Title Page
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Document No.
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What is the location of the playground?
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What make of playground is it?
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What is the estimate age of the playground or the date of installation?
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Conducted on
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Prepared by
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Please include a photo of the playground in the park
Playground Structure
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Is the playground structure free of bending, loosening, cracking, breakage, wear, rust/corrosion, entrapments or other safety related issues?
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Is the area free of trees or other objects which overhang the playground and are potentially creating a safety issue?
Playground Surface Finish
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Is the playground surface free of rust/corrosion, cracks, splinters, sharp edges, graffiti or other safety or aesthetic issues?
Playground Hardware
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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
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Is the playground free of sharp edges, protrusions, gaps or other safety related issues?
Guards and Hand Rails
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Do all guards and hand rails meet Standards (check for missing, bent, broken and loose items and also heights)?
Ladders & Steps
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Do all ladders and steps meet Standards (check for rungs which are missing, loose, broken, worn and slippery)?
Swing Seats
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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
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Do all See Saws and Springers have smooth movement, secure seats, bumper tyres in place, acceptable painted finish and secure bolts?
Footings
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Are all footings secure?
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Are concrete footings below ground level?
Softfall
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What type of soft fall is in place?
- Bark
- Sand
- Rubber
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Is there sufficient softfall in place and is it clear of rubbish and debris?
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Is the density of the soft fall within the parameters of the Standards?
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Is there adequate draining from the soft fall area?
General Park Issues
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Are all playground items in working order?
