Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • 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

  • Is the Equipment in a safe, clean and useable condition?

  • What level of Risk does this unit present?

  • Add media

Chest/ Shoulder Press

  • Is the Equipment in a safe, clean and useable condition?

  • What level of Risk does this unit present?

  • Add media

Hand and Pedal Cycle

  • Is the Equipment in a safe, clean and useable condition?

  • What level of Risk does this unit present?

  • Add media

Horseback Rider

  • Is the Equipment in a safe, clean and useable condition?

  • What level of Risk does this unit present?

  • Add media

Leg Press

  • Is the Equipment in a safe, clean and useable condition?

  • What level of Risk does this unit present?

  • Add media

Sit Up Bench

  • Is the Equipment in a safe, clean and useable condition?

  • What level of Risk does this unit present?

  • Add media

Skier

  • Is the Equipment in a safe, clean and useable condition?

  • What level of Risk does this unit present?

  • Add media

Surfer

  • Is the Equipment in a safe, clean and useable condition?

  • What level of Risk does this unit present?

  • Add media

Cradle swing set

  • Is the swing in a safe, clean and useable condition?

  • What level of risk do the swings present?

  • Add media

Slide

  • Is the Slide in a safe, clean and useable condition

  • What level of risk does the Slide present?

  • Add media

Table Tennis Unit

  • Is the Table tennis unit in a safe, clean and useable condition?

  • What level of risk does the Table tennis unit present

  • Add media

Flat Seat Swings

  • Are the swings in a safe, clean and useable condition?

  • What level of risk does the Swings present?

  • Add media

MUGA

  • Is the MUGA unit in a safe, clean and useable condition?

  • Are all panels in a safe, clean and useable condition?

  • Is the frame work of the MUGA unit in a safe, clean and useable condition?

  • Is the Surface in a safe, clean and useable condition?

  • What level of risk does the Multiplay unit present?

  • Add media

Safety surfacing (Grass Matting)

  • Is the safety surface in a safe, clean and useable condition?

  • What level of risk does the safety surface present?

  • Add media

Bins and benches

  • Are the bins in a safe, clean and useable condition?

  • What level of risk do the bins present?

  • Are the benches in a safe, clean and useable condition?

  • What level of risk do the benches present?

  • Add media

Skatepark

  • 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?

  • Are the Ramps in a safe, clean and useable condition?

  • Are the Structures in a safe and useable condition?

  • Are the fences in a clean and safe condition? Check for missing parts.

  • Is the area clear of rubbish and graffiti?

  • Is the signage in a clean and readable condition?

  • What level of risk does the skatepark present?

  • Add media

  • Assessed by:

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.