Fitness Audit

(941) 260-2180

Name of Person Completing Audit Form(Required)

First Last

Name of Person Who Completed Audit (if different)

First Last

Convivial Life Community(Required)

Audit Completion Date(Required)

MM slash DD slash YYYY

1. Fitness staff certifications & credentials are up-to-date.(Required)

Yes

Not Audited

If no, please explain the resolution approach.(Required)

Date resolution to be complete.(Required)

MM slash DD slash YYYY

Please include the reasoning why this was not evaluated for this audit.(Required)

2. Fitness floor is free of trip hazards.(Required)

Yes

Not Audited

If no, please explain the resolution approach.(Required)

Date resolution to be complete.(Required)

MM slash DD slash YYYY

Please include the reasoning why this was not evaluated for this audit.(Required)

3. Fitness floor is vacuumed/steam-cleaned to be free of dirt, debris, and sweat.(Required)

Yes

Not Audited

If no, please explain the resolution approach.(Required)

Date resolution to be complete.(Required)

MM slash DD slash YYYY

Please include the reasoning why this was not evaluated for this audit.(Required)

4. Dumbbells and small equipment are racked and stored in their designated location.(Required)

Yes

Not Audited

If no, please explain the resolution approach.(Required)

Date resolution to be complete.(Required)

MM slash DD slash YYYY

Please include the reasoning why this was not evaluated for this audit.(Required)

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Name

First Last

Organization

Email(Required)

Phone

Comments

Address:

3799 Cadbury Circle #208
Venice, FL 34293

Phone: (941) 260-2180

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