Walsall gym checksheet

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Is xtrainer 1 ( DE583U16000624 ) all working correctly?

  Safe

  At risk. Small issue reported which will not affect safety of member.

  No out of order

• Is xtrainer 2 ( DE583U16000623) all working correctly?

  Safe

  At risk. Small issue reported which will not affect safety of member.

  No out of order

• Is xtrainer 3 ( DE583U16000622 ) all working correctly?

  Safe

  At risk. Small issue reported which will not affect safety of member.

  No out of order

• Is xtrainer 4 ( DE583U16000616 ) all working correctly?

  Safe

  At risk. Small issue reported which will not affect safety of member.

  No out of order

• Is xtrainer 5 ( DE583U160006747 ) all working correctly?

  Safe

  At risk. Small issue reported which will not affect safety of member.

  No out of order

• Is xtrainer 6 ( DE583U160006741 ) all working correctly?

  Safe

  At risk. Small issue reported which will not affect safety of member.

  No out of order

• Is xtrainer 7 ( DE583U160006742 ) all working correctly?

  Safe

  At risk. Small issue reported which will not affect safety of member.

  No out of order

• Is xtrainer 8 ( DE583U160006745 ) all working correctly?

  Safe

  At risk. Small issue reported which will not affect safety of member.

  No out of order

• Is xtrainer 9 ( DE583U160006743 ) all working correctly?

  Safe

  At risk. Small issue reported which will not affect safety of member.

  No out of order

• Is xtrainer 10 ( DE583U160006740 ) all working correctly?

  Safe

  At risk. Small issue reported which will not affect safety of member.

  No out of order

• Is xtrainer 11 ( DE583U160006571 ) all working correctly?

  Safe

  At risk. Small issue reported which will not affect safety of member.

  No out of order

• Is treadmill 1 DEK8EU16000920 all working correctly?

  Safe

  At risk. Small issue reported which will not affect safety of member.

  No out of order

• Is treadmill 2 DEK8EU16000950 all working correctly?

  Safe

  At risk. Small issue reported which will not affect safety of member.

  No out of order

• Is treadmill 3 DEK8EU16000956 all working correctly?

  Safe

  At risk. Small issue reported which will not affect safety of member.

  No out of order

• Is treadmill 4 DEK8EU16000956 all working correctly?

  Safe

  At risk. Small issue reported which will not affect safety of member.

  No out of order

• Is treadmill 5 DEK8EU16000951 all working correctly?

  Safe

  At risk. Small issue reported which will not affect safety of member.

  No out of order

• Is treadmill 6 DEK8EU16000955 all working correctly?

  Safe

  At risk. Small issue reported which will not affect safety of member.

  No out of order

• Is treadmill 7 DEK8EU16000953 all working correctly?

  Safe

  At risk. Small issue reported which will not affect safety of member.

  No out of order

• Is treadmill 8 DEK8EU16000952 all working correctly?

  Safe

  At risk. Small issue reported which will not affect safety of member.

  No out of order

• Is treadmill 9 DEK8EU16000924 all working correctly?

  Safe

  At risk. Small issue reported which will not affect safety of member.

  No out of order

• Is treadmill 10 DEK8EU16000954 all working correctly?

  Safe

  At risk. Small issue reported which will not affect safety of member.

  No out of order

• Is treadmill 11 DEK8EU16000983 all working correctly?

  Safe

  At risk. Small issue reported which will not affect safety of member.

  No out of order

• Is treadmill 12 DEK8EU16000989 all working correctly?

  Safe

  At risk. Small issue reported which will not affect safety of member.

  No out of order

• Is treadmill 13 DEK8EU16000978 all working correctly?

  Safe

  At risk. Small issue reported which will not affect safety of member.

  No out of order

• Is treadmill 14 DEK8EU16000977 all working correctly?

  Safe

  At risk. Small issue reported which will not affect safety of member.

  No out of order

• Is treadmill 15 DEK8EU16000982 all working correctly?

  Safe

  At risk. Small issue reported which will not affect safety of member.

  No out of order

• Is stair master SM5250L16230176 working correctly? Check emergency stop.

  Safe

  At risk. Small issue reported which will not affect safety of member.

  No out of order

• Is stair master SM5250L16230166 working correctly? Check emergency stop.

  Safe

  At risk. Small issue reported which will not affect safety of member.

  No out of order

• Is recline bike DED83U16000362 working correctly?

  Safe

  At risk. Small issue reported which will not affect safety of member.

  No out of order

• Is recline bike DED83U16000238 working correctly?

  Safe

  At risk. Small issue reported which will not affect safety of member.

  No out of order

• Is recline bike DED83U16000240 working correctly?

  Safe

  At risk. Small issue reported which will not affect safety of member.

  No out of order

• Is Bike 1000 DEC83U16000531 working correctly?

  Safe

  At risk. Small issue reported which will not affect safety of member.

  No out of order

• Is Bike 1000 DEC83U16000469 working correctly?

  Safe

  At risk. Small issue reported which will not affect safety of member.

  No out of order

• Is Bike 1000 DEC83U16000463 working correctly?

  Safe

  At risk. Small issue reported which will not affect safety of member.

  No out of order

• Is Bike 1000 DEC83U16000541 working correctly?

  Safe

  At risk. Small issue reported which will not affect safety of member.

  No out of order

• Is vario 1000 DEDF83U16000379 working correctly?

  Safe

  At risk. Small issue reported which will not affect safety of member.

  No out of order

• Is vario 1000 DEDF83U16000378 working correctly?

  Safe

  At risk. Small issue reported which will not affect safety of member.

  No out of order

• Is vario 1000 DEDF83U16000392 working correctly?

  Safe

  At risk. Small issue reported which will not affect safety of member.

  No out of order

• Is vario 1000 DEDF83U16000375 working correctly?

  Safe

  At risk. Small issue reported which will not affect safety of member.

  No out of order

• Is the zero runner 1 working correctly? Are all parts moving smoothly?

  Safe

  At risk. Small issue reported which will not affect safety of member.

  No out of order

• Is the zero runner 2 working correctly? Are all parts moving smoothly?

  Safe

  At risk. Small issue reported which will not affect safety of member.

  No out of order

• Is the Octane L1512FA06815-01 working correctly? Are the foot plates clean and all parts moving smoothly?

  Yes

  No

  N/A

• Is the Octane L1512FA06815-02 working correctly? Are the foot plates clean and all parts moving smoothly?

  Yes

  No

  N/A

• Is Top XT DE783U16000102 working correctly?

  Safe

  At risk. Small issue reported which will not affect safety of member.

  No out of order

• Is xtrainer 12 ( DE583U160006746 ) all working correctly?

  Safe

  At risk. Small issue reported which will not affect safety of member.

  No out of order

• Is xtrainer 13 ( DE583U16000744 ) all working correctly?

  Safe

  At risk. Small issue reported which will not affect safety of member.

  No out of order

• Is xtrainer 14 ( DE583U16000615 ) all working correctly?

  Safe

  At risk. Small issue reported which will not affect safety of member.

  No out of order

• Is xtrainer 15 ( DE583U16000573 ) all working correctly?

  Safe

  At risk. Small issue reported which will not affect safety of member.

  No out of order

• Is rower 1 working correctly and smooth through the entire movement?

  Safe

  At risk. Small issue reported which will not affect safety of member.

  No out of order

• Is rower 2 working correctly and smooth through the entire movement?

  Safe

  At risk. Small issue reported which will not affect safety of member.

  No out of order

• Is rower 3 working correctly and smooth through the entire movement?

  Safe

  At risk. Small issue reported which will not affect safety of member.

  No out of order

• Is rower 4 working correctly and smooth through the entire movement?

  Safe

  At risk. Small issue reported which will not affect safety of member.

  No out of order

• Is watt bike 26504 working correctly? Is the screen fully charged?

  Yes

  No

  N/A

• Is watt bike 26273 working correctly? Is the screen fully charged?

  Yes

  No

  N/A

• Is skill mill DJK03016001755 working correctly? Check resistance and tread for defects.

  Safe

  At risk. Small issue reported which will not affect safety of member.

  No out of order

• Is skill mill DJK03016001747 working correctly? Check resistance and tread for defects.

  Safe

  At risk. Small issue reported which will not affect safety of member.

  No out of order

• Is powerplate working correctly? Check bottom plate is level and vibration is ok.

  Yes

  No

  N/A

Resistance machines

• Is the leg curl working correctly? Check for smooth movement of moving parts.

  Good working order

  No. Out of order signed placed and fault reported to TL

• Is the leg extension working correctly? Check for smooth movement of moving parts.

  Good working order

  No. Out of order signed placed and fault reported to TL

• Is the adductor working correctly? Check for smooth movement of moving parts.

  Good working order

  No. Out of order signed placed and fault reported to TL

• Is the abductor working correctly? Check for smooth movement of moving parts.

  Good working order

  No. Out of order signed placed and fault reported to TL

• Is the leg press working correctly? Check for smooth movement of moving parts.

  Good working order

  No. Out of order signed placed and fault reported to TL

• Is the upper back working correctly? Check for smooth movement of moving parts.

  Good working order

  No. Out of order signed placed and fault reported to TL

• Is the pec machine working correctly? Check for smooth movement of moving parts.

  Good working order

  No. Out of order signed placed and fault reported to TL

• Is the chest press working correctly? Check for smooth movement of moving parts.

  Good working order

  No. Out of order signed placed and fault reported to TL

• Is the total abdominal working correctly? Check for smooth movement of moving parts.

  Good working order

  No. Out of order signed placed and fault reported to TL

• Is the shoulder press working correctly? Check for smooth movement of moving parts.

  Good working order

  No. Out of order signed placed and fault reported to TL

• Is lat pull down 1 working correctly? Check for smooth movement of moving parts.

  Good working order

  No. Out of order signed placed and fault reported to TL

• Is lat pull down 2 working correctly? Check for smooth movement of moving parts.

  Good working order

  No. Out of order signed placed and fault reported to TL

• Is the cable crossover working correctly? Check for smooth movement of moving parts.

  Good working order

  No. Out of order signed placed and fault reported to TL

• Is the DAP working correctly? Check for smooth movement of moving parts.

  Good working order

  No. Out of order signed placed and fault reported to TL

• Is the Low pulley working correctly? Check for smooth movement of moving parts.

  Good working order

  No. Out of order signed placed and fault reported to TL

• Is the Assisted chin dip working correctly? Check for smooth movement of moving parts.

  Good working order

  No. Out of order signed placed and fault reported to TL

• Is the pure strength leg press working correctly? Check for smooth movement of moving parts.

  Good working order

  No. Out of order signed placed and fault reported to TL

• Is the ercolina rehab working correctly? Check for smooth movement of moving parts.

  Good working order

  No. Out of order signed placed and fault reported to TL

Free weight/strength equipment

• Are all the components of the flat bench fixed tightly? Is the upholstery clean and without rips?

  Yes

  No

  N/A

• Are all the components of the incline bench fixed tightly? Is the upholstery clean and without rips?

  Yes

  No

  N/A

• Are all the components of the preacher curl fixed tightly? Is the upholstery clean and without rips?

  Yes

  No

  N/A

• Is squat rack and Olympic platform free of any defects? Check pins and platform.

  Yes

  No

  N/A

• Is squat rack 2 free of any defects? Check pins.

  Yes

  No

  N/A

• Is the leg raise/dip free from defects? Check handles and back support.

  Yes

  No

  N/A

• Is the smith machine working correctly? Check for smooth movement of the bar.

  Yes

  No

  N/A

• Is free bench 1 working correctly. Check all moving parts and lock mechanism.

  Good working order

  No. Removed from gym and reported.

• Is free bench 2 working correctly. Check all moving parts and lock mechanism.

  Good working order

  No. Removed from gym and reported.

• Is free bench 3 working correctly. Check all moving parts and lock mechanism.

  Good working order

  No. Removed from gym and reported.

• Is free bench 4 working correctly. Check all moving parts and lock mechanism.

  Good working order

  No. Removed from gym and reported.

• Is free bench 5 working correctly. Check all moving parts and lock mechanism.

  Good working order

  No. Removed from gym and reported.

• Is free bench 6 working correctly. Check all moving parts and lock mechanism.

  Good working order

  No. Removed from gym and reported.

• Is free bench 7 working correctly. Check all moving parts and lock mechanism.

  Good working order

  No. Removed from gym and reported.

Check dumbbells for defects and loose ends

• 2.5kg set

  Good working order

  No. Removed from gym and reported.

• 3kg set

  Good working order

  No. Removed from gym and reported.

• 4kg set

  Good working order

  No. Removed from gym and reported.

• 5kg set

  Good working order

  No. Removed from gym and reported.

• 6kg set

  Good working order

  No. Removed from gym and reported.

• 7kg set

  Good working order

  No. Removed from gym and reported.

• 8kg set

  Good working order

  No. Removed from gym and reported.

• 9kg set

  Good working order

  No. Removed from gym and reported.

• 10kg set

  Good working order

  No. Removed from gym and reported.

• 12.5kg set

  Good working order

  No. Removed from gym and reported.

• 15kg set

  Good working order

  No. Removed from gym and reported.

• 17.5kg set

  Good working order

  No. Removed from gym and reported.

• 20kg set

  Good working order

  No. Removed from gym and reported.

• 22.5kg set

  Good working order

  No. Removed from gym and reported.

• 25kg set

  Good working order

  No. Removed from gym and reported.

• 27.5kg set

  Good working order

  No. Removed from gym and reported.

• 30kg set

  Good working order

  No. Removed from gym and reported.

• 32.5kg set

  Good working order

  No. Removed from gym and reported.

• 35kg set

  Good working order

  No. Removed from gym and reported.

• 37.5kg set

  Good working order

  No. Removed from gym and reported.

• 40kg set

  Good working order

  No. Removed from gym and reported.

• 42.5kg set

  Good working order

  No. Removed from gym and reported.

• 45kg set

  Good working order

  No. Removed from gym and reported.

• 47.5kg set

  Good working order

  No. Removed from gym and reported.

• 50kg set

  Good working order

  No. Removed from gym and reported.

• 2.5kg set

  Good working order

  No. Removed from gym and reported.

• 3kg set

  Good working order

  No. Removed from gym and reported.

• 4kg set

  Good working order

  No. Removed from gym and reported.

• 5kg set

  Good working order

  No. Removed from gym and reported.

• 6kg set

  Good working order

  No. Removed from gym and reported.

• 7kg set

  Good working order

  No. Removed from gym and reported.

• 8kg set

  Good working order

  No. Removed from gym and reported.

• 9kg set

  Good working order

  No. Removed from gym and reported.

• 10kg set

  Good working order

  No. Removed from gym and reported.

• 12.5kg set

  Good working order

  No. Removed from gym and reported.

• 15kg set

  Good working order

  No. Removed from gym and reported.

• 17.5kg set

  Good working order

  No. Removed from gym and reported.

• 20kg set

  Good working order

  No. Removed from gym and reported.

• 22.5kg set

  Good working order

  No. Removed from gym and reported.

• 25kg set

  Good working order

  No. Removed from gym and reported.

• 27.5kg set

  Good working order

  No. Removed from gym and reported.

• 30kg set

  Good working order

  No. Removed from gym and reported.

• 32.5kg set

  Good working order

  No. Removed from gym and reported.

• 35kg set

  Good working order

  No. Removed from gym and reported.

• 37.5kg set

  Good working order

  No. Removed from gym and reported.

• 40kg set

  Good working order

  No. Removed from gym and reported.

• 42.5kg set

  Good working order

  No. Removed from gym and reported.

• 45kg set

  Good working order

  No. Removed from gym and reported.

• 47.5kg set

  Good working order

  No. Removed from gym and reported.

• 50kg set

  Good working order

  No. Removed from gym and reported.

Check all weight plates for defects. Check all bars for defects and rolling collars.

• Are all weight plates in good working order?

  Yes

  No

  N/A

• Are all bars in good working order?

  Yes

  No

  N/A

• If not, take a photo of broken bar or plate, report to TL on shift and remove from gym.

  Media

Apex kit

• 1 RMT club. Is it in good working condition?

  Good working order

  No. Removed from gym and reported.

• 1 RMT club. Is it in good working condition?

  Good working order

  No. Removed from gym and reported.

• Speed ladder

  Good working order

  No. Removed from gym and reported.

• 1 surge

  Good working order

  No. Removed from gym and reported.

• 1 surge

  Good working order

  No. Removed from gym and reported.

• 1 elasticated battle ropes

  Good working order

  No. Removed from gym and reported.

• 1 elasticated battle ropes

  Safe

  At Risk

  N/A

• 5 grid foam rollers

  Good working order

  No. Removed from gym and reported.

• 7 foam rollers <br>

  Good working order

  No. Removed from gym and reported.

• 2 free form

  Good working order

  No. Removed from gym and reported.

• 1 bosu fit ball

  Good working order

  No. Removed from gym and reported.

• 2 trigger point balls

  Good working order

  No. Removed from gym and reported.

• 1 1kg ball green

  Good working order

  No. Removed from gym and reported.

• 1 1.5kg ball blue

  Good working order

  No. Removed from gym and reported.

• 1 sand ball 1kg

  Good working order

  No. Removed from gym and reported.

• 1 sand ball 2kg

  Good working order

  No. Removed from gym and reported.

• 2 Pilates rings

  Good working order

  No. Removed from gym and reported.

• If damaged or dangerous take a picture and remove out of gym if necessary

  Media

• Have any issues been reported to the team leader on shift

  Yes

  No

  N/A

Functional kit. Check all pieces of equipment taking photos and removing any items broken or not up to standard.

• Kettle bells check there is the following ; 4, 6, 8, 8, 12, 12, 16, 16, 20, 24, 24. Are all in good working condition?

  Good working order

  No. Removed from gym and reported.

• Slam balls check there is the following ; 3, 5, 7, 9 ,12. Are all in good working condition?

  Good working order

  No. Removed from gym and reported.

• Med balls check there is the following ; 2, 3, 4, 5. Are all in good working condition?

  Good working order

  No. Removed from gym and reported.

• Med balls with handle check there is the following ; 5, 6, 8, 10. Are all in good working condition?

  Good working order

  No. Removed from gym and reported.

• Power bags check there is the following and they haven't popped; 5, 10, 15, 20, 25

  Good working order

  No. Removed from gym and reported.

• TRX. Check moving parts are ok and anchor point safe and secure.

  Good working order

  No. Removed from gym and reported.

• Vipr check there is the following ; 4, 6, 8, 10, 12, 16 20. Are all in good working condition?<br>

  Good working order

  No. Removed from gym and reported.

• Chrome dumbbells check there is the following ; 1's, 2's, 3's, 4's, 5's, 6's, 7's, 8's, 9's, 10's. Are all in good working condition?

  Good working order

  No. Removed from gym and reported.

• Kamagon ball. Is it in good working condition with no leaks?

  Good working order

  No. Removed from gym and reported.

• Kamagon ball. Is it in good working condition with no leaks?

  Good working order

  No. Removed from gym and reported.

• Fit balls are all blown up

  Good working order

  No. Removed from gym and reported.

• Take pictures of any damaged kit and remove out of gym if necessary

  Media

• Has any damaged kit been reported to the TL on shift?

  Yes

  No

  N/A

• Add signature

  Sign