PFP - Weekly Gym Inspection Sheet - The Dolphin

• Audit Title

• Prepared by

• Document No.

• Site name

• Conducted on

  Date
• Location
  Address

• Attendees

Inspection report requirements and metrics

• Cleaning/H&S inspection shall be performed once per week by the Gym manager (or authorized representative).

• Key:
  
  Good = 10 points
  Fair = 5 points
  Poor = 0 points
  
  Yes = 10 points
  No = 0 points
  NA = 10 points

Upstairs Gym - Cleaniness

• Black Matted Area

  Good

  Fair

  Poor

  N/A

• CV Area

  Good

  Fair

  Poor

  N/A

• Resistance Machines

  Good

  Fair

  Poor

  N/A

• Free Weights

  Good

  Fair

  Poor

  N/A

• Functional Area

  Good

  Fair

  Poor

  N/A

• Mirrors

  Good

  Fair

  Poor

  N/A

• Water Fountain

  Good

  Fair

  Poor

  N/A

• Floor surfaces

  Good

  Fair

  Poor

  N/A

• Skirting Boards and Ledges

  Good

  Fair

  Poor

  N/A

• Overall appearance

  Good

  Average

  Poor

• Sign Off Sheets Completed

  Yes

  No

  NA

Downstairs Gym - Cleaniness

• Floor

  Good

  Fair

  Poor

  N/A

• Mirrors

  Good

  Fair

  Poor

  N/A

• Equipment Cleanliness

  Good

  Fair

  Poor

  N/A

• Water Fountain

  Good

  Fair

  Poor

  N/A

• Dumb Bell Rack - Dust Free Above and below

  Good

  Fair

  Poor

  N/A

• Overall appearance

  Good

  Average

  Poor

• Sign Off Sheets Completed

  Yes

  No

  NA

Corridors and Stairs - Cleaniness

• Litter Free

  Good

  Fair

  Poor

  N/A

• Clean Floor

  Good

  Fair

  Poor

  N/A

• Skirting Boards

  Good

  Fair

  Poor

  N/A

• Overall Appearance

  Good

  Average

  Poor

Equipment Checks Upstairs

• Treadmills

  Safe

  At Risk

  N/A

• Recumbant Cyles

  Safe

  At Risk

  N/A

• Upright Cycles

  Safe

  At Risk

  N/A

• Cross Trainers

  Safe

  At Risk

  N/A

• Rowers

  Safe

  At Risk

  N/A

• Lateral Trainers

  Safe

  At Risk

  N/A

• Spin Bikes

  Safe

  At Risk

  N/A

• Resistance Machines

  Safe

  At Risk

  N/A

• Benches

  Safe

  At Risk

  N/A

• TRX Straps

  Safe

  At Risk

  N/A

• Free Weights

  Safe

  At Risk

  N/A

Equipment Checks Downstairs

• Squat Rack

  Safe

  At Risk

  N/A

• Bench Press

  Safe

  At Risk

  N/A

• Functional Trainer

  Safe

  At Risk

  N/A

• Smith Machine

  Safe

  At Risk

  N/A

• 45 Degree Leg Press

  Safe

  At Risk

  N/A

• Chin/Dip Frane

  Safe

  At Risk

  N/A

• Dumbells/Plates

  Safe

  At Risk

  N/A

• Bars/Clips

  Yes

  No

  N/A

Assessors signatures

• Gym Manager or authorized representative

  Sign