YMCA TC Branch Inspection Safety Checklist

• Branch Name:

• Conducted on:

  Date

• Prepared by:

• Type of Inspection:

  Select Quarterly Inspection Internal Staff Annual Inspection External Staff

  • Quarterly Inspection Internal Staff
  • Annual Inspection External Staff
• Location:
  Address

ENTRY/LOBBY/MEMBERSHIP

• Entry rugs are maintained to prevent trip hazards, snow and salt buildup

  Safe

  At Risk

  N/A

• Coffee stations prevent dripping liquid onto the floor

  Safe

  At Risk

  N/A

• Coffee stations prevent children from accessing and getting burned

  Safe

  At Risk

  N/A

• Furniture is maintained and in good repair

  Safe

  At Risk

  N/A

• Holiday decorations are non-combustible and UL-listed

  Safe

  At Risk

  N/A

• A flashlight is located at the front desk, if power/light failure

  Safe

  At Risk

  N/A

• The Emergency Action Plan is posted for staff at the front desk

  Safe

  At Risk

  N/A

• Media policy and crisis team members are listed

  Safe

  At Risk

  N/A

• Mock emergencies are utilized to test the EAP

  Safe

  At Risk

  N/A

EXTERIOR

• Walking paths/sidewalks/crosswalks are clear of slip/trip hazards, clean and dry

  Safe

  At Risk

  N/A

• Stairs, steps, handrails and landings are in good condition

  Safe

  At Risk

  N/A

• Parking lot/sidewalks are cleared well and timely of snow/ice

  Safe

  At Risk

  N/A

• ADA parking stalls are cleared with good accessibility to facility

  Safe

  At Risk

  N/A

• Salt/Sand is placed near entry with shovel and salt/shovel log

  Safe

  At Risk

  N/A

• Snow cleared from all exterior emergency exits

  Safe

  At Risk

  N/A

• Downspouts are all diverting water away from walking surfaces

  Safe

  At Risk

  N/A

• Contracts are held for all snow removal

  Safe

  At Risk

  N/A

• Potholes/Cracks are patched/repaired appropriately and timely

  Safe

  At Risk

  N/A

• Outside lighting is adequate for safety

  Safe

  At Risk

  N/A

• Curbs are painted for elevation changes

  Safe

  At Risk

  N/A

• Appropriate camera placement on parking lots, playgrounds and other areas of safety concerns

  Safe

  At Risk

  N/A

EMERGENCY ACTION PLANS & FIRE PREVENTION

• First Aid kits are fully stocked and checked for expiration dates

  Safe

  At Risk

  N/A

• Emergency contact numbers (including crisis team members) are up to date and posted with emergency action plans

  Yes

  No

  N/A

• Branch emergency procedures posted in key locations (Gym, pool, fitness facilities, Kids Stuff, office, front desk, Youth rooms, etc.)

  Yes

  No

  N/A

• Branch evacuation maps are posted in key locations

  Yes

  No

  N/A

• Tornado shelter signs in place (NEW)

  Safe

  At Risk

  N/A

• Proper posting of fire evacuation plan in key locations

  Safe

  At Risk

  N/A

• Documented monthly safety drillls

  Yes

  No

  N/A

• AED's are testing and fully functioning

  Safe

  At Risk

  N/A

• Oxygen is stored appropriately with easy access and tested

  Safe

  At Risk

  N/A

• Pool safety system is working properly (red phone, emergency buttons, or walking talkies

  Safe

  At Risk

  N/A

• Proper posting of "do not use elevator in fire emergencies" near elevators (legible)

  Yes

  No

  N/A

• A smoke/heat detector is located near the furnace / boiler room(s)

  Yes

  No

  N/A

• Emergency audio and visual alarms are tested and can be seen and heard in all areas of the facility

  Yes

  No

  N/A

• Door panic hardware is working properly

  Yes

  No

  N/A

• Emergency Self-closing fire doors are working properly, and not propped open

  Yes

  No

  N/A

• Exit signs are appropriately placed and fully functioning

  Yes

  No

  N/A

• Emergency lighting is appropriately placed and fully functioning

  Safe

  At Risk

  N/A

• Emergency exits paths are clear of snow and other debris

  Safe

  At Risk

  N/A

• Flashlights are located in the office, front desk, locker rooms and other rooms that have no natural light

  Yes

  No

  N/A

FITNESS/CARDIO FLOORS

• Cardio machines are spaced to prevent walking between them

  Safe

  At Risk

  N/A

• Four feet behind treadmills is clear of equipment/walls/etc

  Safe

  At Risk

  N/A

• Cardio equipment cords are contained to prevent trip hazards in walkable spaces

  Safe

  At Risk

  N/A

• Emergency stop tethers are accessible at all required machines

  Safe

  At Risk

  N/A

• White mark/writing is visible on treadmill belts

  Safe

  At Risk

  N/A

• Appopriate signage is placed on malfunctioning equipment

  Safe

  At Risk

  N/A

• Age restriction/policy is clearly posted by entrances

  Safe

  At Risk

  N/A

• Fitness Center Rules and Policies are posted

  Safe

  At Risk

  N/A

• Weight storage racks are adequate and utilized appropriately

  Safe

  At Risk

  N/A

• Equipment (belts/bars/handles/bands) is stored appropriately

  Safe

  At Risk

  N/A

• Adequate disinfectant spray/wipes are located throughout floor

  Safe

  At Risk

  N/A

• Free weights are required to be secured when on bars, with locks

  Safe

  At Risk

  N/A

• Fitness Center staff coverage plan posted

  Safe

  At Risk

  N/A

• Monthly equipment maintenance and daily inspections required

  Safe

  At Risk

  N/A

• All members under 18 on fitness floor receive an orientation

  Safe

  At Risk

  N/A

• If members refuse an orientation - signed documentation and note in personify is maintained

  Yes

  No

  N/A

MECHANICAL/STORAGE ROOMS

• Mechanical and Storage rooms are locked at all times

  Yes

  No

  N/A

• Emergency eye-wash stations are installed near hazardous substances, are operational and inspected weekly

  Safe

  At Risk

  N/A

• Adequate PPE is available and in good working order for bodily fluid clean-up, eye protection, hearing and respiration

  Safe

  At Risk

  N/A

• Flammable chemicals stored in flamable storage cabinet when not in use

  Safe

  At Risk

  N/A

• Bio-hazard bags and a contract to remove bio-hazardous waste is in place

  Yes

  No

  N/A

• Service contract in place for the appropriate disposal of sharps

  Yes

  No

  N/A

• Storage is organized to prevent stacking/tipping/falling objects

  Safe

  At Risk

  N/A

• Walkways are maintained for safety and accessibility

  Safe

  At Risk

  N/A

• 36" is cleared around mechanical (heating, air, water heaters)

  Safe

  At Risk

  N/A

• 36" is cleared around electrical (transformers, electrical panels)

  Safe

  At Risk

  N/A

• Any electrical panels in public areas are locked and well maintained

  Safe

  At Risk

  N/A

• Roof access is clear/accessible/locked (unless used for programming)

  Safe

  At Risk

  N/A

• Engineers, Executive Director and Membership Director know where the following utility emergency shut-offs are:

  Select Propane /Natural Gas Water Electrical Sprinkler System (Valve is labeled)

  • Propane /Natural Gas
  • Water
  • Electrical
  • Sprinkler System (Valve is labeled)

• Extension cords are not used to power permanent equipment

  Safe

  At Risk

  N/A

• Machines that require protective guards have them in place

  Yes

  No

  N/A

• Chemicals properly lableled, including secondary containment

  Yes

  No

  N/A

• Flammable chemical, flashpoint <200F, in flammable storage

  Yes

  No

  N/A

• Where applicable, chemicals are secured to prevent access

  Safe

  At Risk

  N/A

• Pressurized cylinders are secured from falling

  Safe

  At Risk

  N/A

• Incompatible materials are stored away from each other (i.e. pool chemicals, oxygen, acetone, etc.)

  Safe

  At Risk

  N/A

• Sprinklers, Hydro testing completed per local fire codes & standards

  Safe

  At Risk

  N/A

• Fire Extinguishers visible, labeled, inspected annually, tag visible

  Safe

  At Risk

  N/A

• 18" clearance from all sprinkler heads

  Yes

  No

  N/A

• Certified contract for Fire Detection/Protection systems annually

  Yes

  No

  N/A

• Lock Out/Tag Out kits are avaiable and training completed

  Safe

  At Risk

  N/A

• Ladders and stepstools are in good working condition

  Safe

  At Risk

  N/A

• All tools are in good working condition/stored properly

  Safe

  At Risk

  N/A

• Broken tools are replaced as necessary

  Safe

  At Risk

  N/A

• Employees are not modifying tools or using them not as intended

  Safe

  At Risk

  N/A

• No evidence of electrical overheating, blown fuses, tripped circuit

  Safe

  At Risk

  N/A

• Licensed/contracted electrician used for all electrical work

  Safe

  At Risk

  N/A

• All lifts are stored in a safe location away from public areas

  Safe

  At Risk

  N/A

CHILDCARE

• There is a functioning check in/out process

  Yes

  No

  N/A

• Emergency door lock/open is fully functioning

  Yes

  No

  N/A

• Parents are contacted to assist with diapers/bathroom use

  Yes

  No

  N/A

• Bottle feeding does not take place

  Yes

  No

  N/A

• Signage is placed on walls to separate ages to indicate that no staff or parents should step over walls

  Yes

  No

  N/A

• Children are separated by appropriately skill/ability

  Yes

  No

  N/A

• Toys, equipment, layout is age appropriate

  Yes

  No

  N/A

• Cabinets/drawers that only staff accesses are locked

  Yes

  No

  N/A

• Tall, large, heavy objects are secured from falling or tip-over

  Yes

  No

  N/A

• Outlets/Electrical is adequately protected

  Yes

  No

  N/A

• Playground is fenced

  Yes

  No

  N/A

• Playground equipment is age appropriate/supervised

  Yes

  No

  N/A

• Training provided to prevent unsafe 1-1 interactions with children

  Yes

  No

  N/A

• Playground ground cover depth meets ground cover standard

  Yes

  No

  N/A

• Playground cover is safe and free from debris and sharp objects

  Yes

  No

  N/A

AQUATICS

• Lifeguard is in elevated chair or stationed around the pool

  Yes

  No

  N/A

• Guard can see the entire area scan zone, including pool bottom

  Yes

  No

  N/A

• Guard is alert, actively scanning every 10 seconds with no other personal, conversational or work activity

  Yes

  No

  N/A

• Rescue tube is in the guard's hand, strapped around chest

  Yes

  No

  N/A

• Deck is well maintained and free of clutter

  Yes

  No

  N/A

• Pool decks and locker rooms are appropriately cleaned to help avoid slipping

  Yes

  No

  N/A

• Lifepole or shephards crook in pool area with blunt ends and minimum fixed length of 12 feet

  Yes

  No

  N/A

• At least one throw device is available

  Yes

  No

  N/A

• Staffing is at proper Lifeguard ratio (1:25)

  Yes

  No

  N/A

• Proper postage of pool guidelines

  Yes

  No

  N/A

• No electrical devices are used on pool deck (no extension cords within 10 feet of water's edge or on the ground)

  Safe

  At Risk

  N/A

• Spineboard with 2 ties minimum, and head stabilizer is accessible

  Yes

  No

  N/A

• First aid kit is stocked, and readily accessible

  Yes

  No

  N/A

• Rescue/safety equipment in good repair and easily accessible

  Yes

  No

  N/A

• Oxygen is stored, per guidelines

  Yes

  No

  N/A

• Depth markings on pool and hot tub

  Yes

  No

  N/A

• No diving' signs appropriately placed and posted

  Yes

  No

  N/A

• Skimmer baskets in good repair and clean (outdoor only)

  Yes

  No

  N/A

• Water features are only open when adequately staffed

  Yes

  No

  N/A

• Water feature expectations are monitored by staff

  Yes

  No

  N/A

• Guards are enforcing all rules (observed)

  Yes

  No

  N/A

POOL MECHANICAL ROOM

• Corrosives are stored in a secured and labeled room

  Yes

  No

  N/A

• Pool Maintenance room is maintained appropriately (clean, orderly, no leaking pipes)

  Yes

  No

  N/A

• Pool chemical log documented 4 times daily and up to date

  Yes

  No

  N/A

• Metal fixtures/bolts are in good condition (not rusting)

  Yes

  No

  N/A

• Water chemical checks and addition of cheical is done by properly trained facility staff (engineers)

  Yes

  No

  N/A

• Certified pool operation on-site

  Yes

  No

  N/A

LOCKER ROOMS AND RESTROOMS

• Lockers and Benches are safe and in good repair

  Safe

  At Risk

  N/A

• Restrooms and lockerrooms are clean and floor is clear of trip hazards

  Safe

  At Risk

  N/A

• Cell phone/Electronics policy is posted

  Safe

  At Risk

  N/A

• Floor is appropriately cleaned and maintained to prevent slips/trips/water pooling

  Safe

  At Risk

  N/A

• Rugs/Floor mats are sanitized and maintained (if applicable)

  Safe

  At Risk

  N/A

• Sauna/Steam rooms have safety guidelines/expectations posted

  Safe

  At Risk

  N/A

• Sharps container and biohazard containers are available

  Safe

  At Risk

  N/A

• Routine checks are conducted through the locker rooms (see documentation standards)

  Safe

  At Risk

  N/A

• Routine checks are conducted through the sauna/steam rooms (see documentation standards

  Safe

  At Risk

  N/A

• Ground fault interruptors are used in all wet areas

  Safe

  At Risk

  N/A

• Step stools for children are sturdy and not broken

  Safe

  At Risk

  N/A

• Rugs or mate are maintained under drinking fountains

  Safe

  At Risk

  N/A

GROUP FITNESS STUDIOS

• Fitness studios are locked when not staffed

  Yes

  No

  N/A

• Studio fitness equipment is stored appropriately to prevent injuries

  Yes

  No

  N/A

• Cords are not creating trip hazards across walkways

  Yes

  No

  N/A

• Studio fitness equipment is inspected and replaced/repaired

  Yes

  No

  N/A

• Adequate disinfectant spray/wipes are located in studios

  Yes

  No

  N/A

• Appropriate ventilationair circulation is provided

  Yes

  No

  N/A

• Flooring is surfaced/maintained regularly to prevent slips/trips

  Safe

  At Risk

  N/A

COMMUNITY / YOUTH ROOMS

• Tables and chairs are maintained and replaced as needed

  Safe

  At Risk

  N/A

• Unsafe objects are kept out of reach of children

  Safe

  At Risk

  N/A

• Flooring/rugs are maintained to prevent trip hazards

  Safe

  At Risk

  N/A

• Rooms are supervised or open/unlocked with windows/cameras

  Safe

  At Risk

  N/A

• Housekeeping is maintained

  Safe

  At Risk

  N/A

• All equipment is maintained and fully functioning and clean

  Safe

  At Risk

  N/A

• Climbing walls are secured (if applicable)

  Safe

  At Risk

  N/A

HALLWAYS

• Step stools used for children are sturdy and maintained

  Safe

  At Risk

  N/A

• Rugs or housekeeping is maintained beneath drinking fountains

  Safe

  At Risk

  N/A

• Walking surfaces are clear of tripping hazards

  Safe

  At Risk

  N/A

• Rugs are cleaned and replaced when damaged

  Safe

  At Risk

  N/A

• "Do not use elevator in fire emergency" signs are posted/legible

  Yes

  No

  N/A

• Lighting in hallways is safe and adequate

  Safe

  At Risk

  N/A

• Manual fire alarm pull stations are visible and free of obstructions

  Safe

  At Risk

  N/A

• Alarm Devices seen and heard in all parts of building

  Safe

  At Risk

  N/A

• Exit signs illuminated and in working condition

  Safe

  At Risk

  N/A

• Exits clear of obstructions, with clear door swing and lighted signs

  Safe

  At Risk

  N/A

• Fire Extinguishers are posted throughout the building and labeled

  Safe

  At Risk

  N/A

• Floor surfaces are maintained to prevent trip hazards

  Safe

  At Risk

  N/A

GYM / TRACK

• Gym equipment is stored appropriately in a locked storage room

  Yes

  No

  N/A

• Additional features/ammenities in the gym are locked and secured

  Yes

  No

  N/A

• Ceiling equipment/lighting is maintained safely by contractor or lift

  Yes

  No

  N/A

• Lighting, Clocks, alarm equipment is protected by cages to avoid damage due to ball strikes

  Yes

  No

  N/A

• All users of personnel lifts are certified to operate the equipment

  Yes

  No

  N/A

• Accessing gym equipment in storage rooms is done by staff only

  Yes

  No

  N/A

OFFICES

• Exec Dir. And safety manager notified of all incidents

  Yes

  No

  N/A

• Incident Reports are completed by staff only

  Yes

  No

  N/A

• Workers compensation claim forms are submitted within 24 hours of incident

  Yes

  No

  N/A

• General Liability claim forms are completed in a timely manner for all medical and injuries to members

  Yes

  No

  N/A

• Reports are never given to members as it is an internal document

  Yes

  No

  N/A

• Safety Committee meets quarterly and discusses:

  Yes

  No

  N/A

• Incident review recent work comp and general liability claims

  Yes

  No

  N/A

• Incident review for all serious reoccuring injuries

  Yes

  No

  N/A

• Current events (seasonal weather, camps, special programs)

  Yes

  No

  N/A

• Paper cutters are secured when not in use

  Yes

  No

  N/A

• Surge protectors are in use for all computers and office equipment

  Yes

  No

  N/A

DOCUMENTATION

• Safety Data Sheets (SDS) Book is labeled and available to all employees for all hazardous substance (Include liquid chlorine, cleaning supplies, pool pellets and others)

  Yes

  No

  N/A

• All hazardous substances property labeled

  Yes

  No

  N/A

• Fire detection/protection systems and inspected and tested annually

  Yes

  No

  N/A

• Proper weekly eye wash inspection documentation for plumbed units (placard should be next to the eyewash station, initialed and dated). Free Standing Units should be inspected monthly to ensure proper levels are maintained and that change out schedule is being maintained.

  Safe

  At Risk

  N/A

• Proper pool cholrine and pH checks documentation (3 times/day)

  Yes

  No

  N/A

• Documented expiration dates on drain entrapments

  Yes

  No

  N/A

• Testing and inspection documentation for door panic hardware

  Yes

  No

  N/A

• Testing and inspection documentation for audio and visual alrams

  Yes

  No

  N/A

• Testing and inspection documentation for self-closing fire doors

  Yes

  No

  N/A

• Testing and inspection documentation for smoke/heat and other detection alarms

  Yes

  No

  N/A

• Testing and inspection documentation for emergency lighting

  Yes

  No

  N/A

• Testing and inspection of emergency audio and visual alarms

  Yes

  No

  N/A

• Testing and inspection of CO detector in boiler mechanical rooms

  Yes

  No

  N/A

• Testing and inspection documentation for boilers and HVAC systems

  Yes

  No

  N/A

• Testing and inspection annually of fire extinguisher (on tag attached to fire extinguisher)

  Yes

  No

  N/A

• Testing and inspection annually of Sprinkler systems

  Yes

  No

  N/A

• Elevator preventative maintenance/service documentation

  Yes

  No

  N/A

• Proper posting of pool safety guidelines (including no diving if applicable)

  Yes

  No

  N/A

• Proper posting of hot tub safety guidelines

  Yes

  No

  N/A

• Proper posting of sauna safety guidelines

  Yes

  No

  N/A

• Proper posting of cell phone/electronics posting in locker rooms

  Yes

  No

  N/A

• Proper posting of fitness center guidelines and policies (including age restrictions/policy posted by entrances)

  Yes

  No

  N/A

• Documentation of locker room routine checks (posted in locker rooms)

  Yes

  No

  N/A

• Documentation of sauna routine checks (posted outside sauna)

  Yes

  No

  N/A

• Documentation of monthly fitness equipment maintenance and daily inspections

  Yes

  No

  N/A

• Proper completion and posting of OSHA 300 log (2/1 - 4/30)

  Yes

  No

  N/A

• Workers Compensation incident reporting information posted

  Yes

  No

  N/A

• Hepititis B vaccination acceptance/declination forms for appropriate employees

  Yes

  No

  N/A

• Proper posting of MN workers compensation employee rights and responsibilities poster

  Yes

  No

  N/A

• Proper posting of MN employee "you are entitled to minimum wage" poster

  Yes

  No

  N/A

• Proper posting of the "know your rights prohibiting age discrimination poster

  Yes

  No

  N/A

• Proper posting of MN OSHA safety and health protection on the job information

  Yes

  No

  N/A

• Proper posting of Federal minimum wage, overtime pay and child labor laws

  Yes

  No

  N/A

• Proper postings of the "your rights under the fair labor standards act "- Federal

  Yes

  No

  N/A

• Proper posting of the employee polygraph protection act - Federal

  Yes

  No

  N/A

• Proper posting of the family medical leave act - Federal

  Yes

  No

  N/A

• Proper posting of the equal employment opportunity is the law poster

  Yes

  No

  N/A

• Proper posting on malfunctioning equipment

  Yes

  No

  N/A

Training For Appropriate Positions

• Proper lifting

  Yes

  No

  N/A

• Blood Borne pathogens (completed prior to exposure and annually)

  Yes

  No

  N/A

• Proper PPE usage prior to exposure and annually

  Yes

  No

  N/A

• Ladder Safety

  Yes

  No

  N/A

• Emergency Action Plan

  Yes

  No

  N/A

• Lock out/tag out

  Yes

  No

  N/A

• Machine guarding

  Yes

  No

  N/A

• Right to know training completion documented for appropriate employees. Should be done annually

  Yes

  No

  N/A

• Mandatory Monthly in-service trainings documentation

  Yes

  No

  N/A

• First Aid Certifications

  Yes

  No

  N/A

• AED training

  Yes

  No

  N/A

• CPR Certification

  Yes

  No

  N/A

• Appropriate use of oxygen training

  Yes

  No

  N/A

• Lifeguard certifications are up to date in personnel file

  Yes

  No

  N/A

• Child Abuse Prevention

  Yes

  No

  N/A

ARE CAMERAS POSITIONED IN THE FOLLOWING AREAS:

• Pool

  Yes

  No

  N/A

• Gym

  Yes

  No

  N/A

• Hallways with line of sight is obstructed

  Yes

  No

  N/A

• Stairways

  Yes

  No

  N/A

• Gym Track

  Yes

  No

  N/A

• ECLC Classrooms

  Yes

  No

  N/A

• Parking Lots

  Yes

  No

  N/A

• Playgrounds

  Yes

  No

  N/A

• Outdoor Water Facilities

  Yes

  No

  N/A

• Youth Rooms & Public usage rooms

  Yes

  No

  N/A

• Interior Play Structures

  Yes

  No

  N/A

• Kids Stuff

  Yes

  No

  N/A

• Fitness Floor

  Yes

  No

  N/A

GENERAL CONDITIONS

• Are walking surfaces clean, clear of debris, and dry?

  Safe

  At Risk

  N/A

• Are stairs, steps, handrails, and landings in good condition?

  Safe

  At Risk

  N/A

• Is area lighting adequate?

  Safe

  At Risk

  N/A

• Is general housekeeping acceptable and storage neat and orderly?

  Safe

  At Risk

  N/A

• Is furniture in a good state of repair?

  Safe

  At Risk

  N/A

• Additional Comments / Concerns: