Health club ANICWRC

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Items noted during prior visit

• Hazard identified during prior inspection:

  Yes

  No

  N/A

• Status

  Safe

  At Risk

  N/A

• Hazard identified during prior inspection:

  Yes

  No

  N/A

• Status:

  Yes

  No

  N/A

Injuries at this location

• Recent injuries at this club:

  Yes

  No

  N/A

• Cause of injury addressed to prevent recurrence?

  Yes

  No

  N/A

Building exterior - ice housekeeping

• Sidewalk log filled out today?

  Yes

  No

  N/A

• Is the condition of the sidewalk adequate - e.g. If there's ice, is there gravel applied?

  Yes

  No

  N/A

• If parking lot is icy, is there gravel on the surface of customer and employee parking areas?

  Yes

  No

  N/A

Pool control room

• Barrel handtruck readily accessible?

  Yes

  No

  N/A

• Are all chemicals labeled as to contents, hazards, and required PPE?

  Yes

  No

  N/A

• All fall hazards guarded, including mezzanine and pit?

  Yes

  No

  N/A

Pool deck

• Free of slip hazards?

  Yes

  No

  N/A

• Chair hoist in good shape?

  Yes

  No

  N/A

• Chemical log properly filled out?

  Yes

  No

  N/A

Laundry room

• Electrical panels and outlets free of lint buildup?

  Yes

  No

  N/A

• Plenty of towel carts available?

  Yes

  No

  N/A

Mech room by men's lockers

• Safe

  At Risk

  N/A

Day care

• Safe

  At Risk

  N/A

Front desk

• Emergency and MSDS binders available and up-to-date

  Yes

  No

  N/A

Tennis courts

• Safe

  At Risk

  N/A

Day camp and storage

• Safe

  At Risk

  N/A

Ground level studios

• Safe

  At Risk

  N/A

Maintenance dept. storage room

• Safe

  At Risk

  N/A

Maintenance dept shop room:

• Ladders in good condition?

  Yes

  No

  N/A

• Tools guarded?

  Yes

  No

  N/A

• PPE

  Yes

  No

  N/A

• Hard hats

  Yes

  No

  N/A

• Respirators in sealed bags?

  Yes

  No

  N/A

• Hearing protection

  Yes

  No

  N/A

• Eye protection

  Yes

  No

  N/A

Racquetball area

• Safe

  At Risk

  N/A

Tanning area

• Safe

  At Risk

  N/A

Upstairs group fitness studio

• Safe

  At Risk

  N/A

Cardio theater

• Wand vacuums available?

  Yes

  No

  N/A

Free weights

• ALL 45-pound plate weights have passthrough handles?

  Yes

  No

  N/A

• Unused weights racked?

  Yes

  No

  N/A

Deck over tennis courts

• Safe

  At Risk

  N/A

Cafe

Cooking fire extinguishment system serviced in past 6 months?

• Cooking exhaust ducts tagged as cleaned in last 6 months?

  Yes

  No

  N/A

Admin offices

• Safe

  At Risk

  N/A