Title Page
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Please evaluate each item using the STC risk scoring system. Any findings need to be recorded and photos taken of defected or unsafe items. Any items recorded as High risk will require immediate action.
Outside Fitness Equipment
Body Twist/ Dip Station
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Is the Equipment in a safe, clean and useable condition?
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What level of Risk does this unit present?
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Chest/ Shoulder Press
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Is the Equipment in a safe, clean and useable condition?
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What level of Risk does this unit present?
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Hand and Pedal Cycle
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Is the Equipment in a safe, clean and useable condition?
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What level of Risk does this unit present?
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Horseback Rider
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Is the Equipment in a safe, clean and useable condition?
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What level of Risk does this unit present?
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Leg Press
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Is the Equipment in a safe, clean and useable condition?
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What level of Risk does this unit present?
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Sit Up Bench
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Is the Equipment in a safe, clean and useable condition?
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What level of Risk does this unit present?
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Skier
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Is the Equipment in a safe, clean and useable condition?
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What level of Risk does this unit present?
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Surfer
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Is the Equipment in a safe, clean and useable condition?
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What level of Risk does this unit present?
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Cradle swing set
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Is the swing in a safe, clean and useable condition?
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What level of risk do the swings present?
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Slide
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Is the Slide in a safe, clean and useable condition
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What level of risk does the Slide present?
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Table Tennis Unit
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Is the Table tennis unit in a safe, clean and useable condition?
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What level of risk does the Table tennis unit present
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Flat Seat Swings
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Are the swings in a safe, clean and useable condition?
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What level of risk does the Swings present?
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MUGA
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Is the MUGA unit in a safe, clean and useable condition?
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Are all panels in a safe, clean and useable condition?
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Is the frame work of the MUGA unit in a safe, clean and useable condition?
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Is the Surface in a safe, clean and useable condition?
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What level of risk does the Multiplay unit present?
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Safety surfacing (Grass Matting)
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Is the safety surface in a safe, clean and useable condition?
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What level of risk does the safety surface present?
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Bins and benches
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Are the bins in a safe, clean and useable condition?
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What level of risk do the bins present?
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Are the benches in a safe, clean and useable condition?
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What level of risk do the benches present?
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Skatepark
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Please check the skatepark for any defects.
You will need to visually check the structure and report any issues immediately to your line manager. -
Is the surface in a safe, clean and useable condition? No damage to tar-mac?
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Are the Ramps in a safe, clean and useable condition?
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Are the Structures in a safe and useable condition?
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Are the fences in a clean and safe condition? Check for missing parts.
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Is the area clear of rubbish and graffiti?
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Is the signage in a clean and readable condition?
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What level of risk does the skatepark present?
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Assessed by: