TAC FLY Monthly Safety Walk

• Site conducted

  Select

• Document No.

• Audit Title

• Conducted on

  Date

• Prepared by

• Location
  Address

Employee Training

• First Aid/AED certified employees available to assist in an emergency?

  Yes

  No

• Explain correction to be made:

• Is there an updated contact list at the Member Support desk?

  Yes

  No

• Explain correction to be made:

• Is the MOD schedule posted and accessible by all staff?

  Yes

  No

• Explain correction to be made:

Ask 2 employees (other than front desk) where AED is located and what it is for.

• Employee #1 name:

• Employee #2 name:

• Were all employees able to locate and describe purpose of AED?

  Yes

  No

• Explain correction to be made:

SDS - Ask 3 employees from different departments what an SDS is and where the binder is located.

• Employee #1 name:

• Employee #2 name:

• Employee #3 name:

• Were all employees able to describe the purpose and location of the SDS?

  Yes

  No

• Explain correction to be made:

Incident Reports/Property Loss - Ask 3 employees from different departments the purposes and processes for filing an incident report.

• Employee #1 name:

• Employee #2 name:

• Employee #3 name:

• Were all employees able to describe the different report forms and the processes for submitting them?

  Yes

  No

• Explain correction to be made:

Emergency Procedures

Ask two staff members the where the emergency binder is, what its purpose is and what information it contains.

• Employee #1 Name:

• Employee #2 Name:

• Were both employees able to identify the purpose, content and location of the emergency binder?

  Yes

  No

• Explain correction to be made:

• Are the emergency procedures in a red binder at the member support desk?

  Yes

  No

• Explain correction to be made:

• Photo of red emergency procedures binder

  Media

Ask 3 employees what they would do in case of a fire, earth quake, or if the lights went out.

• Employee #1 name:

• Employee #2 name:

• Employee #3 name:

• Were all employees able to describe the proper procedures in case of these events?

  Yes

  No

• Explain correction to be made:

Ask two employees the hazards of two different chemicals.

• Employee #1 name:

• Two chemicals and their hazards:

• Employee #2 name:

• Two chemicals and their hazards:

• Were both employees able to identify the hazards of the chemicals?

  Yes

  No

• Explain correction to be made:

Biohazard - Ask two employees what the biohazard kit's purpose is and where it is located.

• Employee #1 Name:

• Employee #2 Name:

• Were all employees able to identify the purpose of the biohazard kit and its location?

  Yes

  No

• Explain correction to be made:

Fire

• Emergency exit signs identifiable and readily visible?

  Yes

  No

• Explain correction to be made:

• Emergency lights working?

  Yes

  No

• Explain correction to be made:

• Water shut off valves accessible?

  Yes

  No

• Explain correction to be made:

• Is there an 18" vertical clearance maintained from sprinkler heads?

  Yes

  No

• Explain correction to be made:

• Fire alarm pull stations and fire extinguishers visible and unobstructed?

  Yes

  No

• Explain correction to be made:

• Fire extinguishers checked monthly for green & signed off?

  Yes

  No

• Explain correction to be made:

• Photo of one signed off extinguisher

  Media

• Carbon monoxide detectors working?

  Yes

  No

• Explain correction to be made:

• Flammables stored in flammable lockers?

  Yes

  No

• Explain correction to be made:

Earthquake

• Bookcases, filing cabinets, shelves, racks, cages, storage cabinets, and similar items over four feet tall secured?

  Yes

  No

• Explain correction to be made:

• Large and heavy objects stored at waist level?

  Yes

  No

• Explain correction to be made:

• In case of power loss, are there working flashlights available in every department?

  Yes

  No

• Explain correction to be made:

Electrical

• Are electrical panels filled with breakers or metal blanks?

  Yes

  No

• Explain correction to be made:

• Are electrical panels unobstructed and easy to get to?

  Yes

  No

• Explain correction to be made:

• Photo of an Electrical Panel

  Media

• Is there a diagram explaining what all fuses are for?

  Yes

  No

• Explain correction to be made:

• Do all tools, equipment, vacuums, extension cords, etc. have electrical cords in good condition with no frays, with grounding plug attached?

  Yes

  No

• Explain correction to be made:

• Do all lights have effective coverings?

  Yes

  No

• Explain correction to be made:

Hazardous Materials

• Are all secondary containers properly labeled per GHS requirements?

  Yes

  No

• Explain correction to be made:

SDS

• Is the SDS current and accurate?

  Yes

  No

• Explain correction to be made:

Choose two different chemicals and confirm they have SDS sheets in the SDS.

• Chemical #1

  Media

• Chemical #1 SDS Sheet

  Media

• Chemical #2

  Media

• Chemical #2 SDS Sheet

  Media

• Did both chemicals have an SDS sheet in the SDS binder?

  Yes

  No

• Explain correction to be made:

Eye Wash Stations

• Do all chemical storage or chemical mixing areas have eye wash stations?

  Yes

  No

• Explain correction to be made:

• Do your eye wash stations contain saline solutions?

  Yes

  No

• Are the saline solutions expired?

  Yes

  No

• Explain correction to be made:

Respirator Staff

• Does your location require a respirator certified employee?

  Yes

  No

• Do you currently have a respirator certified employee?

  Yes

  No

• Picture of respirator certification.

  Media

• Does your certified employee have all proper equipment onsite?

  Yes

  No

• Explain correction to be made:

• Explain correction to be made:

• Does this location have a pool or hot tub WITH a pump room that mixes chemicals?

  Yes

  No

• Is there PPE available in the pump rooms? (Apron, masks, eye protection, gloves, Etc.)

  Yes

  No

• Explain correction to be made:

• Is there adequate PPE in chemicals mixing/storage areas?

  Yes

  No

• Explain correction to be made:

General Housekeeping

• Are all outlets free and clear of any broken off plugs?

  Yes

  No

• Are all outlets in good standing condition?

  Yes

  No

• Are all plugs on equipment and extension cables in good standing condition ?

  Yes

  No

Are the following areas/items free of hazards, clean and maintained?

• Storage Rooms?

  Safe

  At Risk

  N/A

• Explain correction to be made:

• Mechanical/Pump Rooms?

  Safe

  At Risk

  N/A

• Explain correction to be made:

• Maintenance Shops?

  Safe

  At Risk

  N/A

• Explain correction to be made:

• Building Exterior?

  Safe

  At Risk

• Explain correction to be made:

• Offices?

  Safe

  At Risk

  N/A

• Explain correction to be made:

• Pool decks?

  Safe

  At Risk

  N/A

• Explain correction to be made:

• Water heaters/Boilers/Steamers/Etc.

  Safe

  At Risk

  N/A

• Explain correction to be made:

• Cardio/weight room floors clear of trip hazards (carpet strands, threshold joiners, Etc)

  Safe

  At Risk

• Explain correction to be made:

• Outlet covers

  Safe

  At Risk

• Explain correction to be made:

• HVAC Systems/Active Pure systems

  Safe

  At Risk

  N/A

• Explain correction to be made:

• HEPA filters

  Safe

  At Risk

  N/A

• Explain correction to be made:

• Guards on tools

  Safe

  At Risk

  N/A

• Explain correction to be made:

• Riser rooms

  Safe

  At Risk

  N/A

• Explain correction to be made:

• Laundry rooms/lint traps free of excess lint?

  Safe

  At Risk

  N/A

• Explain correction to be made:

• Fitness equipment

  Safe

  At Risk

• Explain correction to be made:

AED

• AED condition:

  Good

  Bad

• Are the shock pads expired?

  Yes

  No

• Battery condition:

  Good

  Bad

• Emergency/First Aid Kit Updated?

  Yes

  No

• Is the Emergency Procedure Red Binder Updated?

  Yes

  No

• Explain correction to be made:

• Is the biohazard kit complete and updated?

  Yes

  No

• Explain correction to be made:

After Hours

Security system

• Test your security system and all panic buttons if present, record the date of test and company name.

• Do all screamers on doors work?

  Yes

  No

• Are all security motion sensors/door alarms operational?

  Yes

  No

• Explain correction to be made:

• Are there any current issues with your security system that require bypassing?

  Yes

  No

• Explain correction to be made:

• Does this location have 24-hour access?

  Yes

  No

• Is there contact information posted for members in case of emergency?

  Yes

  No

• Explain correction to be made:

• Are all panic necklace alarms operational?

  Yes

  No

• Explain correction to be made:

• Do all mag locks/doors unlock and lock as required?

  Yes

  No

• Explain correction to be made:

• Is all signage up to date and relevant in 24-hour access?

  Yes

  No

• Explain correction to be made:

Camera Systems

• Are all cameras recording?

  Yes

  No

• Explain correction to be made:

• Does the camera system have the ability to save videos?

  Yes

  No

• Explain correction to be made:

• Are all cameras working properly?

  Yes

  No

• Explain correction to be made:

FLY

Ninja Course

• Are all ropes in good standing condition?

  Yes

  No

• Are all hangers in good standing condition?

  Yes

  No

• Are all wood obstacles secured properly?

  Yes

  No

• Are all bolts tight and secure?

  Yes

  No

• Is the safety net free and clear of any rips or tears?

  Yes

  No

General

• Are all trampolines in good standing condition?

  Yes

  No

• Are all springs on trampoline checked daily?

  Yes

  No

• Are basketball hoop lift motors working properly?

  Yes

  No

• Is the laser maze free and clear of hazards?

  Yes

  No

• Does the smoke machine show signs of overheating?

  Yes

  No

• Is the park free and clear of any trip hazards?

  Yes

  No