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Health Club Checklists

HEALTH CLUB CHECKLISTS

Checklists: SMG Health Club Checklists

Checklists: SMG Health Club Checklists

Please fill out this form to the best of your knowledge. If you don’t know an answer then type Did Not Know or place a zero in the blank. Please be honest with your answers so we can help your club be as safe as possible. Thank you for your cooperation.

Address
Address
City
State
Zip
Name of Person Interviewed
Name of Person Interviewed
First Name
Last Name
Contact Available for Interview (If No, fill in as much interview information as you can and complete the walk-through and photos)
Services Offered (Check all that apply)

1.0 Facility Hours of Operation

24 Hour Facility
Staff Presence
Panic Alarm/System Installed? (Not just a telephone!)
Digital Surveillance Installed?
Staff-Only Areas Always Locked?

Management Interview

Is the water heater secured and 18 inches away from combustibles?
List Square Footage if “Yes”
Who is responsible for parking lot maintenance in bad weather, if applicable?

FACILITY MEMBERSHIP

Facility Orientation Session offered?
Members go through a Health History Questionnaire?

SAFETY SYSTEMS & EQUIPMENT

Check ALL Safety Items Present in the Facility
Has the Fire Marshal inspected the facility in the last 12 months?

LOCKER ROOMS/SPA AREAS

Showers exist at the facility?

CLASSES & INSTRUCTIONAL SERVICES

Check all Classes that exist!

FOOD & NUTRITIONAL SERVICES

Check all Food Services that exist!

MISCELLANEOUS SERVICES

Check all Classes that exist!

CHILD SITTING

Does Child Sitting/child watch exist?
Do you perform background checks on babysitters?
Do you have sign-in/sign-out sheets for parents?
Are snacks allowed in the babysitting room?

TANNING

Does Tanning Exist at the Facility?
Is eye protection provided either for free or for sale?

COURTS & FIELDS

Courts/Fields Exist

SWIMMING POOLS

Do you have any swimming pools?
Lifeguard Presence

STAFF INFORMATION

INDEPENDENT CONTRACTORS

Check all contractors at the club! Don’t count staff members as contractors!
Do you have Certificates of Insurance for all contractors?
Do contractors list the club as additional insured?

DOCUMENTATION

Do you have a formal, written Emergency Action Plan (EAP)?
Member Waivers obtained for new clients?
Guest Waivers obtained for Day Passes?
Children 17 and under allowed in the facility?
If yes, are Parent Consent Forms obtained?
Tanning Waivers used?
Incident Reports on file and ready for use?
Health History (PAR-Q) Forms used for Personal Training Clients?
Medical Release Form (Doctor’s Note) obtained for clients with pre-existing conditions?
Maintenance Schedules used for cleaning, lubricating equipment?
Maintenance Logs used for recording major repairs to equipment?
Do you have the Owner’s Manuals for your equipment?

FACILITY WALKTHROUGH

AREA WARNING SIGNS

Do you see Facility Rules signs posted?
Do you see any Spotter signs posted? Take Photo!

CARDIOVASCULAR EQUIPMENT

Does a Cardio Equipment area exist?
Do all treadmills have at least 3 FEET of open space behind them?
List any trip hazards viewed in the Cardio Equipment area.

GROUP STUDIOS

Do Group Studios exist in the facility?
Group Studio Floor Types
Are there any ceiling support poles located on the floor?

LOCKER ROOMS/SHOWERS

Ground Fault Circuit Interrupters (GFCI) exist?
Shower Floor Surface type
Additional Non-Slip Protection. TAKE PHOTO!:

SPA AREAS

Are Sauna Warning Signs Posted? TAKE PHOTO with door closed!
Steam Room Warning Signs posted at Entrance to Steam Room? TAKE PHOTO OF OUTSIDE DOOR AREA!
Jacuzzi Warning signs posted on walls around the Jacuzzi? TAKE PHOTO OF AREA!

CHILD SITTING

Are Shelves securely fastened to wall or floor? TAKE PHOTOS!

TANNING BEDS/BOOTHS (Take Photos)

List which signs were posted in tanning rooms/booths:

FIRE PROTECTION SERVICES

Are all Extinguisher ABC Type? ABC will be on the label!
Are all Extinguishers charged?
No Tag on Extinguisher
Emergency Exists free from obstructions? Photo if not!
Emergency Lighting available throughout the facility?

SPORTS COURTS & FIELDS

Basketball Courts

Protective Padding on Wall/Poles beneath backboard?
At least 3′ of open space around the court? Photo!
Basketball Court Rules Sign Posted?

Racquetball/Squash Courts

Eye Protection Signs posted at Court Entrances? Photo!
Observation windows/nets free from cracks, gaps or holes?

Tennis/Pickleball Courts

Padding is on metal beams/posts around indoor courts?
At least 18′ of open space behind baseline of courts?
At least 12′ of open space on the sidelines of each court?
Are any courts covered by inflatable dome?
Are there bleachers around any of the courts?

Jogging & Sprint Tracks

Are directional signs posted around jogging tracks?
Padding located on walls at the end of sprint tracks?
Does the jogging or sprint track surface have any defects?

Indoor Turf Field

Does the surface appear level? Any seams in material?
Is there at least 3′ of open space around field on all sides?
Are columns/walls close the field padded? Photos!

Swimming Pools

List Emergency Devices in pool area (Photo):
Do you see a Phone in the pool area?
Do you see a Phone in the pool area?

INSPECTION CONTACT REVIEW

Contact’s attitude about inspection
0 – Bad Attitude
10 – Great Attitude

INSPECTOR INFORMATION