Information

  • Document No.

  • Property Name

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Check off each item as it is inspected. Note any problems if they exist and action taken to correct.

  • Check area for debris or litter. Check for missing or full trash receptacles.

  • Add media

  • Check Lighting - if applicable

  • Add media

  • Damages to equipment - broken / missing components. (Handrails, guard rails, protective barriers, steps, runds, fences, benches and signs)

  • Add media

  • Protective / Cushioning surface materials. Check depth and if it has been refreshed.

  • Add media

  • Loose surfacing materials for foreign objects or debris

  • Add media

  • Loose surfacing materials for compaction and reduced depth, with special attention to heavy use areas such as those under swings and slide exit region

  • Add media

  • All equipment and other playground features for any hazards which may have emerged

  • Add media

  • Sharp points, corners and edges - slides, sliding surface of slide chutes for sharp or rough edges caused by deterioration

  • Add media

  • Protrusions and projections

  • Add media

  • Missing or damaged protective caps or plugs

  • Add media

  • Potential clothing entanglement hazards, such as open S-hooks

  • Add media

  • Pinch, crush and searing points or exposed moving parts

  • Add media

  • Trip hazards (i.e., exposed footing on anchoring devices and rocks, roots or any other obstacles in the play area.)

  • Add media

  • Check for: Cleanliness, Signage, Fencing /Gates, Equipment, Watering Stations, Overall condition

  • Add media

  • Additional items noted:

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.