Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Inspection Items

  • Vandalism: damage, graffiti, glass, trash

  • Remove foreign objects: rope, litter, wood

  • Loose or missing hardware

  • Chains: kinked, twisted, broken

  • Guardrails/handrails secure

  • Seats: cut, crack, missing

  • Wood: rotten, cracked, missing

  • Sweep walkways, platforms, steps

  • Footers exposed

  • Standing water

  • Objects in surfacing material

  • Rake/level surfacing material

Item has sufficient surfacing material:

  • Swings

  • Climbers

  • Slide

  • Fire pole

  • Other

  • Other

For office use only:

  • Reviewed by CPSI:

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