SIMPLY GYM LADIES ONLY GYM

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

TREADMILL 1 (LEFT)

• IS THE TREADMILL CLEAN?

  Yes

  No

  N/A

• IS THE MACHINE FULLY OPERATIONAL?

  Yes

  No

  N/A

• ARE ANY CASINGS CRACKED?

  Good

  Fair

  Poor

  N/A

• DOES THE EMERGENCY STOP WORK?

  Yes

  No

  N/A

TREADMILL 2

• IS THE TREADMILL CLEAN?

  Yes

  No

  N/A

• IS THE MACHINE FULLY OPERATIONAL?

  Yes

  No

  N/A

• ARE ANY CASINGS CRACKED?

  Good

  Fair

  Poor

  N/A

• DOES THE EMERGENCY STOP WORK?

  Yes

  No

  N/A

TREADMILL 3

• IS THE TREADMILL CLEAN?

  Yes

  No

  N/A

• IS THE MACHINE FULLY OPERATIONAL?

  Yes

  No

  N/A

• ARE ANY CASINGS CRACKED?

  Good

  Fair

  Poor

  N/A

• DOES THE EMERGENCY STOP WORK?

  Yes

  No

  N/A

TREADMILL 4 (RIGHT)

• IS THE TREADMILL CLEAN?

  Yes

  No

  N/A

• IS THE MACHINE FULLY OPERATIONAL?

  Yes

  No

  N/A

• ARE ANY CASINGS CRACKED?

  Good

  Fair

  Poor

  N/A

• DOES THE EMERGENCY STOP WORK?

  Yes

  No

  N/A

STAIR MASTER 1

• IS THE MACHINE CLEAN?

  Yes

  No

  N/A

• ANY FAULTS?

  Yes

  No

  N/A

STAIR MASTER 2

• IS THE MACHINE CLEAN?

  Yes

  No

  N/A

• ANY FAULTS?

  Yes

  No

  N/A

CROSS TRAINER 1 (LEFT)

• IS THE MACHINE FULLY OPERATIONAL?

  Yes

  No

  N/A

• IS THE MACHINE CLEAN?

  Yes

  No

  N/A

• ARE ANY CASINGS CRACKED?

  Good

  Fair

  Poor

  N/A

CROSS TRAINER 2

• IS THE MACHINE FULLY OPERATIONAL?

  Yes

  No

  N/A

• IS THE MACHINE CLEAN?

  Yes

  No

  N/A

• ARE ANY CASINGS CRACKED?

  Good

  Fair

  Poor

  N/A

CROSS TRAINER 3

• IS THE MACHINE FULLY OPERATIONAL?

  Yes

  No

  N/A

• IS THE MACHINE CLEAN?

  Yes

  No

  N/A

• ARE ANY CASINGS CRACKED?

  Good

  Fair

  Poor

  N/A

CROSS TRAINER 4

• IS THE MACHINE FULLY OPERATIONAL?

  Yes

  No

  N/A

• IS THE MACHINE CLEAN?

  Yes

  No

  N/A

• ARE ANY CASINGS CRACKED?

  Good

  Fair

  Poor

  N/A

UPRIGHT BIKE 1

• IS THE BIKE CLEAN?

  Yes

  No

  N/A

• IS THE BIKE FULLY OPERATIONAL?

  Yes

  No

  N/A

• ARE ANY CASINGS CRACKED?

  Good

  Fair

  Poor

  N/A

• IS THE UPHOLSTRY IN GOOD CONDITION?

  Yes

  No

  N/A

RECUMBENT BIKE 1

• IS THE BIKE CLEAN?

  Yes

  No

  N/A

• IS THE BIKE FULLY OPERATIONAL?

  Yes

  No

  N/A

• ARE ANY CASINGS CRACKED?

  Good

  Fair

  Poor

  N/A

• IS THE UPHOLSTRY IN GOOD CONDITION?

  Yes

  No

  N/A

RECUMBENT BIKE 2

• IS THE BIKE CLEAN?

  Yes

  No

  N/A

• IS THE BIKE FULLY OPERATIONAL?

  Yes

  No

  N/A

• ARE ANY CASINGS CRACKED?

  Good

  Fair

  Poor

  N/A

• IS THE UPHOLSTRY IN GOOD CONDITION?

  Yes

  No

  N/A

ROWER 1

• ROWER CLEAN?

  Yes

  No

  N/A

• ANY FAULTS?

  Safe

  At Risk

  N/A

• BATTERY LIFE IS GOOD?

  Yes

  No

  N/A

POWERPLATE

• IS THE POWERPLATE FULLY OPERATIONAL?

  Yes

  No

  N/A

SEATED ROW

• IS THE MACHINE CLEAN?

  Yes

  No

  N/A

• ANY FAULTS?

  Safe

  At Risk

  N/A

• IS UPHOLSTRY IN GOOD CONDITION?

  Yes

  No

  N/A

• ARE CABLES IN GOOD CONDITION?

  Yes

  No

  N/A

CHEST PRESS

• IS THE MACHINE CLEAN?

  Yes

  No

  N/A

• ANY FAULTS?

  Safe

  At Risk

  N/A

• IS UPHOLSTRY IN GOOD CONDITION?

  Yes

  No

  N/A

• ARE CABLES IN GOOD CONDITION?

  Yes

  No

  N/A

LAT PULLDOWN

• IS THE MACHINE CLEAN?

  Yes

  No

  N/A

• ANY FAULTS?

  Safe

  At Risk

  N/A

• IS UPHOLSTRY IN GOOD CONDITION?

  Yes

  No

  N/A

• ARE CABLES IN GOOD CONDITION?

  Yes

  No

  N/A

LEG PRESS

• IS THE MACHINE CLEAN?

  Yes

  No

  N/A

• ANY FAULTS?

  Safe

  At Risk

  N/A

• IS UPHOLSTRY IN GOOD CONDITION?

  Yes

  No

  N/A

• ARE CABLES IN GOOD CONDITION?

  Yes

  No

  N/A

LEG EXTENSION

• IS THE MACHINE CLEAN?

  Yes

  No

  N/A

• ANY FAULTS?

  Safe

  At Risk

  N/A

• IS UPHOLSTRY IN GOOD CONDITION?

  Yes

  No

  N/A

• ARE CABLES IN GOOD CONDITION?

  Yes

  No

  N/A

LEG CURL

• IS THE MACHINE CLEAN?

  Yes

  No

  N/A

• ANY FAULTS?

  Safe

  At Risk

  N/A

• IS UPHOLSTRY IN GOOD CONDITION?

  Yes

  No

  N/A

• ARE CABLES IN GOOD CONDITION?

  Yes

  No

  N/A

ADDUCTOR/ ABDUCTOR

• IS THE MACHINE CLEAN?

  Yes

  No

  N/A

• ANY FAULTS?

  Safe

  At Risk

  N/A

• IS UPHOLSTRY IN GOOD CONDITION?

  Yes

  No

  N/A

• ARE CABLES IN GOOD CONDITION?

  Yes

  No

  N/A

SQUAT RACK

• ARE ALL BOLTS TIGHT?

  Yes

  No

  N/A

• ANY FAULTS?

  Safe

  At Risk

  N/A

HIP THRUST (NAUTILUS)

• IS THE MACHINE CLEAN?

  Yes

  No

  N/A

• ANY FAULTS?

  Safe

  At Risk

  N/A

• IS UPHOLSTRY IN GOOD CONDITION?

  Yes

  No

  N/A

HIP THRUST BENCH

• IS THE MACHINE CLEAN?

  Yes

  No

  N/A

• ANY FAULTS?

  Safe

  At Risk

  N/A

• IS THE UPHOLSTRY IN GOOD CONDITION

  Safe

  At Risk

  N/A