Information
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Document No.
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Audit Title
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Site
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Location
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Conducted on
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Prepared by
Waterfalls
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Good working order
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Comment
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Outcome (inc CRM no, if needed)
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Requested data entry
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Requested data entry
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Date completed
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Photo
Basketball ring
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Good working order
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Comment
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Outcome (inc CRM no, if needed)
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Requested data entry
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Requested data entry
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Date completed
-
Photo
Rockers
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Good working order
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Comment
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Outcome (inc CRM no, if needed)
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Requested data entry
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Requested data entry
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Date completed
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Photo
Sea Saws
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Good working order
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Comment
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Outcome (inc CRM no, if needed)
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Requested data entry
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Requested data entry
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Date completed
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Photo
Swings - single
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Good working order
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Comment
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Outcome (inc CRM no, if needed)
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Requested data entry
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Requested data entry
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Date completed
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Photo
Swings - double
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Good working order
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Comment
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Outcome (inc CRM no, if needed)
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Requested data entry
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Requested data entry
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Date completed
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Photo
Swings - multiple
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Good working order
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Comment
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Outcome (inc CRM no, if needed)
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Requested data entry
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Requested data entry
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Date completed
-
Photo
Climbing equipment
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Fortress / tower
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Comment
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Outcome (inc CRM no, if needed)
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Requested data entry
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Requested data entry
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Date completed
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Photo
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Slide
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Comment
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Outcome (inc CRM no, if needed)
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Requested data entry
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Requested data entry
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Date completed
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Photo
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Net / spiderweb
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Comment
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Outcome (inc CRM no, if needed)
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Requested data entry
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Requested data entry
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Date completed
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Photo
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Flying fox
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Comment
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Outcome (inc CRM no, if needed)
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Requested data entry
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Requested data entry
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Date completed
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Photo
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Fortress / tower
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Comment
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Outcome (inc CRM no, if needed)
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Requested data entry
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Requested data entry
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Date completed
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Photo
Softfall
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Good working order
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Comment
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Outcome (inc CRM no, if needed)
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Requested data entry
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Requested data entry
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Date completed
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Photo
Edging
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Good working order
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Comment
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Outcome (inc CRM no, if needed)
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Requested data entry
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Requested data entry
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Date completed
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Photo
Exercise equipment
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Sit up bench
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Comment
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Outcome (inc CRM no, if needed)
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Requested data entry
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Requested data entry
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Date completed
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Photo
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Chin dip lift
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Comment
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Outcome (inc CRM no, if needed)
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Requested data entry
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Requested data entry
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Date completed
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Photo
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Hip twist
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Comment
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Outcome (inc CRM no, if needed)
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Requested data entry
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Requested data entry
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Date completed
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Photo
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Air walk
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Comment
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Outcome (inc CRM no, if needed)
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Requested data entry
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Requested data entry
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Date completed
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Photo
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Hip swing
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Comment
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Outcome (inc CRM no, if needed)
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Requested data entry
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Requested data entry
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Date completed
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Photo
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Sit up (laying) or push up
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Comment
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Outcome (inc CRM no, if needed)
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Requested data entry
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Requested data entry
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Date completed
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Photo
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Leg up
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Comment
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Outcome (inc CRM no, if needed)
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Requested data entry
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Requested data entry
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Date completed
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Photo
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Aerobic step ups
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Comment
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Outcome (inc CRM no, if needed)
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Requested data entry
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Requested data entry
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Date completed
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Photo
Additional Items
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Good working order
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Comment
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Outcome (inc CRM no, if needed)
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Requested data entry
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Requested data entry
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Date completed
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Photo
Office Use
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Signature required
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COORDINATOR COMMENTS
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Coordinator signature required
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Date required
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Data entry completed - CRM created or job added to Winter list Docs #3111629
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CRM No. and Date completed
