BOULDER WALL G.S.E & O.P.P.E Monthly Checks - YMAZ

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

BOULDER WALL A GROUND SUPPORT EQUIPMENT (G.S.E)

Structure Support System

• Is it safe to Use / Continue? If no please specify

  YES

  NO

Face of the strucure

• Yes

  No

  N/A

Structure Support from inside

• Safe to continue

  YES

  NO

• Safe to continue

  YES

  NO

All signage

• Safe to continue

  YES

  NO

Boulder Wall A O.P.P.E Monthly Checks

Climbing Holds

• Safe to continue

  YES

  NO

Safety Mat

• Safe to continue

  YES

  NO

Climbing Shoes

• Safe to continue

  YES

  NO

Chalk Bag

• Yes

  No

  N/A

• Inspection Date

  Date

• Activity Speacialist

  Sign

• Activity Leader

  Sign