Information
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School District
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Comments:
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Client / Site
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Conducted on
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Prepared by
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Location
Overall Area
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Is site clear of all dangerous and unsuitable objects? (ASTM 3.3.37, CPSC 4.1)
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Comments
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Add media
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Is the area free of hygiene hazards? (ASTM 3.1.27, CPSC 4.1)
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Comments
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Are surrounding trees healthy and free form deadwood? (ASTM 1487-17-3.1.27, CPSC 4.1)
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Comments
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Is there an accessbile route? (ASTM 1487-17-3.1.3, 7.1.1 , CPSC 2.2.1)
Surfacing
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Is site free from pounding or surface water? (ASTM 13.2.1, CPSC 4.3)
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Comments
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Type of Surfacing Material
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Depth of Surfacing Material (CPSC 2.4.2.2, ASTM F 2223-13.2.1)
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Comments
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Condition of Material (CPSC 2.4.2.2, ASTM F 2223-13.1)
Condition of Boarder
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Is border material complete (ASTM , CPSC 4.1)
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Comments
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Condition of Border
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Comments
PLAY EQUIPMENT
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Are all bolts in place and securely fastened? (ASTM 3.1.27, ASTM 12.1, ASTM 13.1, CPSC 2.5.2, CPSC 5.3.6)
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Comments
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Are all the post foundations firm? (ASTM 10.1.2, CPSC 2.6)
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Comments
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Equipment free of protrusion hazards? (ASTM 3.1.32, ASTM 6.3.2, ASTM 6.4.3, CPSC 3.2 CPSC 3.6)
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Comments
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Are there any pinch hazards? (ASTM 3.1.37, CPSC 3.1, CPSC 3.4)
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Comments
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Is the equipment complete with no missing parts? (ASTM 6.5.1.1, ASTM 8.6.3, ASTM 12.1, CPSC 3.1, CPSC 4.2, CPSC 4.3, CPSC 5.3.8)
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Comments
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Are there any shear hazards? (ASTM 6.5, CPSC 3.1, CPSC 3.4)
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Comments
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Is the equipment free of graffiti? (ASTM 3.1.37, CPSC 4.1)
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Comments
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Is equipment free of any sharp edges? (ASTM 3.1.37, CPSC 3.4)
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Comments
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Are chains in good conditions? (ASTM 3.1.37, CPSC 2.5.1, CPSC 5.3.8, CPSC 5.3.8.1)
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Comments
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Are chain coatings in good condition , free of cracking? (ASTM 5.3.8.1, ASTM 3.1.37 , CPSC 2.4.1)
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Comments
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Are connectors (chains, D- clamps, S - hooks etc...) satisfactory? (ASTM 6.4.5, ASTM 6.4.5.1, CPSC 5.3.8, CPSC 5.3.8.1)
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Comments
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Swing seats in good condition? (ASTM 3.1.37, CPSC 3.4, CPSC 5.3.8, CPSC 5.3.8.1)
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Comments
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Slide discharges have enough impact absorbing material? (ASTM F 2223-13.1, CPSC 2.4.2.2, 5.3.6.4)
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Comments
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Are sliding surfaces undamaged (burning or cracking)? (ASTM 3.1.37 , CPSC 2.5.3)
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Comments
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Are tunnels undamaged and free from obstructions? (ASTM 3.1.37, CPSC 3.4)
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Comments
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Are rotating items moving freely on their bearings? (ASTM 3.1.35, ASTM 9.3.3, CPSC 5.3.3 , CPSC 5.3.4)
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Comments
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Are springs free from cracking or fatigue? (ASTM 8.11, CPSC 5.3.7)
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Comments
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Rope/flexible climbers in good conditions (ASTM 3.1.5 CPSC 5.3.2.3)
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Comments
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Rope, Cables and Chains are attached and anchored at both ends (ASTM 3.1.5, ASTM 6.6.1 CPSC 4.2)
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Comments
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Arch Climbers in on good condition and age appropriate? (ASTM 4.2.1, ASTM 7.3.2.1, CPSC 2.2.3, CPSC 2.5.2, CPSC 5.3.2.2)
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Comments
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Is the Equipment age appropriate? (ASTM 4.2.1, CPSC 2.2.3, CPSC 5.3.2.2, CPSC 5.3.2.)
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Comments
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Track Rides compliant and in good working condition (ASTM 4.2.1, ASTM 8.13, CPSC
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Comments
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Seesaw Equipment and surrounding material (ASTM 8.10, ASTM 13.1, CPSC 5.3.2.1.4)
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Comments
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Is there the required impact-absorbing material around the fall zones of equipment? (CPSC 2.4.2.2, ASTM F 2223-13.1)
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Comments
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Entanglement hazards. (ASTM , CPSC 3.2, CPSC, 3.2.1 )
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Comments
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Entrapment Hazards. (ASTM 6.1, CPSC 3.3.1, CPSC B 2.4)
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Comments
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Are the protective coating intact and good condition? (ASTM 4.1.1, CPSC 2.5.1, CPSC 2.5.4)
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Comments
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Are trees/over growth trimmed back from playground equipment and healthy?
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Comments
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Signs and Rule posted (ASTM 14.1, CPSC 2.1)
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Supervision (ASTM, CPSC 2.2.5, CPSC 2.2.7)
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Comments
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Additional Comments:
COMMENTS ( overall ratings)
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Surfacing (impact absorbing material)
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Graffiti
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Supervision
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Swings
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Slides
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Bolts/caps
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Climbing Structures
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Shade structure
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Playground Rating
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Jack M. Mekeel
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CPSI Number: 54262-425 expires 04/01/2025