Caravan Industry Association of Australia - Playground Risk Assessment Checklist

• Park Name

• Conducted on

  Date

• Prepared by

• Park Address
  Address

• Phone Number

• Email Address

PATHS, SIGNAGE, FENCING AND GATES

• Are all designated walkways and paths leading to and around palyground clean and clear of slip, trip and fall hazards?

  Safe

  At Risk

  N/A

• Is all signage with warnings and rules and regulations regarding proper usage of playground clear and not faded or damaged?

  Safe

  At Risk

  N/A

• Is fencing and gates leading into playground in good condition with gates operating correctly?

  Safe

  At Risk

  N/A

PLAYGROUND EQUIPMENT AND SOFT FALL

• Is soft fall around playground equipment at an adequate coverage i.e. are areas where a fall may occur adequately covered with soft fall?

  Safe

  At Risk

  N/A

• Is playground equipment undamaged and has no rough or sharp sections that could cause injury?

  Safe

  At Risk

  N/A

• All playground equipment has been inspected and checked that it operates as would be expected?

  Yes

  No

  N/A

COMMENTS/ACTIONS TO BE TAKEN

• Input additional comments and actions here

WEEKLY CHECK COMPLETED

• Check completed by

• Select date

  Date