Safety Gym Inspection

• Safety audit:

• Conducted on:

  Date

• Prepared by:

Site

• Are signs present and legible?

  Yes

  No

  N/A

• Exterior walkways and parking lots are free of tripping hazards?

  Yes

  No

  N/A

• Are curb edges clearly identified by means of contrasting colors?

  Yes

  No

  N/A

• Entrances - all doors, steps, carpets/mats & runners in good<br>condition?

  Yes

  No

  N/A

• Are electrical outlets & fuse boxes properly secured, labeled &<br>grounded?

  Yes

  No

  N/A

• Ground Fault Circuit Interrupters (GFCI) installed in all areas exposed to water presence?

  Yes

  No

  N/A

• No extension cords are used to connect equipment or other appliances? Are outlets in good condition?

  Yes

  No

  N/A

• Are floors free of defects and other tripping hazards?

  Yes

  No

  N/A

• Are chairs, equipment and materials placed/stored in racks or<br>otherwise stored safely?

  Yes

  No

  N/A

• Is the area clean and properly maintained?

  Yes

  No

  N/A

• Are the floors free from loose threshold plates, loose tiles, open<br>carpet seams, buckles and other tripping hazards?

  Yes

  No

  N/A

• No chemicals are stored in the gym area?

  Yes

  No

  N/A

Emergency & Fire Safety

• Are exit routes clearly identified, marked and illuminated by a<br>reliable light source? Are emergency exit signs lit?

  Yes

  No

  N/A

• Are emergency telephone numbers and emergency evacuation<br>instructions posted?

  Yes

  No

  N/A

• Are the exits unlocked on the inside and do doors swing in the<br>direction of exit travel?

  Yes

  No

  N/A

• Are ceilings and wall surfaces on escape routes kept free from<br>combustible, decorative, or functional materials?

  Yes

  No

  N/A

• Are fire extinguishers present, readily accessible and Operational<br>(properly serviced & tagged)?

  Yes

  No

  N/A

• Are first aid kits available and adequate for facility and properly maintained with<br>supplies?

  Yes

  No

  N/A

• Are sprinklers and fire alarms in proper state?

  Yes

  No

  N/A

• Are there fire alarm activation devices? Accessible?

  Yes

  No

  N/A

Operational

• Is equipment visually inspected to assure it remains in good condition free<br>from metal fatigue, fabric damage or breaks and similar defects that<br>may compromise equipment?

  Yes

  No

  N/A

• Are weights stacked appropriately?

  Yes

  No

  N/A

• Are all machines clean and clear of foreign objects?

  Yes

  No

  N/A

• Are mirrors clean & free of cracks?

  Yes

  No

  N/A

• Is other equipment (ropes, balls, etc.) stored properly and not causing a hazard?

  Yes

  No

  N/A

Locker rooms

• Are floors in good repair and not slippery?

  Yes

  No

  N/A

• Are mirrors & tiles clean and free of chips & cracks?

  Yes

  No

  N/A

• Is locker room clean and orderly?

  Yes

  No

  N/A

• Are benches & lockers clean and free of hazards?

  Yes

  No

  N/A

• Are toilets & showers clean and free of hazards?

  Yes

  No

  N/A

• Have other hazards been detected?

  Yes

  No

  N/A

Other comments

• Are there any other hazards detected to be mitigated?

  Yes

  No

  N/A