Gym Safety Induction Checklist

Contact Details

Instruction in the following subjects has been given to the above named

Code of Practice

Fire Drill / Emergency evacuation

First Aid / Medical Emergency

Layout of the Lache Community Centre

Accident / Near Miss reporting

Smoking Policy

Specific Hazards / Housekeeping

Security

Limitations for Training (see booklet)

Fitness Equipment (by Supervisor)

Disabled Access

Specific Hazards

Alcohol and Drugs Policy

General Conduct

Vehicle Parking

Declaration

I confirm that I have recently completed a “Heart Rehabilitation” course or am in receipt of a letter from my doctor or have completed a Self Declaration and am fit to use this facility. I also confirm that I have completed the above Safety Induction and have had all items fully explained to me.

Signatures?

Hold/drag mouse to draw signature

 Signature of member

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St. Columba's Church Hall, Plas Newton, Chester, Cheshire, CH2 1SA, Tel: 01244 535788

Registered Charity 1123789