Title Page
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School Name
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Date of Inspection
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Name
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Assessment Result
Inspection Checklist
1. Inspection Item - Basketball/Netball Courts and Equipment
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1.1 Is the equipment frame stable and free from movement
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1.2 Is the equipment free from damage, rust and corrosion, or split wood
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1.3 Protective coats/paint and equipment surfaces are free from damage and wear (eg no peeling paint)
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1.4 Bolts, nuts, screws and fastening pins are in place and secure flush with surround surface.
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1.5 Is the backboard fixed to galvanised steel post (Do not fix basketball ring and backboards to brickwork)
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1.6 Is the play space area free from loose stones or gravel and other trip Hazards
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1.7 Are there shade structures or tress offering shade over the playground area
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Condition Assessment Rating Number - Overall Condition rating Basketball Equipment
- 1 - New
- 2 - Good
- 3 - Fair
- 4 - Needs Replacement 1-2 years
- 5. Unsafe - DO NOT USE
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Condition Assessment Rating Number - Overall Condition Rating Netball Equipment
- 1 - New
- 2 - Good
- 3 - Fair
- 4 - Needs Replacement 1-2 years
- 5. Unsafe - DO NOT USE
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Actions and comments to be listed in Notes.
2. Playground - Structural and Mechanical (Slide, Climbing)
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2.1 Is Equipment free from damage, rust and corrosion, or split wood
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2.2 Protective coats/paint and equipment surfaces are free from damage and wear
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2.3 Rails, bolts, and other protruding sharp objects are covered with end caps (including tube and pipe ends)
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2.4 Bolts, nuts, screws and fastening pins are in place and secure flush with surround surface
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2.5 Handrails and steps are free from damage and are slip resistant
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2.6 Is the border free from sharp edges and trip hazards
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2.7 Is the maximum fall height under 2.5 meters for primary schools
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2.8 Has allowance been made for at least 2.5m clearance around the equipment
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2.9 Are all concrete footings covered by earth to a depth of at least 200 mm
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Condition Assessment Rating Number - Overall Condition Rating Playground Equipment
- 1 - New
- 2 - Good
- 3 - Fair
- 4 - Needs Replacement 1-2 years
- 5. Unsafe - DO NOT USE
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Actions and comments to be listed in Notes
3. Impact Absorbing Surfaces
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3.1 Impact absorbing materials is present underneath equipment where there is a potential fall height minimum of 250mm
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3.2 Impact absorbing material is equally distributed underneath equipment
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3.3 Rubber/Synthetic Pads or tiles are in good condition and have not separated from the base layer and do not have any embedded foreign objects
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3.4 Loose impact absorbing material (eg bark or mulch) is free from sharp edges
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3.5 Borders around the impact absorbing surfaces are in good condition
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Condition Assessment Rating Number - Overall rating impact absorbing surfaces
- 1 - New
- 2 - Good
- 3 - Fair
- 4 - Needs Replacement 1-2 years
- 5. Unsafe - DO NOT USE
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Actions and comments to be listed in Notes
4. Sand Pits
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4.1 Sandpits are clean and free from foreign objects and animal waste
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4.2 Sandpit boarders are in good condition, free from splinters, exposed nails, and pins.
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Condition Assessment Rating Number - Overall rating Sand Pits
- 1 - New
- 2 - Good
- 3 - Fair
- 4 - Needs Replacement 1-2 years
- 5. Unsafe - DO NOT USE
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Actions and comments to be listed in Notes
5. Shade said or Structure
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5.1 Shade sail is free from rips, holes, or tears
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5.2 Structural Components are free from rust, damage and corrosion
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Condition Assessment Rating Number - Overall rating Shade Sail or Structure
- 1 - New
- 2 - Good
- 3 - Fair
- 4 - Needs Replacement 1-2 years
- 5. Unsafe - DO NOT USE
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Actions and comments to be listed in Notes
6. Football and Soccer Posts
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6.1 The Football and Soccer poles are in good condition and free from damage, rust and corrosion
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6.2 Protective coats/paint and equipment surfaces are free from damage and wear
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6.3 Bolts, nuts, screws and fastening pins are in place and secure
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Condition Assessment Rating Number - Overall rating Football Posts
- 1 - New
- 2 - Good
- 3 - Fair
- 4 - Needs Replacement 1-2 years
- 5. Unsafe - DO NOT USE
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Condition Assessment Rating Number - Overall rating Soccer Posts
- 1 - New
- 2 - Good
- 3 - Fair
- 4 - Needs Replacement 1-2 years
- 5. Unsafe - DO NOT USE
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Actions and comments to be listed in Notes
Certification of Completed Inspection
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Signature
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Date and Time of completed Inspection
