SIMPLY GYM BIKES - BLANK

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

UPRIGHT BIKE 1

• 1 Pedals run smoothly

  Yes

  No

  N/A

• 2 Bike straps are intact and in good condition

  Yes

  No

  N/A

• 3 Handle bars are fixed (not rattling)

  Yes

  No

  N/A

• 4 Seats can be adjusted

  Yes

  No

  N/A

• 5 Heart rate monitor works

  Yes

  No

  N/A

• 6 How safe do you feel using this piece of equipment out of 5 - 1 = Not safe

UPRIGHT BIKE 2

• 1 Pedals run smoothly

  Yes

  No

  N/A

• 2 Bike straps are intact and in good condition

  Yes

  No

  N/A

• 3 Handle bars are fixed (not rattling)

  Yes

  No

  N/A

• 4 Seats can be adjusted

  Yes

  No

  N/A

• 5 Heart rate monitor works

  Yes

  No

  N/A

• 6 How safe do you feel using this piece of equipment out of 5 - 1 = Not safe

UPRIGHT BIKE 3

• 1 Pedals run smoothly

  Yes

  No

  N/A

• 2 Bike straps are intact and in good condition

  Yes

  No

  N/A

• 3 Handle bars are fixed (not rattling)

  Yes

  No

  N/A

• 4 Seats can be adjusted

  Yes

  No

  N/A

• 5 Heart rate monitor works

  Yes

  No

  N/A

• 6 How safe do you feel using this piece of equipment out of 5 - 1 = Not safe

UPRIGHT BIKE 4

• 1 Pedals run smoothly

  Yes

  No

  N/A

• 2 Bike straps are intact and in good condition

  Yes

  No

  N/A

• 3 Handle bars are fixed (not rattling)

  Yes

  No

  N/A

• 4 Seats can be adjusted

  Yes

  No

  N/A

• 5 Heart rate monitor works

  Yes

  No

  N/A

• 6 How safe do you feel using this piece of equipment out of 5 - 1 = Not safe

UPRIGHT 5

• 1 Pedals run smoothly

  Yes

  No

  N/A

• 2 Bike straps are intact and in good condition

  Yes

  No

  N/A

• 3 Handle bars are fixed (not rattling)

  Yes

  No

  N/A

• 4 Seats can be adjusted

  Yes

  No

  N/A

• 5 Heart rate monitor works

  Yes

  No

  N/A

• 6 How safe do you feel using this piece of equipment out of 5 - 1 = Not safe

RECUMBANT BIKE 1

• 1 Pedals run smoothly

  Yes

  No

  N/A

• 2 Bike straps are intact and in good condition

  Yes

  No

  N/A

• 3 Handle bars are fixed (not rattling)

  Yes

  No

  N/A

• 4 Seats can be adjusted

  Yes

  No

  N/A

• 5 Heart rate monitor works

  Yes

  No

  N/A

• 6 How safe do you feel using this piece of equipment out of 5 - 1 = Not safe

RECUMBANT BIKE 2

• 1 Pedals run smoothly

  Yes

  No

  N/A

• 2 Bike straps are intact and in good condition

  Yes

  No

  N/A

• 3 Handle bars are fixed (not rattling)

  Yes

  No

  N/A

• 4 Seats can be adjusted

  Yes

  No

  N/A

• 5 Heart rate monitor works

  Yes

  No

  N/A

• 6 How safe do you feel using this piece of equipment out of 5 - 1 = Not safe

RECUMBANT BIKE 3

• 1 Pedals run smoothly

  Yes

  No

  N/A

• 2 Bike straps are intact and in good condition

  Yes

  No

  N/A

• 3 Handle bars are fixed (not rattling)

  Yes

  No

  N/A

• 4 Seats can be adjusted

  Yes

  No

  N/A

• 5 Heart rate monitor works

  Yes

  No

  N/A

• 6 How safe do you feel using this piece of equipment out of 5 - 1 = Not safe

AIR BIKE 1

• 1 Pedals run smoothly

  Yes

  No

  N/A

• 2 Handle bars are fixed (not rattling)

  Yes

  No

  N/A

• 3 Seats can be adjusted

  Yes

  No

  N/A

• 4 How safe do you feel using this piece of equipment out of 5 - 1 = Not safe

AIR BIKE 2

• 1 Pedals run smoothly

  Yes

  No

  N/A

• 2 Handle bars are fixed (not rattling)

  Yes

  No

  N/A

• 3 Seats can be adjusted

  Yes

  No

  N/A

• 4 How safe do you feel using this piece of equipment out of 5 - 1 = Not safe

SPIN BIKE 1

• 1 Pedals run smoothly

  Yes

  No

  N/A

• 2 Bike straps are intact and in good condition

  Yes

  No

  N/A

• 3 Handle bars are fixed (not rattling)

  Yes

  No

  N/A

• 4 Seats can be adjusted

  Yes

  No

  N/A

• 5 How safe do you feel using this piece of equipment out of 5 - 1 = Not safe