SIMPLY GYM CROSS TRAINERS - BLANK

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

CROSS TRAINER 1

• 1 Belt runs smoothly

  Yes

  No

  N/A

• 2 Frame running smoothly

  Yes

  No

  N/A

• 3 Handle bars are fixed (not rattling)

  Yes

  No

  N/A

• 4 Resistence increases/decreases appropriately

  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

CROSS TRAINER 2

• 1 Belt runs smoothly

  Yes

  No

  N/A

• 2 Frame running smoothly

  Yes

  No

  N/A

• 3 Handle bars are fixed (not rattling)

  Yes

  No

  N/A

• 4 Resistence increases/decreases appropriately

  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

CROSS TRAINER 3

• 1 Belt runs smoothly

  Yes

  No

  N/A

• 2 Frame running smoothly

  Yes

  No

  N/A

• 3 Handle bars are fixed (not rattling)

  Yes

  No

  N/A

• 4 Resistence increases/decreases appropriately

  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

CROSS TRAINER 4

• 1 Belt runs smoothly

  Yes

  No

  N/A

• 2 Frame running smoothly

  Yes

  No

  N/A

• 3 Handle bars are fixed (not rattling)

  Yes

  No

  N/A

• 4 Resistence increases/decreases appropriately

  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

CROSS TRAINER 5

• 1 Belt runs smoothly

  Yes

  No

  N/A

• 2 Frame running smoothly

  Yes

  No

  N/A

• 3 Handle bars are fixed (not rattling)

  Yes

  No

  N/A

• 4 Resistence increases/decreases appropriately

  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

CROSS TRAINER 6

• 1 Belt runs smoothly

  Yes

  No

  N/A

• 2 Frame running smoothly

  Yes

  No

  N/A

• 3 Handle bars are fixed (not rattling)

  Yes

  No

  N/A

• 4 Resistence increases/decreases appropriately

  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

CROSS TRAINER 7

• 1 Belt runs smoothly

  Yes

  No

  N/A

• 2 Frame running smoothly

  Yes

  No

  N/A

• 3 Handle bars are fixed (not rattling)

  Yes

  No

  N/A

• 4 Resistence increases/decreases appropriately

  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

CROSS TRAINER 8

• 1 Belt runs smoothly

  Yes

  No

  N/A

• 2 Frame running smoothly

  Yes

  No

  N/A

• 3 Handle bars are fixed (not rattling)

  Yes

  No

  N/A

• 4 Resistence increases/decreases appropriately

  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

CROSS TRAINER 9

• 1 Belt runs smoothly

  Yes

  No

  N/A

• 2 Frame running smoothly

  Yes

  No

  N/A

• 3 Handle bars are fixed (not rattling)

  Yes

  No

  N/A

• 4 Resistence increases/decreases appropriately

  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

CROSS TRAINER 10

• 1 Belt runs smoothly

  Yes

  No

  N/A

• 2 Frame running smoothly

  Yes

  No

  N/A

• 3 Handle bars are fixed (not rattling)

  Yes

  No

  N/A

• 4 Resistence increases/decreases appropriately

  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

CROSS TRAINER 11

• 1 Belt runs smoothly

  Yes

  No

  N/A

• 2 Frame running smoothly

  Yes

  No

  N/A

• 3 Handle bars are fixed (not rattling)

  Yes

  No

  N/A

• 4 Resistence increases/decreases appropriately

  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

CROSS TRAINER 12

• 1 Belt runs smoothly

  Yes

  No

  N/A

• 2 Frame running smoothly

  Yes

  No

  N/A

• 3 Handle bars are fixed (not rattling)

  Yes

  No

  N/A

• 4 Resistence increases/decreases appropriately

  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

CROSS TRAINER 13

• 1 Belt runs smoothly

  Yes

  No

  N/A

• 2 Frame running smoothly

  Yes

  No

  N/A

• 3 Handle bars are fixed (not rattling)

  Yes

  No

  N/A

• 4 Resistence increases/decreases appropriately

  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