SIMPLY GYM RESISTANCE MACHINES - BLANK

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

CHEST PRESS 1

• 1       Runs smoothly and doesn’t squeak (oil if needed)

  Yes

  No

  N/A

• 2        Can seat be adjusted safely

  Yes

  No

  N/A

• 3         Are all cables secure and not damaged/frayed

  Yes

  No

  N/A

• 4         Are all bolts and nuts tightened

  Yes

  No

  N/A

• 5 Condition of pads

  Good

  Fair

  Poor

  N/A

• 6 Rate equipment out of 5 1 = Out of order 3= OK 5 = Safe

CHEST PRESS 2 (LIFE FITNESS)

• 1       Runs smoothly and doesn’t squeak (oil if needed)

  Yes

  No

  N/A

• 2        Can seat be adjusted safely

  Yes

  No

  N/A

• 3         Are all cables secure and not damaged/frayed

  Yes

  No

  N/A

• 4         Are all bolts and nuts tightened

  Yes

  No

  N/A

• 5 Condition of pads

  Good

  Fair

  Poor

  N/A

• 6 Rate equipment out of 5 1 = Out of order 3= OK 5 = Safe

LAT PULLDOWN 1

• 1       Runs smoothly and doesn’t squeak (oil if needed)

  Yes

  No

  N/A

• 2        Can seat be adjusted safely

  Yes

  No

  N/A

• 3         Are all cables secure and not damaged/frayed

  Yes

  No

  N/A

• 4         Are all bolts and nuts tightened

  Yes

  No

  N/A

• 5 Condition of pads

  Good

  Fair

  Poor

  N/A

• 6 Rate equipment out of 5 1 = Out of order 3= OK 5 = Safe

LAT PULLDOWN 2 (LIFE FITNESS)

• 1       Runs smoothly and doesn’t squeak (oil if needed)

  Yes

  No

  N/A

• 2        Can seat be adjusted safely

  Yes

  No

  N/A

• 3         Are all cables secure and not damaged/frayed

  Yes

  No

  N/A

• 4         Are all bolts and nuts tightened

  Yes

  No

  N/A

• 5 Condition of pads

  Good

  Fair

  Poor

  N/A

• 6 Rate equipment out of 5 1 = Out of order 3= OK 5 = Safe

SEATED ROW 1

• 1       Runs smoothly and doesn’t squeak (oil if needed)

  Yes

  No

  N/A

• 2        Can seat be adjusted safely

  Yes

  No

  N/A

• 3         Are all cables secure and not damaged/frayed

  Yes

  No

  N/A

• 4         Are all bolts and nuts tightened

  Yes

  No

  N/A

• 5 Condition of pads

  Good

  Fair

  Poor

  N/A

• 6 Rate equipment out of 5 1 = Out of order 3= OK 5 = Safe

SEATED ROW 2 (LIFE FITNESS)

• 1       Runs smoothly and doesn’t squeak (oil if needed)

  Yes

  No

  N/A

• 2        Can seat be adjusted safely

  Yes

  No

  N/A

• 3         Are all cables secure and not damaged/frayed

  Yes

  No

  N/A

• 4         Are all bolts and nuts tightened

  Yes

  No

  N/A

• 5 Condition of pads

  Good

  Fair

  Poor

  N/A

• 6 Rate equipment out of 5 1 = Out of order 3= OK 5 = Safe

LAT RAISE

• 1       Runs smoothly and doesn’t squeak (oil if needed)

  Yes

  No

  N/A

• 2        Can seat be adjusted safely

  Yes

  No

  N/A

• 3         Are all cables secure and not damaged/frayed

  Yes

  No

  N/A

• 4         Are all bolts and nuts tightened

  Yes

  No

  N/A

• 5 Condition of pads

  Good

  Fair

  Poor

  N/A

• 6 Rate equipment out of 5 1 = Out of order 3= OK 5 = Safe

SHOULDER PRESS 1

• 1       Runs smoothly and doesn’t squeak (oil if needed)

  Yes

  No

  N/A

• 2        Can seat be adjusted safely

  Yes

  No

  N/A

• 3         Are all cables secure and not damaged/frayed

  Yes

  No

  N/A

• 4         Are all bolts and nuts tightened

  Yes

  No

  N/A

• 5 Condition of pads

  Good

  Fair

  Poor

  N/A

• 6 Rate equipment out of 5 1 = Out of order 3= OK 5 = Safe

SHOULDER PRESS 2 (LIFE FITNESS)

• 1       Runs smoothly and doesn’t squeak (oil if needed)

  Yes

  No

  N/A

• 2        Can seat be adjusted safely

  Yes

  No

  N/A

• 3         Are all cables secure and not damaged/frayed

  Yes

  No

  N/A

• 4         Are all bolts and nuts tightened

  Yes

  No

  N/A

• 5 Condition of pads

  Good

  Fair

  Poor

  N/A

• 6 Rate equipment out of 5 1 = Out of order 3= OK 5 = Safe

PEC DEC

• 1       Runs smoothly and doesn’t squeak (oil if needed)

  Yes

  No

  N/A

• 2        Can seat be adjusted safely

  Yes

  No

  N/A

• 3         Are all cables secure and not damaged/frayed

  Yes

  No

  N/A

• 4         Are all bolts and nuts tightened

  Yes

  No

  N/A

• 5 Condition of pads

  Good

  Fair

  Poor

  N/A

• 6 Rate equipment out of 5 1 = Out of order 3= OK 5 = Safe

PEC DEC NEW

• 1       Runs smoothly and doesn’t squeak (oil if needed)

  Yes

  No

  N/A

• 2        Can seat be adjusted safely

  Yes

  No

  N/A

• 3         Are all cables secure and not damaged/frayed

  Yes

  No

  N/A

• 4         Are all bolts and nuts tightened

  Yes

  No

  N/A

• 5 Condition of pads

  Good

  Fair

  Poor

  N/A

• 6 Rate equipment out of 5 1 = Out of order 3= OK 5 = Safe

ADDUCTOR/ ABDUCTOR

• 1       Runs smoothly and doesn’t squeak (oil if needed)

  Yes

  No

  N/A

• 2         Are all cables secure and not damaged/frayed

  Yes

  No

  N/A

• 3         Are all bolts and nuts tightened

  Yes

  No

  N/A

• 4 Condition of pads

  Good

  Fair

  Poor

  N/A

• 5 Rate equipment out of 5 1 = Out of order 3= OK 5 = Safe

LEG PRESS 1

• 1       Runs smoothly and doesn’t squeak (oil if needed)

  Yes

  No

  N/A

• 2        Can seat be adjusted safely

  Yes

  No

  N/A

• 3         Are all cables secure and not damaged/frayed

  Yes

  No

  N/A

• 4         Are all bolts and nuts tightened

  Yes

  No

  N/A

• 5 Condition of pads

  Good

  Fair

  Poor

  N/A

• 6 Rate equipment out of 5 1 = Out of order 3= OK 5 = Safe

LEG PRESS 2 (LIFE FITNESS)

• 1       Runs smoothly and doesn’t squeak (oil if needed)

  Yes

  No

  N/A

• 2        Can seat be adjusted safely

  Yes

  No

  N/A

• 3         Are all cables secure and not damaged/frayed

  Yes

  No

  N/A

• 4         Are all bolts and nuts tightened

  Yes

  No

  N/A

• 5 Condition of pads

  Good

  Fair

  Poor

  N/A

• 6 Rate equipment out of 5 1 = Out of order 3= OK 5 = Safe

LEG PRESS 3 (LIFE FITNESS - LEG AREA)

• 1       Runs smoothly and doesn’t squeak (oil if needed)

  Yes

  No

  N/A

• 2        Can seat be adjusted safely

  Yes

  No

  N/A

• 3         Are all cables secure and not damaged/frayed

  Yes

  No

  N/A

• 4         Are all bolts and nuts tightened

  Yes

  No

  N/A

• 5 Condition of pads

  Good

  Fair

  Poor

  N/A

• 6 Rate equipment out of 5 1 = Out of order 3= OK 5 = Safe

LEG EXTENSION 1

• 1       Runs smoothly and doesn’t squeak (oil if needed)

  Yes

  No

  N/A

• 2        Can seat be adjusted safely

  Yes

  No

  N/A

• 3         Are all cables secure and not damaged/frayed

  Yes

  No

  N/A

• 4         Are all bolts and nuts tightened

  Yes

  No

  N/A

• 5 Condition of pads

  Good

  Fair

  Poor

  N/A

• 6 Rate equipment out of 5 1 = Out of order 3= OK 5 = Safe

LEG EXTENSION 2 (LIFE FITNESS)

• 1       Runs smoothly and doesn’t squeak (oil if needed)

  Yes

  No

  N/A

• 2        Can seat be adjusted safely

  Yes

  No

  N/A

• 3         Are all cables secure and not damaged/frayed

  Yes

  No

  N/A

• 4         Are all bolts and nuts tightened

  Yes

  No

  N/A

• 5 Condition of pads

  Good

  Fair

  Poor

  N/A

• 6 Rate equipment out of 5 1 = Out of order 3= OK 5 = Safe

LEG CURL 1

• 1       Runs smoothly and doesn’t squeak (oil if needed)

  Yes

  No

  N/A

• 2        Can seat be adjusted safely

  Yes

  No

  N/A

• 3         Are all cables secure and not damaged/frayed

  Yes

  No

  N/A

• 4         Are all bolts and nuts tightened

  Yes

  No

  N/A

• 5 Condition of pads

  Good

  Fair

  Poor

  N/A

• 6 Rate equipment out of 5 1 = Out of order 3= OK 5 = Safe

LEG CURL 2 (LIFE FITNESS)

• 1       Runs smoothly and doesn’t squeak (oil if needed)

  Yes

  No

  N/A

• 2        Can seat be adjusted safely

  Yes

  No

  N/A

• 3         Are all cables secure and not damaged/frayed

  Yes

  No

  N/A

• 4         Are all bolts and nuts tightened

  Yes

  No

  N/A

• 5 Condition of pads

  Good

  Fair

  Poor

  N/A

• 6 Rate equipment out of 5 1 = Out of order 3= OK 5 = Safe

LYING LEG CURL

• 1       Runs smoothly and doesn’t squeak (oil if needed)

  Yes

  No

  N/A

• 2         Are all cables secure and not damaged/frayed

  Yes

  No

  N/A

• 3         Are all bolts and nuts tightened

  Yes

  No

  N/A

• 4 Condition of pads

  Good

  Fair

  Poor

  N/A

• 5 Rate equipment out of 5 1 = Out of order 3= OK 5 = Safe

ASSISTED PULL UP 1

• 1       Runs smoothly and doesn’t squeak (oil if needed)

  Yes

  No

  N/A

• 2         Are all cables secure and not damaged/frayed

  Yes

  No

  N/A

• 3         Are all bolts and nuts tightened

  Yes

  No

  N/A

• 4 Condition of pads

  Good

  Fair

  Poor

  N/A

• 5 Rate equipment out of 5 1 = Out of order 3= OK 5 = Safe

ASSISTED PULL UP 2 (LIFE FITNESS)

• 1       Runs smoothly and doesn’t squeak (oil if needed)

  Yes

  No

  N/A

• 2         Are all cables secure and not damaged/frayed

  Yes

  No

  N/A

• 3         Are all bolts and nuts tightened

  Yes

  No

  N/A

• 4 Condition of pads

  Good

  Fair

  Poor

  N/A

• 5 Rate equipment out of 5 1 = Out of order 3= OK 5 = Safe

GLUTE KICKBACK

• 1       Runs smoothly and doesn’t squeak (oil if needed)

  Yes

  No

  N/A

• 2         Are all cables secure and not damaged/frayed

  Yes

  No

  N/A

• 3         Are all bolts and nuts tightened

  Yes

  No

  N/A

• 4 Condition of pads

  Good

  Fair

  Poor

  N/A

• 5 Rate equipment out of 5 1 = Out of order 3= OK 5 = Safe

PREACHER CURL

• 1       Runs smoothly and doesn’t squeak (oil if needed)

  Yes

  No

  N/A

• 2        Can seat be adjusted safely

  Yes

  No

  N/A

• 3         Are all cables secure and not damaged/frayed

  Yes

  No

  N/A

• 4         Are all bolts and nuts tightened

  Yes

  No

  N/A

• 5 Condition of pads

  Good

  Fair

  Poor

  N/A

• 6 Rate equipment out of 5 1 = Out of order 3= OK 5 = Safe

TRICEP PRESS

• 1       Runs smoothly and doesn’t squeak (oil if needed)

  Yes

  No

  N/A

• 2        Can seat be adjusted safely

  Yes

  No

  N/A

• 3         Are all cables secure and not damaged/frayed

  Yes

  No

  N/A

• 4         Are all bolts and nuts tightened

  Yes

  No

  N/A

• 5 Condition of pads

  Good

  Fair

  Poor

  N/A

• 6 Rate equipment out of 5 1 = Out of order 3= OK 5 = Safe

AB CRUNCH

• 1       Runs smoothly and doesn’t squeak (oil if needed)

  Yes

  No

  N/A

• 2         Are all cables secure and not damaged/frayed

  Yes

  No

  N/A

• 3         Are all bolts and nuts tightened

  Yes

  No

  N/A

• 4 Condition of pads

  Good

  Fair

  Poor

  N/A

• 5 Rate equipment out of 5 1 = Out of order 3= OK 5 = Safe

LOWER BACK

• 1       Runs smoothly and doesn’t squeak (oil if needed)

  Yes

  No

  N/A

• 2         Are all cables secure and not damaged/frayed

  Yes

  No

  N/A

• 3         Are all bolts and nuts tightened

  Yes

  No

  N/A

• 4 Condition of pads

  Good

  Fair

  Poor

  N/A

• 5 Rate equipment out of 5 1 = Out of order 3= OK 5 = Safe

TORSO TWIST

• 1       Runs smoothly and doesn’t squeak (oil if needed)

  Yes

  No

  N/A

• 2         Are all cables secure and not damaged/frayed

  Yes

  No

  N/A

• 3         Are all bolts and nuts tightened

  Yes

  No

  N/A

• 4 Condition of pads

  Good

  Fair

  Poor

  N/A

• 5 Rate equipment out of 5 1 = Out of order 3= OK 5 = Safe

CALF PRESS

• 1       Runs smoothly and doesn’t squeak (oil if needed)

  Yes

  No

  N/A

• 2        Can seat be adjusted safely

  Yes

  No

  N/A

• 3         Are all cables secure and not damaged/frayed

  Yes

  No

  N/A

• 4         Are all bolts and nuts tightened

  Yes

  No

  N/A

• 5 Condition of pads

  Good

  Fair

  Poor

  N/A

• 6 Rate equipment out of 5 1 = Out of order 3= OK 5 = Safe

CABLE DAP (LEFT)

• 1       Runs smoothly and doesn’t squeak (oil if needed)

  Yes

  No

  N/A

• 2         Are all cables secure and not damaged/frayed

  Yes

  No

  N/A

• 3         Are all bolts and nuts tightened

  Yes

  No

  N/A

• 4 Rate equipment out of 5 1 = Out of order 3= OK 5 = Safe

CABLE DAP 2

• 1       Runs smoothly and doesn’t squeak (oil if needed)

  Yes

  No

  N/A

• 2         Are all cables secure and not damaged/frayed

  Yes

  No

  N/A

• 3         Are all bolts and nuts tightened

  Yes

  No

  N/A

• 4 Rate equipment out of 5 1 = Out of order 3= OK 5 = Safe

CABLE DAP 3

• 1       Runs smoothly and doesn’t squeak (oil if needed)

  Yes

  No

  N/A

• 2         Are all cables secure and not damaged/frayed

  Yes

  No

  N/A

• 3         Are all bolts and nuts tightened

  Yes

  No

  N/A

• 4 Rate equipment out of 5 1 = Out of order 3= OK 5 = Safe

CABLE DAP 4

• 1       Runs smoothly and doesn’t squeak (oil if needed)

  Yes

  No

  N/A

• 2         Are all cables secure and not damaged/frayed

  Yes

  No

  N/A

• 3         Are all bolts and nuts tightened

  Yes

  No

  N/A

• 4 Rate equipment out of 5 1 = Out of order 3= OK 5 = Safe

CABLE DAP 5 (RIGHT)

• 1       Runs smoothly and doesn’t squeak (oil if needed)

  Yes

  No

  N/A

• 2         Are all cables secure and not damaged/frayed

  Yes

  No

  N/A

• 3         Are all bolts and nuts tightened

  Yes

  No

  N/A

• 4 Rate equipment out of 5 1 = Out of order 3= OK 5 = Safe

8 STATION CABLE

• 1       Runs smoothly and doesn’t squeak (oil if needed)

  Yes

  No

  N/A

• 2         Are all cables secure and not damaged/frayed

  Yes

  No

  N/A

• 3         Are all bolts and nuts tightened

  Yes

  No

  N/A

• 4 Rate equipment out of 5 1 = Out of order 3= OK 5 = Safe