*QC Monthly Check

• Club Coridale

  Select

• Conducted on

  Date

• Prepared by

  Cindy

  Shanae
• 70 Brisbane st, Lara
  Address

Paths of Travel

• Ensure paths of travel to exits are operational and effective, they must not be obstructed.

  Safe

  At Risk

  N/A

Children's Playground

• Grounding bolts intact and undamaged?

  Safe

  At Risk

  N/A

• All anchor points are firmly tightened?

  Safe

  At Risk

  N/A

• Grounding bolts intact and undamaged?

  Safe

  At Risk

  N/A

• Connecting bolts for equipment are tight and secure?

  Safe

  At Risk

  N/A

• External inspection of equipment carried out?

  Safe

  At Risk

  N/A

• Visual inspection of flooring carried out?

  Safe

  At Risk

  N/A

• Any other items or issues noted?

  Yes

  No

  N/A

• New Inspection Sticker Displayed

  Yes

  No

  N/A

Gym Roof & Battery Store Room Ladder

• Ladder and surrounding frame undamaged?

  Yes

  No

  N/A

• Secure cover opens freely and is undamaged?

  Yes

  No

  N/A

• Climb ladder and check all handraining and top of ladder rungs.

  Yes

  No

  N/A

• New Inspection Sticker Displayed

  Yes

  No

  N/A

• Any other items or issues noted?

  Yes

  No

  N/A

Lift

• Lift alarm tested and operational

  Safe

  At Risk

  N/A

Duress Testing

• Duress Near office

  Safe

  At Risk

  N/A

• Gym

  Safe

  At Risk

  N/A

Signatory

• Add signature

  Sign

• Yes

  No

  N/A