Title Page

  • Document No.

  • What is the location of the playground?
  • What make of playground is it?

  • What is the estimate age of the playground or the date of installation?

  • Conducted on

  • Prepared by

  • Please include a photo of the playground in the park

Playground Structure

  • Is the playground structure free of bending, loosening, cracking, breakage, wear, rust/corrosion, entrapments or other safety related issues?

  • Is the area free of trees or other objects which overhang the playground and are potentially creating a safety issue?

Playground Surface Finish

  • Is the playground surface free of rust/corrosion, cracks, splinters, sharp edges, graffiti or other safety or aesthetic issues?

Playground Hardware

  • Does all the playground hardware meet Standards (check for any hardware that is missing, bent, broken or loose or any other safety issues such as open hooks)?

Playground Edges

  • Is the playground free of sharp edges, protrusions, gaps or other safety related issues?

Guards and Hand Rails

  • Do all guards and hand rails meet Standards (check for missing, bent, broken and loose items and also heights)?

Ladders & Steps

  • Do all ladders and steps meet Standards (check for rungs which are missing, loose, broken, worn and slippery)?

Swing Seats

  • Do all swing seats meet Standards (check for seats which are missing, loose, damaged, perished and also check the height of the seat)?

See Saws and Springers

  • Do all See Saws and Springers have smooth movement, secure seats, bumper tyres in place, acceptable painted finish and secure bolts?

Footings

  • Are all footings secure?

  • Are concrete footings below ground level?

Softfall

  • What type of soft fall is in place?

  • Is there sufficient softfall in place and is it clear of rubbish and debris?

  • Is the density of the soft fall within the parameters of the Standards?

  • Is there adequate draining from the soft fall area?

General Park Issues

  • Are all playground items in working order?

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