Standard 7 — Governance & Staffing
Criteria in this standard
7.2 — Incident Notification Meets Insurance-Required Timeframes
7.3 — The Facility Carries Both General and Professional Liability Insurance
7.4 — Incident Patterns Are Actively Reviewed for Genuine Prevention
7.5 — Staff, However Few, Receive Genuine Training Beyond Instructor Certification Alone
7.6 — Member and Customer Feedback Has an Independent Channel, Not Just an Internal One
Every Incident Is Documented With Genuine, Specific Detail
Non-Negotiable
In plain terms: Every incident — injury, equipment failure, near-miss — is written up with real detail: exactly where, exactly when, what happened, who saw it, what was done.
| Facility category | Crisis | Transition | Small | Standard |
|---|---|---|---|---|
| Applicability | Full | Full | Full | Full |
Why this matters
'Member fell, first aid given' tells no one anything. An incident report that says 'Treadmill 7, 18:42, member's foot caught on stationary belt while stepping on at 12 km/h setting; witnessed by instructor J; grazed knee; first aid; member declined ambulance; treadmill checked, no fault; member had not attached safety clip' allows analysis, prevention, and defence. Detail means: location, time, activity, equipment, mechanism, injury, witnesses, response, member's account, follow-up. A structured form with mandatory fields produces it.
What good looks like
- Incident reports genuinely include precise location detail.
- Descriptions are genuinely objective and factual, not vague summaries.
- Reports genuinely capture response actions and environmental factors.
Common failure modes
- Location is described vaguely, not specifically.
- Descriptions are imprecise summaries or unsupported conclusions.
- Reports don't capture response actions or environmental context.
Worked example
If you are starting from zero — do this first
- Read your last ten incident reports. Could you reconstruct what happened from each?
- Build a structured form with mandatory fields.
- Require completion within two hours.
- Review every report within 24 hours.
Self-assessment questions
Evidence: Incident report format review
Evidence: N/A — tested directly
Evidence: N/A — tested directly
Common reasons for a PARTIAL answer
- Location and description are specific but response actions taken aren't consistently documented. — Response detail matters as much for genuine investigation and improvement as the incident description itself.
- Reports are thorough for injuries but less detailed for near-misses and equipment issues. — Near-misses and equipment issues carry real, genuine value for prevention, deserving the same documentation discipline.
- Documentation is generally specific but environmental factors, like flooring or lighting, are inconsistently noted.
Implementation plan
| When | What |
|---|---|
| Week 1 | Review current incident report template and completed reports for genuine specificity. |
| Week 2 | Revise the report template to require precise location, objective description, and environmental factors. |
| Week 3 | Train staff on completing genuinely specific, factual incident documentation. |
| Ongoing | Audit incident reports periodically for continued genuine specificity. |
How the Monitor verifies this
| Method | What | Detail |
|---|---|---|
| DOCUMENT | Report format review | Reviews the actual incident report template and completed reports for genuine, specific detail. |
| DOCUMENT | Sample report review | Reviews a sample of real, completed incident reports for objective, factual, specific content. |
| ASK | Staff documentation interview | Asks staff to describe what specific detail they'd include in a real incident report. |
Supervisor tips
- Ask to see a real, recent incident report and assess its actual specificity. — A real, specific example reveals genuine practice, not an assumption of adequate documentation.
- Ask staff to describe how they'd document a specific, hypothetical incident. — A specific, detailed answer reveals genuine understanding of what real documentation requires.
Evidence base
ASF training courses on GMJ Academy →
Foundation courses A-00 to A-03 are live. Criterion-specific modules are being developed and will link here when published.
Incident Notification Meets Insurance-Required Timeframes
Non-Negotiable
In plain terms: Significant incidents are reported to the insurer within the time the policy requires — and someone knows what that time is.
| Facility category | Crisis | Transition | Small | Standard |
|---|---|---|---|---|
| Applicability | Adapted | Full | Full | Full |
Why this matters
Insurance policies require notification of incidents that could lead to a claim within a defined period — often days. Late notification can void coverage for that incident. The facility must know the notification requirement for each policy, have a definition of 'significant incident' that triggers it, assign someone to notify, and record that it was done. A serious injury reported to the insurer three months later, when the lawyer's letter arrives, may be an uninsured injury.
What good looks like
- The facility has specific, documented knowledge of its insurer's required timeframe.
- Significant incidents are genuinely reported within this timeframe.
- A defined process ensures notification even outside normal hours.
Common failure modes
- The facility doesn't specifically know its insurer's notification requirement.
- Notification is delayed beyond the required timeframe.
- No process ensures notification outside normal business hours.
Worked example
If you are starting from zero — do this first
- Read your insurance policies. What is the notification period?
- Define 'significant incident.'
- Assign notification to a named person.
- Record notification on the incident report.
Self-assessment questions
Evidence: Insurance notification requirement documentation
Evidence: Notification timing record
Evidence: N/A — tested directly
Common reasons for a PARTIAL answer
- Notification timing is reliable during business hours but less consistent for incidents occurring after closing. — A significant incident deserves the same timely notification regardless of when it occurs.
- The general requirement is known but the specific number of hours isn't precisely documented. — Precise knowledge of the actual requirement is what makes genuine, reliable compliance possible.
- Notification happens but isn't consistently confirmed as received by the insurer.
Implementation plan
| When | What |
|---|---|
| Week 1 | Confirm the facility's specific insurance notification timeframe requirement. |
| Week 2 | Establish a clear, documented process for timely notification, including after hours. |
| Week 3 | Train staff on the specific requirement and notification process. |
| Ongoing | Confirm notification receipt for significant incidents. |
How the Monitor verifies this
| Method | What | Detail |
|---|---|---|
| DOCUMENT | Requirement knowledge review | Reviews whether the facility has specific, documented knowledge of its insurer's notification timeframe. |
| DOCUMENT | Timing record review | Reviews records for a sample of significant incidents to confirm genuine, timely notification. |
| DOCUMENT | After-hours process review | Reviews the defined process for notification outside normal business hours. |
Supervisor tips
- Ask staff to state the facility's specific insurance notification timeframe. — A specific, confident answer reveals genuine knowledge, not an assumption of general adequacy.
- Ask how notification would happen for an incident occurring after normal closing hours. — A specific, confident answer reveals a genuine, defined process.
Evidence base
ASF training courses on GMJ Academy →
Foundation courses A-00 to A-03 are live. Criterion-specific modules are being developed and will link here when published.
The Facility Carries Both General and Professional Liability Insurance
Non-Negotiable
In plain terms: The facility carries both general liability insurance (slips, equipment) and professional liability insurance (bad advice, bad programming) — with certificates on file.
| Facility category | Crisis | Transition | Small | Standard |
|---|---|---|---|---|
| Applicability | Adapted | Full | Full | Full |
Why this matters
General liability covers the member who slips on a wet floor or is hurt by a failed machine. Professional liability covers the member injured because a trainer's programme was wrong, or advice was outside scope. They are different policies covering different harms. A facility with only general liability is uninsured for its instructors' professional errors — which are common. Both policies, current, with adequate limits, certificates on file, and reviewed annually.
What good looks like
- The facility genuinely carries both general and professional liability insurance.
- Professional liability coverage genuinely matches actual scope of instruction and programming.
- Coverage is genuinely current and active.
Common failure modes
- Only general liability is carried, leaving instruction-related claims uncovered.
- Professional liability coverage is minimal or mismatched to actual operations.
- Coverage has lapsed or is allowed to expire without renewal.
Worked example
If you are starting from zero — do this first
- Find your insurance certificates. Is there a professional liability policy?
- If not, obtain one.
- Review limits annually with a broker.
- Keep certificates on file.
Self-assessment questions
Evidence: Insurance policy documentation
Evidence: N/A — tested directly
Evidence: Coverage currency verification
Common reasons for a PARTIAL answer
- Both coverage types exist but professional liability limits are lower than the facility's actual specialty program offerings would warrant. — Coverage adequacy should genuinely reflect the facility's real scope, including higher-risk specialty programming.
- Coverage is current but hasn't been reviewed against the facility's actual, current operations in some time. — A facility's operations can genuinely change, and coverage should be periodically reconfirmed as adequate.
- General liability is comprehensive but professional liability was only recently added, leaving a historical gap.
Implementation plan
| When | What |
|---|---|
| Week 1 | Review current insurance coverage for both general and professional liability. |
| Week 2 | Confirm professional liability coverage genuinely matches the facility's actual scope of operations. |
| Week 3 | Verify coverage currency and address any lapse. |
| Ongoing | Periodically review coverage adequacy as facility operations evolve. |
How the Monitor verifies this
| Method | What | Detail |
|---|---|---|
| DOCUMENT | Policy documentation review | Reviews actual insurance policy documentation for genuine coverage of both types. |
| DOCUMENT | Coverage adequacy review | Reviews whether professional liability coverage genuinely matches the facility's actual scope of operations. |
| DOCUMENT | Currency verification | Verifies coverage is genuinely current, not lapsed. |
Supervisor tips
- Ask to see the actual, current insurance policy documents for both coverage types. — Real, specific documents reveal genuine coverage, not an assumption of adequate protection.
- Ask whether professional liability coverage was reviewed when a new specialty program was added. — A specific, real answer reveals whether coverage genuinely tracks the facility's actual, evolving operations.
Evidence base
ASF training courses on GMJ Academy →
Foundation courses A-00 to A-03 are live. Criterion-specific modules are being developed and will link here when published.
Incident Patterns Are Actively Reviewed for Genuine Prevention
Core
In plain terms: Incident reports are reviewed together for patterns — the same machine, the same area, the same class, the same time — and the pattern is fixed.
| Facility category | Crisis | Transition | Small | Standard |
|---|---|---|---|---|
| Applicability | N/A | Full | Adapted | Full |
Why this matters
One fall on treadmill 7 is an incident. Three in a quarter is a pattern that says something about treadmill 7, its position, or its users. Five injuries in the same class say something about the instructor or the programme. Pattern review — a monthly look at all incidents by equipment, location, activity, time, and instructor — finds the cause behind the incidents. Then it is fixed: the machine repositioned, the class redesigned, the floor resurfaced. Incident-by-incident review never sees it.
What good looks like
- Incident reports are genuinely, actively reviewed collectively for patterns.
- Pattern review leads to real, resulting preventive action.
- Review happens on a genuine, regular schedule, not only reactively.
Common failure modes
- Reports are filed individually, never reviewed collectively for patterns.
- Patterns identified don't lead to any resulting preventive action.
- Review only happens reactively after a serious event.
Worked example
If you are starting from zero — do this first
- Tabulate last year's incidents by equipment, area, and activity.
- Look for clusters.
- Investigate and fix the biggest one.
- Repeat monthly.
Self-assessment questions
Evidence: Pattern review record
Evidence: Preventive action record
Evidence: Review schedule documentation
Common reasons for a PARTIAL answer
- Review happens but isn't documented in a way that makes the pattern-identification process genuinely traceable. — Documented review reveals genuine practice more reliably than an assumption that patterns are informally noticed.
- Patterns are identified but resulting action addresses only the most severe findings. — Genuine prevention benefits from addressing patterns across the full range of severity, not only the most serious.
- Review happens on schedule for injury reports but near-miss and equipment-issue reports are analyzed less consistently.
Implementation plan
| When | What |
|---|---|
| Week 1 | Review current incident review practice for genuine, collective pattern analysis. |
| Week 2 | Establish a regular, scheduled process for reviewing incident reports collectively. |
| Week 3 | Build a process connecting identified patterns to genuine, resulting preventive action. |
| Ongoing | Conduct pattern review on the established schedule, including near-misses and equipment issues. |
How the Monitor verifies this
| Method | What | Detail |
|---|---|---|
| DOCUMENT | Pattern review record review | Reviews evidence of genuine, collective analysis of incident reports for patterns. |
| DOCUMENT | Preventive action review | Reviews whether pattern review results in genuine, resulting preventive action. |
| DOCUMENT | Review schedule review | Reviews whether pattern review happens on a real, regular schedule. |
Supervisor tips
- Ask for a real, specific example of a pattern identified through incident review and what changed as a result. — A real, traceable example reveals genuine practice, not documentation without analysis.
- Ask how often incident reports are genuinely reviewed collectively, not individually as they occur. — A specific, confident answer reveals a genuine, scheduled process.
Evidence base
ASF training courses on GMJ Academy →
Foundation courses A-00 to A-03 are live. Criterion-specific modules are being developed and will link here when published.
Staff, However Few, Receive Genuine Training Beyond Instructor Certification Alone
Core
In plain terms: Every staff member — reception, sales, cleaning, not only instructors — has training for their actual role: emergencies, safety, member interaction, data protection.
| Facility category | Crisis | Transition | Small | Standard |
|---|---|---|---|---|
| Applicability | Adapted | Full | Adapted | Full |
Why this matters
The receptionist handles medical screening forms, the first response to a collapse at the front desk, member complaints, and personal data. The cleaner handles chemicals and the changing rooms. The salesperson explains the waiver. Each needs training for that, not just instructors for exercise. Training is documented per person: emergency response (3.3), safety awareness, member communication, data protection, role-specific tasks. A facility that trains only instructors has untrained people at every other point of member contact.
What good looks like
- Every staff member, including administrative and support roles, receives genuine, documented training.
- Training genuinely covers role-specific safety responsibilities.
- Training is genuinely refreshed periodically, not a one-time event.
Common failure modes
- Training is limited to certified instructors, leaving other staff informally trained.
- Training is generic, not addressing role-specific safety responsibilities.
- Training happens once and is never revisited.
Worked example
If you are starting from zero — do this first
- List every role and what each person actually does.
- For each, write the training needed.
- Check every staff member's file against it.
- Fill the gaps this quarter.
Self-assessment questions
Evidence: Staff training record
Evidence: N/A — tested directly
Evidence: Ongoing training schedule
Common reasons for a PARTIAL answer
- Front-desk staff receive general orientation but not specific training on safety-relevant responsibilities like incident reporting. — Every staff role that genuinely touches safety responsibilities deserves specific, not just general, training.
- Training is thorough at hire but refresher training lapses for non-instructor roles. — Every staff member's readiness deserves the same genuine, ongoing reinforcement, not only instructors'.
- Training covers most safety topics but incident reporting specifics are addressed less thoroughly.
Implementation plan
| When | What |
|---|---|
| Week 1 | Review current staff training for genuine coverage beyond certified instructors alone. |
| Week 2 | Build role-specific safety training for administrative and support staff. |
| Week 3 | Establish a consistent refresher schedule across all staff roles. |
| Ongoing | Confirm training currency across all roles, not instructors alone. |
How the Monitor verifies this
| Method | What | Detail |
|---|---|---|
| DOCUMENT | Broad training record review | Reviews training records for administrative and support staff, not only certified instructors. |
| DOCUMENT | Role-relevance review | Reviews whether training genuinely covers safety responsibilities specific to each role. |
| DOCUMENT | Ongoing training review | Reviews whether training is genuinely refreshed periodically. |
Supervisor tips
- Ask an administrative or front-desk staff member about their own specific safety training. — This reveals whether genuine training extends beyond certified instructors, not an assumption it does.
- Ask when training was last refreshed for a non-instructor staff role. — A specific, real answer reveals genuine, ongoing practice, not a one-time initial session.
Evidence base
ASF training courses on GMJ Academy →
Foundation courses A-00 to A-03 are live. Criterion-specific modules are being developed and will link here when published.
Member and Customer Feedback Has an Independent Channel, Not Just an Internal One
Core
In plain terms: Members can tell someone who isn’t the club itself when something’s wrong, or right — not just fill in a form the club reads and files away.
| Facility category | Crisis | Transition | Small | Standard |
|---|---|---|---|---|
| Applicability | Adapted | Full | Adapted | Full |
Why this matters
A member who’s unhappy with a facility they still need — a membership they’ve paid for, a trainer they still see weekly — rarely says so honestly on the facility’s own form. The polite answer goes in the box; the real story goes to a review site or social media instead, later and angrier, after the facility has lost the chance to fix it quietly. An independent channel, reaching a body with no stake in the outcome, is structurally more likely to surface a real problem while it’s still small. ASF’s Customer Voice service provides exactly this: a QR code, a neutral intermediary, and, for facilities that want it, a real customer council that meets regularly and reviews what members are actually saying.
What good looks like
- An independent channel exists, genuinely reaching a body outside the facility’s own management.
- Concerns raised through it are genuinely acknowledged and answered, not left unaddressed.
- Patterns in what members raise genuinely inform real changes at the facility.
Common failure modes
- The only feedback channel is an internal form the facility itself reviews and answers.
- An independent channel exists on paper but nothing reaches the facility from it in practice.
- Feedback is collected but never closes the loop with the person who raised it.
Worked example
If you are starting from zero — do this first
- Read the Customer Voice page to see the full mechanism.
- Place the QR code at reception and in any area members spend time unsupervised, such as changing rooms.
- Tell staff the channel exists and that it doesn’t come back through them first.
- Check in three months whether anything has actually come through it.
Self-assessment questions
Evidence: Feedback channel documentation
Evidence: Case log or response record
Evidence: N/A — tested directly
Common reasons for a PARTIAL answer
- A feedback channel exists but members aren’t told it’s independent of the club. — If members don’t know it reaches someone other than the club, it won’t be used honestly.
- Feedback is collected but responses are inconsistent or slow. — A channel that doesn’t close the loop trains members to stop using it.
- The channel is new and hasn’t yet generated evidence of a real change resulting from it.
Implementation plan
| When | What |
|---|---|
| Week 1 | Set up the Customer Voice QR code and review how it works. |
| Week 2 | Place it at reception and in unsupervised member areas. |
| Week 3 | Tell staff it exists and that it bypasses them by design. |
| Ongoing | Review what comes through it and confirm at least one real change traceable to it each year. |
How the Monitor verifies this
| Method | What | Detail |
|---|---|---|
| DOCUMENT | Channel review | Confirms an independent channel exists and is visibly accessible to members. |
| DOCUMENT | Response record review | Reviews whether concerns raised are genuinely acknowledged and answered. |
| INTERVIEW | Member awareness check | Asks members directly whether they know the channel exists and that it’s independent. |
Supervisor tips
- Ask a member, not staff, whether they know how to reach someone outside the club with a concern. — This reveals whether the channel is genuinely known, not just technically present.
- Ask to see one real case that came through the channel and what changed because of it. — A specific, real example reveals genuine use, not a channel that exists only on paper.
Evidence base
ASF training courses on GMJ Academy →
Foundation courses A-00 to A-03 are live. Criterion-specific modules are being developed and will link here when published.