Checklist template

Emergency response and defibrillator readiness for fitness centers

A ready-to-use checklist with 119 items in 6 sections, covering Defibrillator, First aid, Certified staff, Emergency plan, Drills, Incident reports. Use it as-is in Bindy, or adapt it to your own standards in minutes.

  • 6 Sections
  • 119 Items
  • 95 Yes / No checks
  • 6 Scored ratings
  • 125 Points

Use this template How audits work

1. Defibrillator 24 items

  1. Defibrillators at the club Number
  2. Each defibrillator is in a wall cabinet or bracket that can be seen from the main gym floor or the front desk Yes / No 1 pt
  3. Time to walk from the defibrillator to the farthest point of the club and back (seconds) Number
  4. The walk time is within the response time set by company policy Yes / No 1 pt
  5. A projecting sign above the cabinet can be read from across the room Yes / No 1 pt
  6. The cabinet opens without a key or code Yes / No 1 pt
  7. The cabinet alarm sounded when the door was opened, where one is fitted Yes / No 1 pt
  8. The status indicator on the defibrillator shows ready Yes / No 1 pt
  9. The adult electrode pads are within their expiry date Yes / No 1 pt
  10. The adult electrode pads are sealed in their pouch Yes / No 1 pt
  11. Expiry date of the adult electrode pads Date
  12. A spare set of adult pads is stored with the defibrillator Yes / No 1 pt
  13. Pediatric pads or a child key are present where the club has child care or children's programs Yes / No 1 pt
  14. Expiry or install-by date of the battery Date
  15. The battery is within its date Yes / No 1 pt
  16. A rescue kit (razor, scissors, gloves, towel, barrier mask) is attached to the defibrillator Yes / No 1 pt
  17. Date of the last documented defibrillator check Date
  18. Defibrillator checks are recorded on the tag or log at the interval set by company policy Yes / No 1 pt
  19. The defibrillator is registered with the local emergency medical service or program provider, as required by local regulation Yes / No 1 pt
  20. The defibrillator can be reached by members during unstaffed opening hours, where the club has them Yes / No 1 pt
  21. A defibrillator is within reach of the pool deck, where the club has a pool Yes / No 1 pt
  22. Each employee asked pointed to the nearest defibrillator without hesitation Yes / No 1 pt
  23. Manufacturer recall and software notices for the defibrillator model are on file with the action taken Yes / No 1 pt
  24. Readiness of the defibrillator Rating
    • Ready, pads and battery in date, checks recorded 5 pts
    • Ready but checks not recorded or spares missing 3 pts
    • Not ready, expired or not accessible 1 pt

2. First aid 20 items

  1. A first aid kit is kept at the front desk Yes / No 1 pt
  2. A first aid kit is kept at the pool, where the club has one Yes / No 1 pt
  3. A first aid kit is kept in the child care room, where the club has one Yes / No 1 pt
  4. The location of each first aid kit is marked by a sign Yes / No 1 pt
  5. The contents of the kit sampled match the checklist inside its lid Yes / No 1 pt
  6. No item in the kit sampled is past its expiry date Yes / No 1 pt
  7. Date of the last documented first aid kit check Date
  8. Items used from the kit are recorded and replaced Yes / No 1 pt
  9. Instant cold packs or ice bags are on hand at the front desk Yes / No 1 pt
  10. Disposable gloves are available in more than one size Yes / No 1 pt
  11. A pocket mask or CPR barrier is kept at the front desk Yes / No 1 pt
  12. Trauma dressings for heavy bleeding are in the kit Yes / No 1 pt
  13. A blood and body fluid spill kit is available to floor staff Yes / No 1 pt
  14. Floor staff asked could describe how blood on equipment is cleaned up Yes / No 1 pt
  15. Glucose tablets or juice are on hand for a member with low blood sugar, per company policy Yes / No 1 pt
  16. Staff do not give medication such as pain relievers to members, per company policy Yes / No 1 pt
  17. A blanket is kept with the first aid supplies Yes / No 1 pt
  18. An emergency eyewash is available where pool chemicals are handled Yes / No 1 pt
  19. A spinal board is kept at the pool, where the club has one and as required by local regulation Yes / No 1 pt
  20. First aid supplies Rating
    • Complete, in date and checked 5 pts
    • Some items missing or expired 3 pts
    • Kit missing or largely empty 1 pt

3. Certified staff 17 items

  1. Employees on the club roster Number
  2. Employees with current CPR and defibrillator certification Number
  3. Every shift on this week's schedule includes an employee with current CPR and defibrillator certification Yes / No 1 pt
  4. A tracking list of certificates with expiry dates is kept at the club Yes / No 1 pt
  5. None of 10 certificates sampled has expired Yes / No 1 pt
  6. The certificates sampled are from courses with a hands-on skills session, not online-only courses Yes / No 1 pt
  7. Every personal trainer holds current CPR and defibrillator certification Yes / No 1 pt
  8. Group fitness instructors, including contractors, hold current CPR and defibrillator certification Yes / No 1 pt
  9. Lifeguards and swim instructors hold current lifeguard certification, where the club has a pool and as required by local regulation Yes / No 1 pt
  10. Child care staff are certified in infant and child CPR, where the club has child care Yes / No 1 pt
  11. New employees are certified within the time set by company policy Yes / No 1 pt
  12. The manager on duty today holds current certification Yes / No 1 pt
  13. Each shift includes an employee with first aid certification, as required by local regulation Yes / No 1 pt
  14. Date of the next certificate expiry on the tracking list Date
  15. A recertification class is booked for employees whose certificates expire in the next 60 days Yes / No 1 pt
  16. The certified responder for the shift is named on the shift board Yes / No 1 pt
  17. Certification coverage across shifts Rating
    • Every shift covered with spare capacity 5 pts
    • Every shift covered by one person only 3 pts
    • Shifts without a certified employee 1 pt

4. Emergency plan 21 items

  1. A written medical emergency plan is kept at the front desk Yes / No 1 pt
  2. The plan has a procedure for each of cardiac arrest, fainting, seizure, heavy bleeding and heat illness Yes / No 1 pt
  3. The plan covers a drowning or submersion, where the club has a pool or whirlpool Yes / No 1 pt
  4. The plan assigns roles: caller, defibrillator runner, responder and a person to meet the ambulance Yes / No 1 pt
  5. The club's street address and nearest cross street are posted at each phone Yes / No 1 pt
  6. Any dial-out prefix needed to reach emergency services is posted at the front desk phone Yes / No 1 pt
  7. The plan names the entrance the ambulance crew should use Yes / No 1 pt
  8. The route from that entrance to the gym floor has no locked door, turnstile or equipment that would stop a stretcher Yes / No 1 pt
  9. The elevator key or override is at the front desk, where the club has upper floors Yes / No 1 pt
  10. Each of 10 member profiles sampled has an emergency contact Yes / No 1 pt
  11. Employees asked gave the first three actions for a member who collapses Yes / No 1 pt
  12. Emergency call buttons or pendants are available to members in unstaffed hours, where the club has them Yes / No 1 pt
  13. Date of the last test of the emergency call buttons Date
  14. A sign with the club address and emergency number is posted for members using the club in unstaffed hours Yes / No 1 pt
  15. Floor staff can reach the front desk by radio or phone from every area Yes / No 1 pt
  16. The plan was reviewed in the last 12 months Yes / No 1 pt
  17. Date of the last review of the emergency plan Date
  18. The plan states who notifies the district manager after an ambulance call Yes / No 1 pt
  19. An emergency phone is on the pool deck, where the club has a pool Yes / No 1 pt
  20. Instructors asked knew the nearest phone and defibrillator to their studio Yes / No 1 pt
  21. Staff knowledge of the emergency plan Rating
    • Every employee asked knew their role 5 pts
    • Some hesitation or gaps 3 pts
    • Employees did not know the plan 1 pt

5. Drills 17 items

  1. Medical emergency drills are held on the schedule set by company policy Yes / No 1 pt
  2. Date of the last medical emergency drill Date
  3. Medical emergency drills held in the last 12 months Number
  4. The last drill included fetching the defibrillator and applying training pads to a manikin Yes / No 1 pt
  5. Time from simulated collapse to first simulated shock at the last drill (seconds) Number
  6. The last drill met the target time set by company policy Yes / No 1 pt
  7. A training defibrillator and a manikin are available at the club or from the district Yes / No 1 pt
  8. Attendance at each drill is recorded by name Yes / No 1 pt
  9. Drills in the last 12 months covered opening, closing and weekend shifts Yes / No 1 pt
  10. Drill scenarios were set in different places (gym floor, locker room, pool, studio, parking lot) Yes / No 1 pt
  11. Written debrief notes exist for the last drill Yes / No 1 pt
  12. Actions from the last debrief have been completed Yes / No 1 pt
  13. Personal trainers and instructors took part in a drill in the last 12 months Yes / No 1 pt
  14. New employees are walked through the emergency plan in their first week Yes / No 1 pt
  15. One drill in the last 12 months was unannounced Yes / No 1 pt
  16. The drill included a practice of the emergency call script with the club address Yes / No 1 pt
  17. Drill performance Rating
    • Held on schedule and target time met 5 pts
    • Held but target missed or attendance low 3 pts
    • No drill in the last 12 months 1 pt

6. Incident reports 20 items

  1. An incident report is completed on the same day for every injury or medical event Yes / No 1 pt
  2. Reports record the date, the time and the exact place in the club Yes / No 1 pt
  3. Reports record the activity or equipment involved Yes / No 1 pt
  4. Reports list witnesses with their contact details Yes / No 1 pt
  5. Reports record the care given and the employee who gave it Yes / No 1 pt
  6. Reports record whether the defibrillator was brought to the scene Yes / No 1 pt
  7. Reports record the time the ambulance was called and the time it arrived Yes / No 1 pt
  8. A refusal of care is recorded and signed by the member where possible Yes / No 1 pt
  9. Reports state facts only, with no opinion on fault Yes / No 1 pt
  10. Reports are sent to the company within the time set by company policy Yes / No 1 pt
  11. Incident reports are kept in a locked file or a restricted system Yes / No 1 pt
  12. After a defibrillator is used, its pads are replaced before it returns to the cabinet Yes / No 1 pt
  13. The member is called for follow-up within the time set by company policy Yes / No 1 pt
  14. Incident reports are reviewed monthly for repeat locations or causes Yes / No 1 pt
  15. Medical incidents reported in the last 12 months Number
  16. Ambulance calls in the last 12 months Number
  17. Corrective actions from the previous emergency readiness audit have been completed Yes / No 1 pt
  18. Name of the manager on duty Short text
  19. Overall readiness for a medical emergency Rating
    • Defibrillator ready, every shift certified and drills held 5 pts
    • Equipment ready but gaps in certification, drills or records 3 pts
    • Defibrillator not ready or shifts without a certified employee 1 pt
  20. Corrective actions required Comments

About this template

This checklist is part of the Bindy template library. Yes / No checks score 1 point when met; ratings score the points shown for each option. The overall score is the percentage of points earned, with N/A answers excluded. In Bindy you can add photos, assign corrective actions, require sign-off and compare results across sites.

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