SIMPLY GYM FIRST AID, DEFIB AND PANIC CHECKS

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

FIRST AID KIT (GYM FLOOR)

• 20 X ALL SIZE PLASTERS?

  Yes

  No

  N/A

• 2 X TRIANGULAR BANDAGES?

  Yes

  No

  N/A

• 6 X BANDAGES?

  Yes

  No

  N/A

• 20 X NON-ALCHOHOLIC WIPES?

  Yes

  No

  N/A

• 1 X ROLL OF TAPE?

  Yes

  No

  N/A

• 4 X COLD COMPRESS?

  Yes

  No

  N/A

• 2 X DISPOSABLE GLOVES?

  Yes

  No

  N/A

FIRST AID KIT (STAFF ROOM)

• 20 X ALL SIZE PLASTERS?

  Yes

  No

  N/A

• 2 X TRIANGULAR BANDAGES?

  Yes

  No

  N/A

• 6 X BANDAGES

  Yes

  No

  N/A

• 20 X NON-ALCHOHOLIC WIPES?

  Yes

  No

  N/A

• 1 X ROLL OF TAPE?

  Yes

  No

  N/A

• 4 X COLD COMPRESS?

  Yes

  No

  N/A

• 2 X DISPOSBALE GLOVES?

  Yes

  No

  N/A

DEFIB (GYM FLOOR)

• ARE THERE ANY ISSUES WITH THE DEFIB?

  Safe

  At Risk

  N/A

• DOES IS TURN ON WHEN OPENED?

  Pass

  Fail

  N/A

DISABLED CHANGE PULL CHORD

• IS THE CHORD FITTED CORRECTLY TO THE CEILING?

  Yes

  No

  N/A

• DOES THE CHORD WORK?

  Yes

  No

  N/A

PANIC BUTTON (ENTRANCE)

• DOES THE PANIC BUTTON WORK AND SOMEONE ANSWERS? ( CALL ALARM COMPANY AND TEST ALL)

  Yes

  No

  N/A

PANIC BUTTON (OUTSIDE CHANGING ROOMS)

• DOES THE PANIC BUTTON WORK AND SOMEONE ANSWERS?

  Yes

  No

  N/A

PANIC BUTTON (LADIES ONLY)

• DOES THE PANIC BUTTON WORK AND SOMEONE ANSWERS?

  Yes

  No

  N/A

PANIC BUTTON (SQUAT RACKS)

• DOES THE PANIC BUTTON WORK AND SOMEONE ANSWERS?

  Yes

  No

  N/A

• Yes

  No

  N/A