Title: Gym Usage Policy Purpose: To inform all employees of the guidelines regarding the correct use of the Employee Gym. Scope: This policy applies to all employees who have use of the gym facility in Grange Castle. General Gym Information: Location: The Gym is located on the first floor with access by swipe card only. Opening Times: The gym opening times are as follows: Monday to Friday: 6am 9pm. Saturday and Sunday: Closed Bank Holidays: Closed. Please note that the gym will be unsupervised. Fees: A cost of 1 per week will be deducted from employees who opt for gym membership. This deduction will be made directly from an employee s salary. Alternatively Employees may make a once off yearly payment of 52. In order to facilitate this deduction please sign the Payroll Deduction Authorisation Appendix 1. Management of the Gym A health service promotion company called Fit4Life will manage the Employee Gym. They will also be responsible for organising and conducting induction training. Before Using the Gym o Before commencing use of the gym please check with your doctor to ensure you are fully fit to do so. o You will be required to complete a fitness questionnaire - Appendix 2 and Release of Liability form Appendix 3, as part of the joining process. Gym Induction: o All Employees will be required to complete a 45 minute induction before they can use the gym. This induction will be provided by Fit4Life. Appointments for induction must be made directly with the Gym Manager or logged in the Induction sheet at the entrance to the Gym.
Access to the Gym Access to the gym is by swipe card only. Once you have fully registered with the gym and been through the induction process your swipe card will be activated and you will be able to gain access to the gym. In addition you will also be required to sign in on entering the gym and sign out on exiting the gym. The sign in/out book is located inside the Gym. You are not permitted to let any other employee through the gym door at the same time as you or allow them use your swipe card to enter the gym, regardless if they are a gym member or not. Spot checks will be carried out to ensure there is no abuse of the above. Gym Etiquette: Use of Equipment o Please read the guidelines associated with each piece of equipment before use. o In consideration of other users, please limit your time spent on each piece of equipment to 20 minutes at peak times. o A Hand towel and water bottle must be carried at all times. o If at any stage you feel faint or dizzy stop exercising immediately. o Please wipe all machines after use. o Please replace all free weights after use. o Please log any faults with the equipment in the Gym Faults Log Book located inside the gym. If a piece of equipment is not working properly then place the DO NOT USE OUT OF ORDER sign on the piece of equipment- this is to ensure the safety of others using the gym. These signs are located in the Faults Log Book. o The Facilities Dept. will check this log book on a weekly basis and report any issues to the Gym Manager. General Guidelines o Lockers are provided for personal items to be stored in while you are using the gym. All personal belongings should be removed when leaving the gym. o The Company does not accept responsibility for Employees personal belongings while using the gym. o Correct attire must be worn in the gym ie: trainers, comfortable exercise clothing. o Mobile phones are not allowed on the gym floor. o Limited shower and changing facilities are available for your convenience. o Flipflops must be worn in the shower / changing area. Safety Guidelines First Aid Care In the event that you require First Aid attention, please contact security on the phone located in the gym by dialling the relevant number. A list of all First Aiders is located on the gym notice board.
Accident Reporting In the event of an accident please complete an Accident Report form and return to the Facilities department. Accident report forms are located in the Gym. Fire Evacuation Point The last person to leave the gym needs to bring the Sign-in book to Assembly Point A which is located in the HQ Car-park. Evacuation Route: Use the stairwell immediate to the gym and exit through the Emergency Exit door at the base of the stairwell, walk around the lake and to Assembly Point A If the above route is not accessible, exit the gym veer left past the baking academy, walk to the end of the corridor and take the stairs which leads to an Emergency Exit door. This will open out towards the HQ Car-park and to Assembly Point A. Enforcement: Employees are obliged to adhere to the full terms of this policy at all times. Employees that are found to be in breach of this policy may be subject to the Disciplinary Procedure. The gym is provided for the benefit of all Employees. Please ensure that you treat this Facility and the equipment in it with respect.
Declaration: I confirm that I have read and understood the above gym usage policy: Print Name: Signed: Date: Appendix 1 Payroll Deduction Authorisation I give the Company permission to deduct Gym membership 1 per week Once off 52 I am aware that it is my responsibility to inform the payroll department should I want this deduction to cease. Print Name: Signed: Date:
Appendix 2 Fitness Questionnaire Health Screening Form NAME: DATE: ADDRESS: GENDER: D.O.B./AGE: TELEPHONE: (EXT #) PHYSICIAN: PHONE: OCCUPATION: PRESENT EXERCISE DONE: EXERCISE GOALS: MEDICAL HISTORY: Do you suffer from or have you or any of your immediate family had a history of- YES NO 1. Heart disease including chest pains or angina? 2. Increased blood cholesterol levels? 3. Hypertension? 4. Lung disorders e.g. athsma, bronchitis or shortness of breath on exertion? 5. Stroke? 6. Diabetes? Do you now have or have you had in the past- 1. Surgery in the past 12 months? 2. Muscle or joint pain or injury? 3. Back pain? 4. Hernia?
5. Recent illness? 6. Medications being taken regularly? 7. Pregnancy or recently given birth (within the past 6 months)? 8. Any chronic illness or condition such as epilepsy, arthritis, osteoporosis, persistent headaches? 9. Cigarette smoking habit? How many per day? 10. If you answered yes to any of the above, please explain: I have read and fully understand the above screening form. I further declare that as far as I am aware, I am not suffering from any conditions that make it inadvisable for me to take part in an aerobic or weight training program. Signed:
Appendix 3 Release of Liability Form To the Directors and Management of Cuisine de France, I, of an employee of Cuisine de France, Grangecastle Business Park, Clondalkin, Dublin 22, propose to use the Fitness Romm facilities (Gym) provided at Cuisine de France, Grangecastle Business Park, Clondalkin, Dublin 22. In consideration of my right to use the Fitness Room, I HEREBY COVENANT, UNDERTAKE, ACKNOWLEDGE AND AGREED with the Company that:- 1. I have attended the Fitness Room induction course and completed a Fitness Questionnaire in conjunction with the company s gym instructor: Angie Jenkins of Fit 4 Life, a third party service provider. 2. I am fully aware that the use of the equipment provided involves vigorous physical exercise, which will stain my cardiovascular system and other parts of my body. I am aware that such vigorous physical exercise can be hazardous activity and I am voluntarily using the gym facilities and equipment with the knowledge of the danger involved and the importance of seeking medical advice before using the gym. 3. My use of the fitness room is not a pre-condition or condition to my continued employment with the Company but is rather a benefit provided to me as part of my employment. 4. My right to use the fitness room will terminate without notice upon the termination for whatever reason of my employment with the Company. 5. It is a pre-condition of my use of the fitness room that I execute this Release of Liability. 6. My use of the fitness room, in whole or in part, is at my own risk and I (including my spouse, heirs, dependants, guardians, legal representatives and assigns) hold and will continue to hold harmless and free from liability the Company (including its subsidiaries, affiliates, agents and representatives) for my death, personal injury (including any disease and any impairment of my physical or mental condition) trespass to my person, breach of duty, loss of or damage to, or destruction of any items of property belonging to me, caused either directly or indirectly by (i) the negligence, wilful default, bad faith, non performance or provisions of defective products by any third party in its provision to me of any products and/or services in connection with my use of the fitness room or (ii) my negligence, wilful default, bad faith, non performance in using the fitness room. 7. The Company cannot and does not make any warranty as to the merchantability, fitness for purposes or otherwise of by goods bought by or services rendered to me by
any third party and no responsibility is implied or accepted by the Company as to the quality of the services provided to me by any third party either directly or indirectly, in connection with my use of the Fitness Room. 8. The Company is not and does not purport to sell or supply any goods or services under a contract of sale of otherwise in connection with the use of the Fitness Room and the Company is not a principal or agent of any such third party. 9. I confirm that I have carefully read this letter, have signed it without any coercion of any description by or on behalf of the Company and fully understand that upon signing this letter, I am waiving and releasing any and all claims that I might otherwise have against the Company arising directly or indirectly from or in connection with my use of the Fitness Room. Signed by: In the presence of: Dated the day of Year