TAC Wasilla worker safety

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Items noted during prior visit

• Hazard identified during prior inspection:

  Yes

  No

  N/A

• Status

  Safe

  At Risk

  N/A

• Hazard identified during prior inspection:

  Yes

  No

  N/A

• Status:

  Yes

  No

  N/A

• Other items

  Yes

  No

  N/A

Injuries at this location

• Recent injuries at this club:

  Yes

  No

  N/A

• Cause of injury addressed to prevent recurrence?

  Yes

  No

  N/A

• Other items

  Yes

  No

  N/A

Building exterior - ice housekeeping

• Sidewalk log filled out today?

  Yes

  No

  N/A

• Is the condition of the sidewalk adequate - e.g. If there's ice, is there gravel applied?

  Yes

  No

  N/A

• If parking lot is icy, is there gravel on the surface of customer and employee parking areas?

  Yes

  No

  N/A

• Any other parking lot/curb hazards?

  Safe

  At Risk

  N/A

• Other items

  Yes

  No

  N/A

Entryway

• Mats in good condition, not catching on door?

  Yes

  No

  N/A

• If winter: ice melt available, shovels in good shape?

  Yes

  No

  N/A

• Cart in good shape (guest shoe room) - check wheels

  Yes

  No

  N/A

• Fire safety: exit sign not expired(check tag), emergency light operates, fire extinguisher mounted/charged and service tagged within past year?

  Yes

  No

  N/A

• Other items

  Yes

  No

  N/A

Massage room

• Massage room free of hazards?

  Yes

  No

  N/A

Front desk

• Ergo stand mat for front desk worker?

  Yes

  No

  N/A

• Task Checklists up to date?

  Yes

  No

  N/A

• MSDS book and OSHA 300log available?

  Yes

  No

  N/A

• First aid kit and AED battery good?

  Yes

  No

  N/A

• Medcor phone number displayed?

  Yes

  No

  N/A

• Towel cart available and in good shape?

  Yes

  No

  N/A

• Other items

  Yes

  No

  N/A

Pro shop

• Pro shop free of hazards?

  Yes

  No

  N/A

Tanning rooms

• Electrical cords and outlets good shape?

  Yes

  No

  N/A

• Cleaning products available?

  Yes

  No

  N/A

• Other items?

  Yes

  No

  N/A

Restrooms near tanning rooms

• Restrooms free of hazards?

  Yes

  No

  N/A

Play center

• Electric outlets covered?

  Yes

  No

  N/A

• Free if child injury hazards

  Yes

  No

  N/A

• Fire safety: exit sign not expired(check tag), emergency light operates, fire extinguisher mounted/charged and service tagged within past year?

  Yes

  No

  N/A

Party room 1

• Outlets covered?

  Yes

  No

  N/A

• Free of child injury hazards?

  Yes

  No

  N/A

• Free of worker injury hazards?

  Yes

  No

  N/A

Party room 2

• Outlets covered?

  Yes

  No

  N/A

• Free of child injury hazards?

  Yes

  No

  N/A

• Free of worker injury hazards?

  Yes

  No

  N/A

• Sprinkler aux drain in closet- tagged within last year?

  Yes

  No

  N/A

Rock wall area

• Free of child injury hazards?

  Yes

  No

  N/A

• Free of worker injury hazards?

  Yes

  No

  N/A

Kid zone

• Free of child injury hazards?

  Yes

  No

  N/A

• Closet housekeeping adequate?

  Yes

  No

  N/A

• GM office housekeeping adequate?

  Yes

  No

  N/A

Membership office

• Workers happy with sit/stand workstations and configuration?

  Yes

  No

  N/A

• Other items

  Yes

  No

  N/A

Expressway

• Free of safety hazards?

  Yes

  No

  N/A

Cardio theater

• Equipment power strips and plugs undamaged?

  Yes

  No

  N/A

• Fire safety: exit sign not expired(check tag), emergency light operates, fire extinguisher mounted/charged and service tagged within past year?

  Yes

  No

  N/A

• Other items

  Yes

  No

  N/A

Main group fitness studio

• Gear/weights in good shape?

  Yes

  No

  N/A

• Other items

  Yes

  No

  N/A

Main weight room

• Fire safety: exit sign not expired(check tag), emergency light operates, fire extinguisher mounted/charged and service tagged within past year?

  Yes

  No

  N/A

• Other items

  Yes

  No

  N/A

Personal training studio

• Workout gear in good shape?

  Yes

  No

  N/A

• Office housekeeping adequate?

  Yes

  No

  N/A

• Other items

  Yes

  No

  N/A

Utility room at southwest corner of main weight room

• Housekeeping adequate and otherwise free of hazards?

  Yes

  No

  N/A

Locker rooms

• Tanning areas- electrical good, otherwise free of hazards?

  Yes

  No

  N/A

• Whirlpool control rooms

  Yes

  No

  N/A

• Electrical in good condition?

  Yes

  No

  N/A

• Small chemical bottles on shelves?

  Yes

  No

  N/A

• Housekeeping adequate?

  Yes

  No

  N/A

• Other items in locker room?

  Yes

  No

  N/A

Laundry room

• Electrical panels and outlets free of lint buildup?

  Yes

  No

  N/A

• Enough towel carts available and in good condition?

  Yes

  No

  N/A

• Other items

  Yes

  No

  N/A

Facilities shop off laundry room

• Housekeeping adequate?

  Yes

  No

  N/A

• PPE available- eyewear, hearing protection, other

  Yes

  No

  N/A

• Ladders in good contion?

  Yes

  No

  N/A

• Tools guarded and in good condition (electrical cords etc)

  Yes

  No

  N/A

• Other items

  Yes

  No

  N/A

Mech room off laundry room

• Housekeeping adequate?

  Yes

  No

  N/A

• Carts in good condition?

  Yes

  No

  N/A

• Other items

  Yes

  No

  N/A

Movie theater

• Fire safety: exit sign not expired(check tag), emergency light operates, fire extinguisher mounted/charged and service tagged within past year?

  Yes

  No

  N/A

Auxiliary group fitness studio

• Fitness equipment in good conditions?

  Yes

  No

  N/A

• Other items

  Yes

  No

  N/A

Family fitness studio

• Free of hazards?

  Yes

  No

  N/A

Group cycle

• Free of hazards?

  Yes

  No

  N/A

Camp room

• Housekeeping adequate - not packed with clutter?

  Safe

  At Risk

  N/A

• Tools and electrical cords in good shape?

  Yes

  No

  N/A

• PPE available: eyewear, hearing protection?

  Yes

  No

  N/A

• Ladders in good condition?

  Yes

  No

  N/A

Locker rooms to pool

• Cleaning supplies available, stored on shelves etc.

  Yes

  No

  N/A

• Towel cart available and in good shape?

  Yes

  No

  N/A

Pool

• Main pool deck free of hazards?

  Yes

  No

  N/A

Pool mechanical

• Housekeeping adequate- nothing stored on mechanical apparatus?

  Yes

  No

  N/A

Pool chemical room

• Pool chemical room in-wall ventilation fan operational (check)

  Yes

  No

  N/A

• Pool chemical room eyewash- confirm operational

  Yes

  No

  N/A

• Pool chemical room PPE available and in good shape: gauntlets, eyewear<br>

  Yes

  No

  N/A

• Acid and chlorine tablets well-separated (incompatible chemicals)

  Yes

  No

  N/A