Title Page

  • Site conducted

  • Conducted on

  • Conducted by

  • Staff ID

  • Location
  • Document Number

Untitled Page

Belay Device

  • Attachment Points

  • Webbings

  • Carabiners

Running Belay Line

  • Carabiners

  • Pulley

  • Lanyards Condition

  • Wire rope condition (Look for broken strands, kinks or lumped/crushed areas)

Platform

  • Railings

  • Gate

  • Ladders

  • Flooring

Landing Area

  • Free from Hard object ( stones, stick or etc.) that may be harmful to guests

Test

  • Perform Test Jump

Harnesses

  • Inspect each harness one by one and record the ID numbers of any harnesses found with damage must be reported as "poor" condition

  • Check for Abrasions, Burns, Cuts, Damage, Excessive Wear, and Cleanliness

Maintenance Requirements

  • List any minor defects and attach photo evidence

  • List any major defects and attach photo evidence

Safety Declaration

  • I declare that I have completely audited the necessary set up, safety & housekeeping checks, confirming that this attraction is safe for operation.

  • Conducting Staff Name/Staff ID

  • Attractions Manager / Supervisor

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.