high prairie school division playground inspections - monthly

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Inspection information

• Check equipment stability and check for broken,bent,missing components

  Safe

  At Risk

  N/A

• Re-distribute loose-fill surfacing material in high wear areas (i.e. "Dishing" at slide exits, stairs, ect)

  Safe

  At Risk

  N/A

• Check depth of surfacing material to ensure adequate.

  Safe

  At Risk

  N/A

• Remove any broken glass and/or debris from play equipment and any concealed in protective surfacing.

  Safe

  At Risk

  N/A

• Unwrap swings from around top rail (of any swings)

  Safe

  At Risk

  N/A

• Check for kinked, twisted or broken swing chain.

  Safe

  At Risk

  N/A

• Check for drainage problems and/or other issues

  Safe

  At Risk

  N/A

• Remove any obvious hazards

  Safe

  At Risk

  N/A

• Issues requiring immediate attention

• Additional comments

• Site supervisor signature.

  Sign

• Inspectors signature.

  Sign