Information
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Frontline / Reception Back Office / Emergency Preparedness
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Prepared by Frontline Coordinator
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Conducted on
Health Club
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Floor is clean and free from slip hazards
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Action Required
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Responsible Person
- Sam Secombe
- Michelle Petrass
- Nathan Costin
- Wayne Brooker
- Naomi Spruzen
- Wendy Bowman
- Sarah Jeffrey
- Eliza Daniel
- Richard Burn
- Andrea Rivero
- Joe Costa
- Chris Maggio
- Mitchell Preshaw
- Tim Stone
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Due Date
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Lighting is adequate and all lights operational
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Action Required
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Responsible Person
- Sam Secombe
- Michelle Petrass
- Nathan Costin
- Wayne Brooker
- Naomi Spruzen
- Wendy Bowman
- Sarah Jeffrey
- Eliza Daniel
- Richard Burn
- Andrea Rivero
- Joe Costa
- Chris Maggio
- Mitchell Preshaw
- Tim Stone
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Due Date
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Visually inspect the equipment for wear and any defects
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Action Required
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Responsible Person
- Sam Secombe
- Michelle Petrass
- Nathan Costin
- Wayne Brooker
- Naomi Spruzen
- Wendy Bowman
- Sarah Jeffrey
- Eliza Daniel
- Richard Burn
- Andrea Rivero
- Joe Costa
- Chris Maggio
- Mitchell Preshaw
- Tim Stone
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Due Date
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Plates, dumbbells and barbells stored correctly
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Action Required
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Responsible Person
- Sam Secombe
- Michelle Petrass
- Nathan Costin
- Wayne Brooker
- Naomi Spruzen
- Wendy Bowman
- Sarah Jeffrey
- Eliza Daniel
- Richard Burn
- Andrea Rivero
- Joe Costa
- Chris Maggio
- Mitchell Preshaw
- Tim Stone
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Due Date
Cardio Room
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Floor is clean and free from slip hazards
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Action Required
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Responsible Person
- Sam Secombe
- Michelle Petrass
- Nathan Costin
- Wayne Brooker
- Naomi Spruzen
- Wendy Bowman
- Sarah Jeffrey
- Eliza Daniel
- Richard Burn
- Andrea Rivero
- Joe Costa
- Chris Maggio
- Mitchell Preshaw
- Tim Stone
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Due Date
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Lighting is adequate and operational
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Action Required
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Responsible Person
- Sam Secombe
- Michelle Petrass
- Nathan Costin
- Wayne Brooker
- Naomi Spruzen
- Wendy Bowman
- Sarah Jeffrey
- Eliza Daniel
- Richard Burn
- Andrea Rivero
- Joe Costa
- Chris Maggio
- Mitchell Preshaw
- Tim Stone
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Due Date
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Visually inspect the equipment for wear and any defects
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Action Required
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Responsible Person
- Sam Secombe
- Michelle Petrass
- Nathan Costin
- Wayne Brooker
- Naomi Spruzen
- Wendy Bowman
- Sarah Jeffrey
- Eliza Daniel
- Richard Burn
- Andrea Rivero
- Joe Costa
- Chris Maggio
- Mitchell Preshaw
- Tim Stone
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Due Date
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Four fans operating
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Action Required
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Responsible Person
- Sam Secombe
- Michelle Petrass
- Nathan Costin
- Wayne Brooker
- Naomi Spruzen
- Wendy Bowman
- Sarah Jeffrey
- Eliza Daniel
- Richard Burn
- Andrea Rivero
- Joe Costa
- Chris Maggio
- Mitchell Preshaw
- Tim Stone
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Due Date
Emergency Preparedness
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All items stored appropriately - not blocking passageways, fire doors and exits.
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Action Required
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Responsible Person
- Sam Secombe
- Michelle Petrass
- Nathan Costin
- Wayne Brooker
- Naomi Spruzen
- Wendy Bowman
- Sarah Jeffrey
- Eliza Daniel
- Richard Burn
- Andrea Rivero
- Joe Costa
- Chris Maggio
- Mitchell Preshaw
- Tim Stone
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Due Date
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Emergency management plans in prominent position.
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Action Required
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Responsible Person
- Sam Secombe
- Michelle Petrass
- Nathan Costin
- Wayne Brooker
- Naomi Spruzen
- Wendy Bowman
- Sarah Jeffrey
- Eliza Daniel
- Richard Burn
- Andrea Rivero
- Joe Costa
- Chris Maggio
- Mitchell Preshaw
- Tim Stone
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Due Date
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Emergency warning systems audible in area.
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Action Required
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Responsible Person
- Sam Secombe
- Michelle Petrass
- Nathan Costin
- Wayne Brooker
- Naomi Spruzen
- Wendy Bowman
- Sarah Jeffrey
- Eliza Daniel
- Richard Burn
- Andrea Rivero
- Joe Costa
- Chris Maggio
- Mitchell Preshaw
- Tim Stone
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Due Date
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Fire extinguishers properly located, signed and checked.
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Action Required
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Responsible Person
- Sam Secombe
- Michelle Petrass
- Nathan Costin
- Wayne Brooker
- Naomi Spruzen
- Wendy Bowman
- Sarah Jeffrey
- Eliza Daniel
- Richard Burn
- Andrea Rivero
- Joe Costa
- Chris Maggio
- Mitchell Preshaw
- Tim Stone
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Due Date
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New employees and current employees have been introduced to Emergency Action plan and have attended training.
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Action Required
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Responsible Person
- Sam Secombe
- Michelle Petrass
- Nathan Costin
- Wayne Brooker
- Naomi Spruzen
- Wendy Bowman
- Sarah Jeffrey
- Eliza Daniel
- Richard Burn
- Andrea Rivero
- Joe Costa
- Chris Maggio
- Mitchell Preshaw
- Tim Stone
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Due Date
First Aid Kit
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First Aid Information booklet
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Disposable latex gloves and an approved resuscitation mask
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At least 3 sealable plastic bags for making ice packs or disposing of dirty dressings
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One pencil and notepad for recording details and messages
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1 pair of rust resistant forceps to remove splinters and stings
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1 pair of rust resistant scissors with one blunt edge to cut dressings and bandages
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At least 5 safety pins to hold bandages in place
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2 triangular bandages with 900mm edge length to use as slings or dressings to hold bandages in place
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3 rolls of stretch bandage (50, 75, 100mm wide and al least 1.5m long) to hold dressings in place and support injured limbs
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3 sterile wound dressings to protect wounds and help bleeding by applying pressure
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2 sterile non adhesive dressings 100x100mm to use for burns, abrasions, cuts and weeping wounds
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1 roll of low allergenic adhesive strapping at least 25mm wide x 2.5m long to hold dressings in place
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24 sterile adhesive dressing strips to cover small cuts, blisters and abrasions
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At least 3 disposable hand towels or tissues for general cleaning other than wounds
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At least 9 sterile cotton gauze swabs for cleaning wounds
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Responsible Person
- Sam Secombe
- Michelle Petrass
- Nathan Costin
- Wayne Brooker
- Naomi Spruzen
- Wendy Bowman
- Sarah Jeffrey
- Eliza Daniel
- Richard Burn
- Andrea Rivero
- Joe Costa
- Chris Maggio
- Mitchell Preshaw
- Tim Stone
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Due Date
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Evac Packs fully equipped.
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Action Required
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Responsible Person
- Sam Secombe
- Michelle Petrass
- Nathan Costin
- Wayne Brooker
- Naomi Spruzen
- Wendy Bowman
- Sarah Jeffrey
- Eliza Daniel
- Richard Burn
- Andrea Rivero
- Joe Costa
- Chris Maggio
- Mitchell Preshaw
- Tim Stone
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Due Date
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Sign when completed
