*QC: Gym Check - Weekly - draft

• Gym Weekly Checks - Date Completed

Gymnasium

Gymnasium Cardio Area

• Treadmill 1 (SN AST110932) Operational?

  Yes

  No

  N/A

• Treadmill 2 (SN AST111241) Operational?

  Yes

  No

  N/A

• Treadmill 3 (SN AST110935) Operational?

  Yes

  No

  N/A

• Treadmill 4 (SN AST111245) Operational?

  Yes

  No

  N/A

• Treadmill 5 (SN AST111244) Operational?

  Yes

  No

  N/A

• Treadmill 6 (SN AST167889) Operational?

  Yes

  No

  N/A

• Treadmill 7 (SN AST164459) Operational?

  Yes

  No

  N/A

• Cross Trainer 1 (SN ASX131300) Operational?

  Yes

  No

  N/A

• Cross Trainer 2 (SN ASX131308) Operational?

  Yes

  No

  N/A

• Rower 1 (SN RAX170701655) Operational?

  Yes

  No

  N/A

• Rower 2 (SN RGV170701652) Operational?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Recumbent Cycle 1 (SN OSR500678) Operational?

  Yes

  No

  N/A

• Recumbent Cycle 2 (SN OSR500725) Operational?

  Yes

  No

  N/A

• Upright Cycle 1 (SN OSC500751 ) Operational?

  Yes

  No

  N/A

• Spin Bike (SN OSC500753 ) Operational?

  Yes

  No

  N/A

Gym Equipment

• Powermill-Step Machine(PMH 101548) Operational?

  Yes

  No

  N/A

• Chest Press (SN101334731797) Operational?

  Yes

  No

  N/A

• Bicep Curl (SN 101326729535) Operational?

  Yes

  No

  N/A

• Pec/Fly Rear Delt (SN 101336732193) Operational?

  Yes

  No

  N/A

• Leg Extension (SN 101326729281) Operational?

  Yes

  No

  N/A

• Seated Row (SN 101405701535) Operational?

  Yes

  No

  N/A

• Lat Pull Down (SN 101404701263) Operational?

  Yes

  No

  N/A

• Leg Curl (SN 101333731601) Operational?

  Yes

  No

  N/A

• Hack Sqwat/ Leg Press Operational?

  Yes

  No

  N/A

• Assisted Dip / Chin (SN PSADCSE314018) Operational?

  Yes

  No

  N/A

• Abdominal - Crunch machine (SN 101227716285) Operational

  Yes

  No

  N/A

Gymnasium Weight Area

• Cable Motion Cable X Over (SN 101413002843) Operational?

  Yes

  No

  N/A

• Cable attachment - Curl Pull-Down Bar?

  Yes

  No

  N/A

• Cable attachment - Tricep Push-Down Bar?

  Yes

  No

  N/A

• Cable attachment - Rotation Close Grip Triangle?

  Yes

  No

  N/A

• Cable attachment - Tricep Rope?

  Yes

  No

  N/A

• Cable attachment - Stirrup Handle x 2

  Yes

  No

  N/A

• Cable attachment - Ankle Strap x 2

  Yes

  No

  N/A

• Metal Barbell Clamps x 2

  Yes

  No

  N/A

• Snap Lock Collar Weight Clamps x4 (Black)

  Yes

  No

  N/A

• Foam Barbell Squat Pad x 2

  Yes

  No

  N/A

• Barbell Rack

  Safe

  At Risk

  N/A

• Dumbbell Rack 12.5kg - 40kg

  Safe

  At Risk

  N/A

• Dumbell Rack 1kg - 10kg

  Safe

  At Risk

  N/A

• Flat Bench x1

  Safe

  At Risk

  N/A

• Incline/Decline Bench x 2

  Safe

  At Risk

  N/A

• Decline ab sit-up bench

  Safe

  At Risk

  N/A

• Stretch Mats (x3) available and clean?

  Yes

  No

  N/A

• Foam Rollers (x4) available and clean?

  Yes

  No

  N/A

• Medicine Balls(2kg, 5kg & 10kg) Available and Firm?

  Yes

  No

  N/A

• Kettle Bells Available and in Good Working Order? <br>2kg, 3kg, 4kg, 6kg, 8kg, 10kg, 12kg, 14kg & 16kg

  Yes

  No

  N/A

• Smith Machine (SN 101402700344) Operational?

  Yes

  No

  N/A

• Weight Plates Stored Correctly?

  Yes

  No

  N/A

• Weight Bars Stored in Bar Stand?

  Yes

  No

  N/A

• Reebok Step (+2 red levels) Available and Free of Damage?

  Yes

  No

  N/A

• Set of Scales Operational?

  Yes

  No

  N/A

• Break Safe Intact?

  Yes

  No

  N/A

• Exit button working?

  Yes

  No

  N/A

• Paths of Travel Clear and Safe?

  Safe

  At Risk

  N/A

• Area Compliant or Other Items / Issues Noted

  Compliant

  Non-Compliant

• I hereby advise that the inspections above have been undertaken and that the answers and information given are true and correct.

• Ally

  Tony

  Mat

  Elena