Health Club Checklists

You must take at least 20 photos of the areas of the facility, but you can take as many photos as you like. Make sure you get at least 2 photos of the outside of the facility. Please take wide angle photos of equipment areas and group areas. If you are using your phone, please take horizontal photos.

Date *

SMG File ID *

This information is in the job order we sent you.

Facility Name *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Name of Person Interviewed *

First

Last

Facility Phone *

Facility Email *

Contact Available for Interview (If No, fill in as much interview information as you can and complete the walk-through and photos) *

1.0 Facility Hours of Operation

1.1 24 Hour Facility *

1.3 Club Hours of Operation (i.e. 5 am - 10 pm) *

2.0 Management Interview

2.1 Facility Square Feet *

Put 0 if client unsure

2.2 Main Building Age *

Put "Unsure" if client doesn't know.

2.2 Years in business at this location *

Put "Unsure" if client doesn't know.

2.4 Building Type *

2.5 Heating/Cooling Type *

2.5a HVAC Age? *

Put 0 is unknown

2.6 Water Heater Type? *

2.6a Water Heater Age? *

Put 0 is unknown

2.7 Name of Building Owner or Leasing Company *

3.0 Facility Membership

3.1 Gross Yearly Sales

Write Unsure or Refused in necessary.

3.2 Total members at the club?

Write Unsure or Refused in necessary.

3.5 Membership Types (Check all that apply) *

Open Gym
Personal Training
Group Instruction

4.0 SAFETY SYSTEMS & EQUIPMENT

4.1 Total Fire Extinguishers *

4.2 Total First Aid Kits *

4.4 Has the Fire Marshal inspected the facility in the last 12 months? *

5.0 LOCKER ROOMS/SPA AREAS

5.1 Showers exist at the facility? *

5.2 Total Saunas *

5.3 Total Steam Rooms *

5.4 Total Jacuzzis *

6.0 CLASSES & INSTRUCTIONAL SERVICES

7.0 FOOD & NUTRITIONAL SERVICES

8.0 MISCELLANEOUS SERVICES

9.0 CHILD SITTING

9.1 Does Child Sitting/child watch exist? *

10.0 TANNING SERVICES

10.1 Does Tanning Exist at the Facility? *

11.0 COURTS & FIELDS

11.1 Do any Courts and/or Fields Exist? *

12.0 SWIMMING POOLS

12.1 Do you have any swimming pools? *

13.0 STAFF INFORMATION

13.1 FULL-TIME Employees *

13.2 PART-TIME Employees *

14.0 STAFF SAFETY CERTIFICATIONS

14.1 Total CPR/AED Certified Staff *

14.2 Total FIRST-AID Certified Staff *

15.0 PERSONAL TRAINERS

15.1 Total Personal Trainers *

15.1a Total CERTIFIED Personal Trainers *

GROUP INSTRUCTORS

15.2 Total Aerobic and/or Group Instructors *

15.2a Total CERTIFIED Group Instructors *

ADDITIONAL STAFF POSITIONS

16.0 INDEPENDENT CONTRACTORS

16. Do you allow Independent Contractors to use the facility? *

DOCUMENTATION

17.1 Do you have a formal, written Emergency Action Plan (EAP)? *

17.2 Member Waivers obtained for new clients? *

17.3 Guest Waivers obtained for Day Passes? *

17.4 Children 17 and under allowed in the facility? *

17.6 Incident Reports on file and ready for use? *

17.7 Health History (PAR-Q) Forms used for Personal Training Clients? *

17.9 Maintenance Schedules used for cleaning, lubricating equipment? *

Yes
No
Not Applicable: No Equipment

17.10 Maintenance Logs used for recording major repairs to equipment? *

Yes
No
Not Applicable: No Equipment

17.11 Do you have the Owner's Manuals for your equipment? *

Yes
No
Not Applicable: No Equipment

PART 18.0: FACILITY WALKTHROUGH

W.18.1 List any Trip Hazards viewed in the facility (Take Photos) *

W.18.2 List equipment with worn/torn cables or belts! (Take Photos) *

19.0 AREA WARNING SIGNS

19.1 Do you see Facility Rules signs posted? Take Photo! *

19.2 Do you see any Spotter signs posted? Take Photo! *

Yes
No
Not Applicable: No Free Weights

20.0 CARDIOVASCULAR EQUIPMENT

20.1 Does a Cardio Equipment area exist? *

21.0 GROUP STUDIOS

21.1 Do Group Studios exist in the facility? *

22.0 LOCKER ROOMS/SHOWERS

22.2 Shower Floor Surface type *

Smooth Tile
Course, Non-Slip Tile
Treated Cement

23.0 SPA AREAS

24.0 CHILD SITTING

26.0 FIRE PROTECTION SYSTEMS

26.1 Total How Many Fire Extinguishers Did YOU View throughout facility? *

26.2 Are all Extinguisher ABC Type? ABC will be on the label! *

26.3 Are all Extinguishers charged? *

26.4 Is there a Service Tag on the extinguishers? *

26.6 Are Emergency Exists free from obstructions? Photo if not! *

26.7 Is Emergency Lighting available throughout the facility? *

CLUB ACTIVITY AREAS

Photo Upload Section

You can upload your inspection photos from your phone, desktop or camera using the button below:

Click or drag files to this area to upload. You can upload up to 50 files.

If you don't use this method, please email the emails to us. This way is preferred.

33.0 INSPECTION CONTACT REVIEW

33.1 Contact Attitude Rating *

Good, positive attitude
Mixed Attitude
Bad attitude

33.2 Inspection Notes

35.0 INSPECTOR INFORMATION

Inspector Name *