XS Fitness Equipment Inspection

• Site Location
  Address

• Conducted on

  Date

• Prepared by

Treadmills 1-6

• Is TM1 safe to use?

  Yes

  No

  N/A

• Is TM2 safe to use?

  Yes

  No

  N/A

• Is TM3 safe to use?

  Yes

  No

  N/A

• Is TM4 safe to use?

  Yes

  No

  N/A

• Is TM5 safe to use?

  Yes

  No

  N/A

• Is TM6 safe to use?

  Yes

  No

  N/A

• Do any treadmills show concerning signs of wear and tear?

  Yes

  No

  N/A

Rowers, Cross-Trainers & Stepper

• Is RM1 safe to use?

  Yes

  No

  N/A

• Is RM2 safe to use?

  Yes

  No

  N/A

• Is CT1 safe to use?

  Yes

  No

  N/A

• Is CT2 safe to use?

  Yes

  No

  N/A

• Is CT3 safe to use?

  Yes

  No

  N/A

• Is SM1 safe to use?

  Yes

  No

  N/A

• Does any of the above equipment show concerning signs of wear and tear?

  Yes

  No

  N/A

Bikes

• Is BK1 safe to use?

  Yes

  No

  N/A

• Is BK2 safe to use?

  Yes

  No

  N/A

• Is BK3 safe to use?

  Yes

  No

  N/A

• Is BK4 safe to use?

  Yes

  No

  N/A

• Is BK5 safe to use?

  Yes

  No

  N/A

• Is BK6 safe to use?

  Yes

  No

  N/A

• Is BK7 safe to use?

  Yes

  No

  N/A

• Do any bikes show concerning signs of wear and tear?

  Yes

  No

  N/A

• Is PL1 safe to use? (Shoulder Press)

  Yes

  No

  N/A

• Is PL2 safe to use? (Bicep Curl)

  Yes

  No

  N/A

• Is PL3 safe to use? (Flye)

  Yes

  No

  N/A

• Is PL4 safe to use? (Machine Row)

  Yes

  No

  N/A

• Is PL5 safe to use? (Chest Press)

  Yes

  No

  N/A

• Is PL6 safe to use? (Lat Pulldown)

  Yes

  No

  N/A

• Is PL7 safe to use? (Ab Crunch)

  Yes

  No

  N/A

• Is PL8 safe to use? (Standing Calf Raise)

  Yes

  No

  N/A

• Is PL9 safe to use? (Leg Press)

  Yes

  No

  N/A

• Is PL10 safe to use? (Leg Extension)

  Yes

  No

  N/A

• Is PL11 safe to use? (Leg Curl)

  Yes

  No

  N/A

• Is PL12 safe to use? (Abductor)

  Yes

  No

  N/A

• Is PL13 safe to use? (Assisted Chin Up/Dip)

  Yes

  No

  N/A

• Does any of the Pin Loaded Equipment show concerning signs of wear and tear?

  Yes

  No

  N/A

• Is WL1 safe to use? (Leg Press)

  Yes

  No

  N/A

• Is WL2 safe to use? (Single Arm Row)

  Yes

  No

  N/A

• Is WL3 safe to use? (Back Extension)

  Yes

  No

  N/A

• Is WL4 safe to use? (Hip Thurst)

  Yes

  No

  N/A

• Is WL5 safe to use? (Incline Bench Press)

  Yes

  No

  N/A

• Is WL6 safe to use? (Smith Machine 1)

  Yes

  No

  N/A

• Is WL7 safe to use? (Smith Machine 2)

  Yes

  No

  N/A

• Is WL8 safe to use? (Preacher Curl)

  Yes

  No

  N/A

• Is WL9 safe to use? (Bench Press 1)

  Yes

  No

  N/A

• Is WL10 safe to use? (Bench Press 2)

  Yes

  No

  N/A

• Is WL11 safe to use? (Chin Up/Dip Station)

  Yes

  No

  N/A

• Does any of the Weight Plate Loaded Equipment show concerning signs of wear and tear?

  Yes

  No

  N/A

• Is SR1 safe to use? (Squat Rack 1)

  Yes

  No

  N/A

• Is SR2 safe to use? (Squat Rack 2)

  Yes

  No

  N/A

• Is SR3 safe to use? (Squat Rack 3)

  Yes

  No

  N/A

• Is SR4 safe to use? (Squat Rack 4)

  Yes

  No

  N/A

• Is DLP1 safe to use? (Deadlift Platform)

  Yes

  No

  N/A

• Is SUDB1 safe to use? (Sit-Up Decline Bench)

  Yes

  No

  N/A

• Is AB1 safe to use? (Adjustable Bench 1)

  Yes

  No

  N/A

• Is AB2 safe to use? (Adjustable Bench 2)

  Yes

  No

  N/A

• Is AB3 safe to use? (Adjustable Bench 3)

  Yes

  No

  N/A

• Is AB4 safe to use? (Adjustable Bench 4)

  Yes

  No

  N/A

• Is AB5 safe to use? (Adjustable Bench 5)

  Yes

  No

  N/A

• Is FB1 safe to use? (Fixed Bench 1)

  Yes

  No

  N/A

• Is FB2 safe to use? (Fixed Bench 2)

  Yes

  No

  N/A

• Is OB1 safe to use? (Outside Bench 1)

  Yes

  No

  N/A

• Is OB2 safe to use? (Outside Bench 2)

  Yes

  No

  N/A

• Is CM1 safe to use? (Cable Machine 1)

  Yes

  No

  N/A

• Is CM2 safe to use? (Cable Machine 2)

  Yes

  No

  N/A

• Is CM3 safe to use? (Cable Machine 3)

  Yes

  No

  N/A

• Does any of the above Equipment show concerning signs of wear and tear?

  Yes

  No

  N/A

• Are the Fit Balls safe to use & in good condition?

  Yes

  No

  N/A

• Are the Yoga mats safe to use & in good condition?

  Yes

  No

  N/A

• Are the Weight Plates safe to use & in good condition?

  Yes

  No

  N/A

• Are the Dumbells safe to use & in good condition?

  Yes

  No

  N/A

• Are the Pre-Loaded Barbells safe to use & in good condition?

  Yes

  No

  N/A

• Are the Kettlebells safe to use & in good condition?

  Yes

  No

  N/A

• Are the Cable Attachments safe to use & in good condition?

  Yes

  No

  N/A

• Are the barbells safe to use & in good condition?

  Yes

  No

  N/A

• Are the Bands safe to use & in good condition?

  Yes

  No

  N/A

• Are the skipping ropes safe to use & in good condition?

  Yes

  No

  N/A

• Are the boxing bags safe to use & in good condition?

  Yes

  No

  N/A

• Are the Slam/Medicine Balls safe to use & in good condition?

  Yes

  No

  N/A

• Are the Steps safe to use & in good condition?

  Yes

  No

  N/A

• Are the Ab-Rollers safe to use & in good condition?

  Yes

  No

  N/A

• Are the Foam Rollers safe to use & in good condition?

  Yes

  No

  N/A

• Are the Dumbells safe to use & in good condition?

  Yes

  No

  N/A

• Are the Weight Plates safe to use & in good condition?

  Yes

  No

  N/A

• Is WL12 safe to use? (Outside T-Bar Row)

  Yes

  No

  N/A

• Is the Power Rack safe to use & in good condition?

  Yes

  No

  N/A

• Are the Speedball & Boxing Bag safe to use & in good condition?

  Yes

  No

  N/A

• Is the Sled safe to use & in good condition?

  Yes

  No

  N/A

• Are the Tyres safe to use & in good condition?

  Yes

  No

  N/A

• Are the Steps safe to use & in good condition?

  Yes

  No

  N/A

• Are the Slam/Medicine Balls safe to use & in good condition?

  Yes

  No

  N/A