for emergency lights and exit lights ( ensure you have sighted service record - service schedule is every 6 months )

  Date

• If Goodlife responsible for EWIS then sight service record and enter date serviced.

  Date

• Extinguishers in place attached to walls and clearly marked.

  2

  1

  0

  N/A

• Employees can explain: ( ask Receptionist on shift and a MC )<br>- fire evacuation procedure<br>- bomb threat procedure<br>- robbery/armed hold up<br>- violent/ aggressive behaviour <br>- power black out

  2

  1

  0

  N/A

• Fire drills practiced yearly <br>- Evacuation summary in Figtree and current.

  2

  1

  0

  N/A

• Exit signage visible and clearly illuminated ( all green signs illuminated )<br>- if one out only full score , 2 out half score , more than 2 lights blown no score.

  2

  1

  0

  N/A

• CGM can explain:<br>- role of ECO/CFW<br>- fire system/alarm system Evac procedure for club <br>- service schedule essential services/record keeping<br>- requirement to review Emergency procedures annually and training <br>

  2

  1

  0

  N/A

• Pathways to exits clear and unobstructed . Clear both inside club and out side.

  2

  1

  0

  N/A

• Exit doors open easily with correct one action door handles.

  2

  1

  0

  N/A

• Emergency floor plans displayed and attached securely - showing egress routes and in clip frames

  2

  1

  0

  N/A

• Current emergency procedures<br>- red folder organised for quick reference : tabs / labels <br>-reviewed and updated to new format which includes 24/7 system and site specific for club<br>- Chief Fire Warden and Warden responsibility list

  2

  1

  0

  N/A

• Have sub tenants received training on Evacuation and Emergency Procedures for club ? Sight Sign off

  2

  1

  0

  N/A

• Fire Certification<br>NSW: AFSS current and on display<br>QLD: Occupiers Statement<br>VIC: Annual Essential Services Report available

  Yes

  No

  N/A

2. INCIDENT & HAZARD REPORTING

• Incident forms completed correctly and loaded into Figtree within 24 / 48 hrs <br>Reviewed within 7 days or comments recorded for ongoing open claim <br>CGM to have a good understanding of reporting requirements and review procedure and timeframes

  2

  1

  0

  N/A

• Serious incident reporting procedure : <br>- Is flow chart at reception , near phone <br>- Can Club Manager explain the purpose of flow chart ( leads into notifiable event criteria ) <br>- Receptionist on shift can explain procedure <br>- Both Manager and reception know media policy and response if media enquires <br>

  2

  1

  0

  N/A

• Can the CGM explain what a notifiable event/ incident is and who and how it is is reported ( notifiable incidents reported to the appropriate regulatory body within specified time frames)<br>

  2

  1

  0

  N/A

• CCTV installed. Good access for CGM to obtain copy of incidents. CGM know how to obtain copy of footage. ( written Procedure)

  2

  1

  0

  N/A

• CGM is aware of written procedure and can outline the companies method of hazard identification and timely reporting of information.<br>- CGM to be able to explain location of procedure ( WHS Manual) and detail how implemented within the club.

  2

  1

  0

  N/A

• Employees can demonstrate what a hazard is and how to report hazards (Know location of hazard alert form)

  2

  1

  0

  N/A

• Employee knowledge on incident and hazard reporting (ask receptionist and MC on shift how they would report a hazard and Incident . Ask process of a near miss Incident ( need employees to understand near misses are to be reported) <br>

  2

  1

  0

  N/A

• Employees understand responsibility for managing and controlling hazards (ask receptionist and MC in shift) <br>Ask 3 questions that they would be expected to answer with the following points:<br>- out of order signs , reporting in Maintenance system<br>- wet floor signs and wiping / mopping up<br>- barricading off areas.<br>

  2

  1

  0

  N/A

• Return to Worker poster displayed in staff room/ area with correct contact details <br>VIC: flow chart for procedure for injured worker displayed in CGM office.<br>NSW: if you are injured poster<br>Qld / WA/ SA : WC flow chart - RRTW contact

  2

  1

  0

  N/A

• A RTW coordinator has been appointed and staff are aware of their identity (ask CGM and CSM or GFM)<br>

  2

  1

  0

  N/A

3. MANAGEMENT SYSTEM

• An WHS policy has been developed and signed by senior management with WHS policy posted in workplace

  2

  1

  0

  N/A

• WHS Program : program is up on wall .CGM is aware of tracking all safety requirements such as training / inspections due and annual reviews old documents due. Figtree or printed program up to date.

  2

  1

  0

  N/A

• Responsibility & accountability for WHS has been clearly defined throughout the organization and all communicated responsibilities <br>- CGM to be able to explain where this is documented and how all team members including PTs are educated. (via Induction , listed in WHS Manual ,Annual Risk Management training )

  2

  1

  0

  N/A

• CGM has knowledge of responsibility / accountabilities as detailed below: <br><br>CGM KPIs from job description <br>Responsibilities as listed in WHS manual<br>All WHS procedures (reference to WHS manual)

  2

  1

  0

  N/A

• Mechanisms of consultation and communication have been documented and communicated to employees <br>CGM should be able to reference what the procedure is and how they explain this to staff (induction /communication book/ notice board) <br>- question receptionist on shift if they know of WHS meetings and communication avenues for updates <br>

  2

  1

  0

  N/A

• Evidence of consultation available - HSR or minutes quarterly WHS meeting Action current in Figtree with minutes attached

  2

  1

  0

  N/A

• Designated work group discussion /vote form completed.

  2

  1

  0

  N/A

• Communication Board : safety related topics displayed <br>- Golden Extinguisher award<br>- alerts <br>- location of WHS Manual<br>- Workcover flowchart <br>- copy of latest WHS minutes

  2

  1

  0

  N/A

• WHS records are maintained on site and relevant personnel can locate these easily: Club Drive- WHS Folder. ( all documents saved in appropriate folder in WHS folder and CGM can locate easily)

  2

  1

  0

  N/A

• WHS actions recorded from WHS Audit have been implemented and signed off on approved form .Documentation signed by RBM and attached in Figtree with action signed off

  2

  1

  0

  N/A

• Employees are aware of WHS manual and location of Manual ( admin drive / Reception)

  2

  1

  0

  N/A

• Relevant Signs and Permits displayed and current.<br>All: Conditions of Entry Signs <br>QLD :Entertainment venue, Liquor license , Qld govt required sign for informing of health issues.<br>WA: Occupancy permit <br>

  2

  1

  0

  N/A

• Hazardous Manual handling tasks formally identified and assessed if any identified . <br>- recorded on form and signed off in Figtree. <br>- identified HMTs have risk assessment , controls and written procedures with training<br>- CGM to reference corporate risk assessment for all other manual tasks. <br>

  2

  1

  0

  N/A

• Risk assessments completed for high/ medium risk tasks.<br>Examples <br>- out door training <br>- changing pool chemicals <br>- putting covers on pool

  2

  1

  0

  N/A

• Written procedures for key duties (where applicable)<br><br>- opening/closing procedures<br>- changing pool chemicals <br>- vacuuming pool<br>- placing pool covers on and off

  2

  1

  0

  N/A

• Manager is a ware of change of management procedure and focus group.<br>- can reference WHS Manual and forms to use

  2

  1

  0

  N/A

• Manager is aware of purchase of Asset and Disposal of Asset Procedure <br>- CGM can reference WHS Manual and forms to use

  2

  1

  0

  N/A

4. TRAINING

• Induction given to all new starters within first week ( check two most recent employees and two ABN Rental trainers) <br>- PT evidenced by signed induction list, list names and dates <br>- Employee evidenced by report sent to CGM , check if overdue <br>- record names of those checked

  2

  1

  0

  N/A

• Employee Qualifications Current ( First aid /CPR/ WWC/ Cert III) - check workforce ready . (Includes all departments Childminding , reception, Hypoxi, GFI, HODs ) <br> <br><br>

  2

  1

  0

  N/A

• Annual refresher Anaphylaxis in house training: Childminding team members . Current list of team members and sign off ( All states) <br>- Vic : Anaphylaxis management course every 3 years

  2

  1

  0

  N/A

• Personal Trainer : qualifications current : Cert 1V , Fitness Australia, Public Liability, First Aid , CPR, signed contract, passport immigration check ( check in Figtree)k

  2

  1

  0

  N/A

• Training program available : CGM aware of timeframes and who completes what training. <br>

  2

  1

  0

  N/A

• Emergency Procedure Training<br>All Employees and Personal Trainers trained annually in the use of fire extinguishers, hose reels and emergency procedures as listed in Club Emergency Manual . <br>Sign off current

  2

  1

  0

  N/A

• Risk management - training yearly. <br>- Sign off required for all employees and rental trainer <br>

  2

  1

  0

  N/A

• Preventative and manual handling instruction : All employees signed off

  2

  1

  0

  N/A

• Child Protection Risk Management Strategy : Annual training for all Child minding employees ,Heads of department, group Fitness Instructors ( those who teach children classes) and Personal Trainers who train youth and children trained annually with sign off.

  2

  1

  0

  N/A

• Swimming Pool Procedures and rescue device Annual training delivered to all HODs, reception and Personal trainers . sign off available

  2

  1

  0

  N/A

• Group Fitness Instructors Annual training package delivered with sign off attached under list notes

  2

  1

  0

  N/A

• Training verification list : does Manager hold an updated list of all employees and Personal trainers to use as confirmation all have completed training and signed off ? ( relates to training not on e learning )

  2

  1

  0

  N/A

• Clubs with Asbestos have on induction taken all team members through Asbestos Register and process to follow when contractors arrive at club? Asbestos Sign off sheet completed

  2

  1

  0

  N/A

5. INSPECTIONS

• Workplace inspections are undertaken on a weekly basis (CGM weekly inspection)<br>- actions identified & completed in a timely manner <br>- actions signed off by CGM

  2

  1

  0

  N/A

• Reception Opening and Closing Checklist available and completed with any action items followed up and signed off. <br>-Clubs with YOUFOODZ have added fridge temp checks with temp recorded <br>- Clubs with 247 have added Emergency station checks ( maintenance. Log, first aid , defib, black box )<br>

  2

  1

  0

  N/A

• Gym Floor and Cardio Monthly equipment inspections <br>- FD sections completed <br>- actions logged into maintenance

  2

  1

  0

  N/A

• Group Fitness Monthly equipment inspections <br>- GFM sections completed (Spin room/ studio equipment ) <br>- actions logged into maintenance

  2

  1

  0

  N/A

• Alert / Emergency buttons in Steam room, Sauna and pool tested monthly and records/sign off available. Appropriately signed with a written procedure in place for staff to follow.

  2

  1

  0

  N/A

• Weekly Treadmill Emergency stop buttons and stair mill stop plate tested and recorded on current form

  2

  1

  0

  N/A

• Process in place to ensure that all electrical equipment is appropriately tested & tagged - 6 monthly redundant in house electrical inspection

  2

  1

  0

  N/A

6. CHEMICALS

• Correctly labelled chemical spray bottles

  2

  1

  0

  N/A

• Current Safety Data Sheets available for all HS/DGs stored on the premises in chemical storage area. (no older than 5 years)

  2

  1

  0

  N/A

• A Chemical register is maintained on site and reviewed annually (register to include all chemicals stored and used on site- hazardous, dangerous and non Hazardous chemicals )

  2

  1

  0

  N/A

• Chemical storage area / Cleaners Room is kept locked ,clean and tidy

  2

  1

  0

  N/A

• Risk assessments and SWMS for all Goodlife hazardous chemicals ( eg: bleach/ citric acid )

  2

  1

  0

  N/A

• SWMS and risk assessments completed for tasks employees complete that require use of hazardous chemicals: <br>-transferring of hazardous chemicals <br>-employee cleaners for those tasks requiring use of hazardous chemicals<br>- steam generator descaling.

  2

  1

  0

  N/A

• Employees handling chemicals have received appropriate induction, annual training on hazardous chemical use and Safe work method statements for relevant tasks. Evidenced by signed Hazardous chemical Risk Assessment and Safe work procedure. <br>- pool cleaning <br>-transferring of hazardous chemicals <br>- steam generator descaling.<br> -employee cleaners : bathrooms using hazardous chemicals (Carseldine, chermside, Nerang, Helensvale, Robina, Logan )

  2

  1

  0

  N/A

• Chemicals bunded/segregated, incompatible chemicals are appropriately segregated. ( acid and alkaline stored separately )

  Yes

  No

  N/A

• PPE available<br>- disposable gloves, aprons<br>- employee cleaners own individual PPE in a clean storage container ( eye protection, elbow length rubber gloves, plastic apron etc) <br>

  2

  1

  0

  N/A

• Chemical room locked

  2

  1

  0

  N/A

• CGMs and Employee Cleaners are aware of procedure for disposal of chemical : written procedure in Chemical folder.

  2

  1

  0

  N/A

7. PLANT & EQUIPMENT

• Adequate spacing : check/ walk around completed by CGM / FD. ( Monthly FD Inspections) <br>-.5 m between side mounting X-trainers<br>- good space between plate loaded equipment.

  2

  1

  0

  N/A

• Maintenance reporting system in place - Cherwell. staff aware of reporting process. <br>- CGM is adding scheduled servicing as per timeframes on Maintenance program .

  2

  1

  0

  N/A

• Service /Maintenance plan - monitored by CGM and matches service records

  2

  1

  0

  N/A

• Plant & equipment register<br>- check new equipment added<br>- risk assessments for any new items<br>-includes Hypoxi equipment

  2

  1

  0

  N/A

• Equipment serviced by maintenance team within timeframes ( 4 weeks) and signed off on interim form sent out for tracking ( Temporary system to track until new Cherwell in place )<br>

  2

  1

  0

  N/A

• Plant and equipment maintenance / service records available from contractor <br>- Electric entrance doors 4 monthly <br>- pest control quarterly

  2

  1

  0

  N/A

• Plant and equipment risk assessments:<br><br>- risk assessments have been completed for each type of equipment <br>- risk controls in relation to items of plant have been identified and implemented <br>- reviewed annually

  2

  1

  0

  N/A

• There is a procedure for isolation & tag out of unsafe equipment and procedure communicated to employees<br>: adequate signs available with good attachment system ( attachment system good , not all blue tac , some with lanyards )

  2

  1

  0

  N/A

• Maintenance Safe Work Procedures available for manager to reference

  2

  1

  0

  N/A

8. ELECTRICAL

• Plugs/cables & sockets in good condition and tidy - don't pose trip hazard ( check under desks / reception / workstations / gym equipment )

  2

  1

  0

  N/A

• Test and tag completed annually

  2

  1

  0

  N/A

• Electrical register current

  2

  1

  0

  N/A

• RCD tested annually - electrician to test and record and Maintenance to do annually ( every 6 months)

  2

  1

  0

  N/A

• Electrical switchboard kept locked with key accessible in event of emergency. Switchboard room (if applicable) is tidy with no equipment within 2 meters of electrical board.

  2

  1

  0

  N/A

9. CONTRACTOR

• All contractors loaded into Figtree and CGM aware of checking for currency and induction of contractor.

  2

  1

  0

  N/A

• Alll relevant Contractor documentation stored in Figtree for contractor ( SWMS, Safety Plan )

  2

  1

  0

  N/A

• Contractors sign in and out of club<br>

  2

  1

  0

  N/A

• Visitor badges ( clip on or adhesive labels - no lanyards )

  2

  1

  0

  N/A

• Contractor folder set up,as per company requirements (laminated floor plan, Asbestos register if applicable to club, sectioned in role specific or company plus misc, induction running sheet front of each section etc)

  2

  1

  0

  N/A

• Contractors Inducted into club (sign off available with running sheet at front of each section with name and date inducted)

  2

  1

  0

  N/A

• Club Manager is informed when contractor on site and communicates with when high risk tasks are to be completed before works commence . Request for risk assessment or safe work statement to ensure safety guidelines are understood and adhered too.( works such as roof top access, working at heights, working near asbestos, electrical works )

  2

  1

  0

  N/A

• Club Manager checks works in progress to ensure safety requirements in place ( barricading, isolation electrical, PPE , no hot works without permit, confine space licence and permits)

  Yes

  No

  N/A

• Club Manager is aware of Non Conformance form and procedure to follow when Non Conformance issues?

  2

  1

  0

  N/A

• Contractors who work at heights or on roof have completed a risk assessment and have Safe Work Statements - Manager has copy and discussed.

  Yes

  No

  N/A

10. FIRST AID

• First Aid assessment completed on club to confirm adequate supply's / adequate kits ( if any changes of layout or concerns a re assessment completed)

  2

  1

  0

  N/A

• A first aid and injury register is maintained : Figtree / note book in kit for minor issues.<br>Figtree: do incidents reflect the injury / marked as injury occurring in Figtree ?

  2

  1

  0

  N/A

• Procedures have been developed and implemented regarding infection control<br>- CGM to reference listed in induction and risk management training <br>- sharps disposal kit<br>- infectious waste clean up kit<br>- PPE<br><br>

  2

  1

  0

  N/A

• There is a system in place to ensure that first aid kits and Defibrillators are appropriately maintained? <br><br>- monthly first aid kit checks <br>- daily visual check by reception - check open /close Reception checklist (ask receptionist on shift on process ) <br>- recorded weekly de fib checks by CGM. <br>- scissors and accessories in back pocket

  2

  1

  0

  N/A

• Is Defib battery/ pad pack current ?

  Yes

  No

  N/A

• Expiry date defib battery

  Date

• Comprehensive emergency numbers listed adjacent to all phones

  2

  1

  0

  N/A

11. GENERAL AREAS

• Floors are free from trip and slip hazards and not obstructed

  2

  1

  0

  N/A

• Good general lighting with all working

  2

  1

  0

  N/A

• Procedure for cleaning up spill kits - wet floor signs/spill kits <br>Areas that are wet/slippery are sign posted

  2

  1

  0

  N/A

• Trip hazards associated with steps/stairs are controlled (e.g treads are highlighted) <br>Hand rails have been installed at stairs/steps

  2

  1

  0

  N/A

• Housekeeping is adequate within public areas ( reception , entrance etc)

  2

  1

  0

  N/A

• Store / Plant rooms rooms <br>-kept locked at all times <br>- clean / tidy<br>- adequate shelving with easy access to shelves

  2

  1

  0

  N/A

• Air con service on schedule and filters clean

  2

  1

  0

  N/A

• Workstations clear of clutter Ergonomic set up of workstations<br> - workstations appropriately set up<br> - electrical cords not posing trip hazard <br>- ergonomic self assessment checklist available and completed by staff

  2

  1

  0

  N/A

• Staff rooms:<br>-clean , tidy and hygienic<br>- leads and cords tidy<br>- Fridges and micro waves clean

  2

  1

  0

  N/A

12. GYM AREAS

Gym Floor / Functional Areas

• Housekeeping Gym Areas<br>-regular inspections free from discarded weights <br>-cardio area : leads tidy, equipment clean <br>- walk ways to and around equipment clear<br>- functional area clear , easy access to equipment

  2

  1

  0

  N/A

• Treadmill white stencil Markings on belt are clearly visible ?

  Yes

  No

  N/A

• Treadmill warning signs in place? ( Ensure Treadmill has come to a complete stop etc)

  Yes

  No

  N/A

• Do not stack stickers are on all Plyo Boxes?

  Yes

  No

  N/A

• Have Dumbbells clear weight Markings ?

  Yes

  No

  N/A

• Safety / Instructional signage on pin loaded / plate loaded Equipment ? <br>( clubs with freedom /paramount check arms have warning labels)

  2

  1

  0

  N/A

• Can the club manager show you the yellow safety signs displayed on advertising Screens and explain that they form part of our controls for treadmills and general gym and a high priority in unstaffed hours ?

  Yes

  No

  N/A

• All equipment with the potential to be pulled over is bolted to floor ( items above 1.7 m in height -cable / matrix machines, ball/ kettle bell racks/ chin up )

  2

  1

  0

  N/A

• Equipment in good condition. ( upholstery , cables, handles and attachments, bars, weight plates)

  2

  1

  0

  N/A

• Etiquette signs for each area displayed.<br>

  2

  1

  0

  N/A

• Adequate storage for all portable equipment ( bars, kettle bells, balls, safety arms , weight plates, Dumbbells , steps and raisers, mats)

  2

  1

  0

  N/A

• Are there Adequate collars for number of bars on gym floor ?

  Yes

  No

  N/A

Group Fitness Studios / Spin Room/ Ladies only

• Stereo systems : area clean tidy , test and tagged

  2

  1

  0

  N/A

• Group Fitness/ spin Room : paper towel dispensers , disinfectant available and waste bin <br>

  2

  1

  0

  N/A

• Clear egress route to stage and out of room ( highlighted if issues )

  Yes

  No

  N/A

• Instructor stage edge highlighted (GF and Spin Rooms )

  Yes

  No

  N/A

• Process for managing Instructor Booty Barre ( manual handling and sticker on barre ) in place?

  Yes

  No

  N/A

• System to manage spills on studios with polished floors: signage in place with explanation of use and /or paper towel and required signage explaining wipe up spills)

  Yes

  No

  N/A

13. CHILD CARE

• Registration forms for children completed on first attendance<br>-select two names off the days sign in form and check enrolment form is available

  Yes

  No

  N/A

• Parent signs child in and out on attendance sheet

  Yes

  No

  N/A

• Documented procedures available for child care ( held in child minding room for quick reference ) and annual training completed with sign off<br>

  2

  1

  0

  N/A

• Anaphylaxis plans updated annually, colour photo and signed by Dr <br>- displayed when child in attendance.

  2

  1

  0

  N/A

• Cleaning schedule in place for toys/tables (sign off daily) <br>Cleanliness of area/receptions/bathrooms

  2

  1

  0

  N/A

• Required signage:<br>- time out policy<br>- govt crèche sign - QLD, SA, WA, NSW<br>- child care license - VIC : primary nominee and nominees current <br>

  2

  1

  0

  N/A

• Is all personal information of children held in a locked area ?

  Yes

  No

  N/A

• Has each child care team member have a completed and current Children Services Staff Record signed as required? ( Victoria only)

  2

  1

  0

  N/A

14. 24/7 SYSTEMS

• Emergency station set up : wall mounted first aid kit/ Defibrillator ( how to use attached) Emergency Pendants and Intercom with signage, maintenance log with out of order signs, black box for forms ( secured to bench) Emergency Information Plan. <br>

  2

  1

  0

  N/A

• Club Manager , HODs and Reception know the Security Club 'Password'

  Yes

  No

  N/A

• Emergency Intercoms clearly visible and signed . <br>

  Yes

  No

  N/A

• Intercoms and Emergency Pendants: test completed monthly and signed off in Figtree

  Yes

  No

  N/A

• Laminated guide in use , each MC has copy available for use if required when inducting members. ( shows consistency in safety message ) <br>

  Yes

  No

  N/A

• New Security 24/7 contact details on entrance door and above security panel. <br>New sticker with 1300674000.

  Yes

  No

  N/A

• Tailgating system in place and checked as per company procedure each am. Ask CGM to show you process and see that emptied each day.

  Yes

  No

  N/A

• Can MC complete a full 24/7 safety induction tour explaining key areas ? <br>- did they cover Emergency event , fire alarm, medical, defib and first aid , incident reports, out of order, emergency exits, use of intercom &a duress pendants, entry / exit, tailgating , floor plans , safe room etc <br>- confident in delivering the safety message ? <br>

  2

  1

  0

  N/A

15. BATHROOMS / RELAXATION ZONE

Relaxation Zone

• Relaxation zone etiquette / safety signs in place <br>- General signs <br>- hot rocks

  2

  1

  0

  N/A

• Sauna in good condition: wooden seats, no slip hazards

  2

  1

  0

  N/A

• Steam room in good condition: no broken tiles, clean, no slip hazards

  2

  1

  0

  N/A

• Regular checks completed on Sauna and Steam room and recorded. <br>-minimum 3 times daily

  2

  1

  0

  N/A

Bathrooms

• Showers - grout and waterproofing in good condition

  2

  1

  0

  N/A

• Bathrooms clean and tidy, free of slip or trip hazards.- mats in place where required.

  2

  1

  0

  N/A

• Hair Dryers/ Straighteners: in good condition with filters in place, leads in condition and holders in place for each appliance.

  2

  1

  0

  N/A

• Lockers in good condition( those broken signed out of order)

  2

  1

  0

  N/A

• No Responsibility for theft / No Photography Signs displayed in Bathrooms.

  2

  1

  0

  N/A

• Iron in good condition, sticker on door of cupboard, no burning on plate, cord in good condition with no fraying, hard wired/plugged into timer only?<br>

  2

  1

  0

  N/A

16. WORKING AT HEIGHTS AND REGISTERED PLANT

• All tasks that could result in a fall from greater than 1.8 metres have been identified <br>- CGM should have form available from maintenance that list tasks for their club

  2

  1

  0

  N/A

• Safe access has been provided to the roof areas<br>- anchor points serviced annually if in place

  2

  1

  0

  N/A

• Risk assessments / SWMS have been completed for all tasks involving working at heights that maintenance would complete in club?<br>- CGM should be able to locate a copy of maintenance SWMS to monitor when at heights work is completed in club

  2

  1

  0

  N/A

• Lift registered and quarterly service program implemented <br>- copy of current lift registration<br>- copy of service records

  2

  1

  0

  N/A

• Cooling Tower: registered and maintenance program in place ( check is on maintenance plan)

  2

  1

  0

  N/A

17. HAZARDOUS MATERIALS

• A hazardous materials survey has been conducted (including the identification of asbestos) <br>-Buildings pre 2000<br>

  2

  1

  0

  N/A

• An asbestos risk management plan has been developed<br>- asbestos materials labelled as such<br>- contractor sign in sheet makes mention of asbestos<br>- register is held in front of contractor and maintenance folder for viewing<br>- staff and PTs are made aware of location of asbestos and sign off

  2

  1

  0

  N/A

• Asbestos risk management controls are implemented and regularly inspected. The effectiveness of these controls is reviewed and revised every year<br>

  2

  1

  0

  N/A

• Club manager can explain location of Asbestos in club and explain controls and process for managing contractors or works at club?

  2

  1

  0

  N/A

18. CAR PARK / OUTDOOR AREAS

• Car park - area clean and tidy with no rubbish and no pot holes

  2

  1

  0

  N/A

• Speed/collision controls in place <br>-Speed signs/speed bumps

  2

  1

  0

  N/A

• Line spacing clearly marked / collision points identified and highlighted - corner of kerbs etc

  2

  1

  0

  N/A

• No responsibility for lost / stolen / theft signage

  2

  1

  0

  N/A

• Gardens are well maintained

  2

  1

  0

  N/A

• Good external lighting - no issues identified

  2

  1

  0

  N/A

19: SWIMMING POOL

• Slip hazards managed on pool deck effectively ( matting , appropriate flooring)

  2

  1

  0

  N/A

• Pool procedure manual ( current version) available at reception in Emergency Manual.

  2

  1

  0

  N/A

• Is there a Chemical spill kit in pool plant room and close to door for easy access ?

  Yes

  No

  N/A

• SDS held in pool plant room for all chemicals and listed on register and current ?

  2

  1

  0

  N/A

• Pool rescue device available and clearly visible and signed

  2

  1

  0

  N/A

• pool plant room : bunding in place /clean and tidy

  2

  1

  0

  N/A

• Pool surrounds clean and tidy

  2

  1

  0

  N/A

• Pool/spa water tests as per regulations<br>Low usage 2 x daily<br>Medium usage 3 x daily<br>High usage 4 x daily<br>Vic 4 times daily

  2

  1

  0

  N/A

• Pool Safety signs in place:<br>- depth signage clearly visible<br>- no life guard on duty signs<br>- pool safety general precautions sign<br>- CPR, current version (DRSABCD)<br>

  2

  1

  0

  N/A

• Personal protective equipment available and close to door? : apron, gumboots,long rubber gloves, protective eye ware?

  2

  1

  0

  N/A

• Eye wash station available ( sterile bottles in date ) and running water - hose and tap nearby if required ?

  2

  1

  0

  N/A

• Hazardous Chemical signs on pool plant room door?

  Yes

  No

  N/A

19. HAZARDS / OTHER ISSUES IDENTIFIED

• Any Hazards / Issues identified during inspection of facility? Describe hazard and any controls implemented. Rate hazard for controls and action implemented by club. )

  2

  1

  0

  N/A

• Club has demonstrated continuous improvement (above and beyond our expectation) for example introduced a new procedure or something to club to ensure compliance.

  Yes

  No

  N/A

• Is there any further training you feel you require or would like for you or your team ?

  Yes

  No

  N/A

• Do you have any suggestions to improve Current Safety Systems ? ( forms , procedures etc )

  Yes

  No

  N/A

• Add signature

  Sign