Inflatable Device Inspection Form

• Member Name

• Address
  Address

• Conducted on

  Date

• Prepared by

• Member Personnel Present

• Ask for and obtain Owners' Manual for device

• Refer to signage requirements at http://www.tdi.state.tx.us/commercial/indexamusement.html

• Ask if any repairs have been made to the device and if there were previous concerns since the last inspection.

• Take photo

• Review Inspection Checklist with the member

• Ask if the operators are member employees or volunteers

• Refer to Operations Checklist - Inspected Areas. Provide a copy to the member.

• Explain that the Consumer Product Safety Commission reports that injuries can occur through improper setup, anchoring, and operations.

• Review Operations Checklist - Operator/Attendant Responsibilities. Provide a copy to the member.

• Ask member to demonstrate emergency procedures, i.e., clear device, turn off blower, etc.

• Refer to Operations Checklist - Emergency Procedures

• Explain that the TDI form, coverage document, and photos will be sent to the member (email and mail). Member will be responsible for sending form and photo to TDI with the appropriate fee ($40/unit).

• Member Name

• Name of Ride/Device

• Serial Number

• Date of Inspection

  Date

• Photo(s) of Device

  Media

Inflatable Exterior

• Is the exterior material clean and free of stains?

  Yes

  No

  N/A

• Are the seams strong and in good condition

  Yes

  No

  N/A

• Is mesh material strong, stable, and intact?

  Yes

  No

  N/A

• Are proper stakes being used for the intended soil composition?

  Yes

  No

  N/A

• Are proper sandbags and/or weights being used to secure the device?

  Yes

  No

  N/A

• Are tie-down straps in good condition with no damage or breakage?

  Yes

  No

  N/A

• Are entrances and exits clear of obstructions?

  Yes

  No

  N/A

• Are entrance/exit ramps secure and attached?

  Yes

  No

  N/A

• Are warning signs and rules clear and visible?

  Yes

  No

  N/A

Inflatable Interior

• Is the interior material clean and free of stains?

  Yes

  No

  N/A

• Are the seams strong and in good condition?

  Yes

  No

  N/A

• Is mesh material strong, stable, and intact?

  Yes

  No

  N/A

• Is the entrance safety net secure and intact?

  Yes

  No

  N/A

• Is internal air pressure sufficient to provide firm footing?

  Yes

  No

  N/A

• Are any debris or sharp objects present?

  Yes

  No

  N/A

• Are passageways clear of obstructions?

  Yes

  No

  N/A

• Are ropes and footholds strong and intact?

  Yes

  No

  N/A

• Are warning signs and rules clear and visible?

  Yes

  No

  N/A

Blowers

• Is the proper blower being used for this unit?

  Yes

  No

  N/A

• Is the intended electrical outlet 110v GFCI protected?

  Yes

  No

  N/A

• Is the motor free of dust and operating properly?

  Yes

  No

  N/A

• Is the air intake and output clean and free of debris?

  Yes

  No

  N/A

• Is the blower free of rust and corrosion?

  Yes

  No

  N/A

• Is the inflatable air supply tube properly attached and secured to the blower?

  Yes

  No

  N/A

• Are electrical cords no more than 25' from the GFCI outlet?

  Yes

  No

  N/A

• Are electrical cords in good condition and the insulation free of nicks, cuts, and abrasions?

  Yes

  No

  N/A

• Are electrical cords secured and out of the path of travel to prevent potential trips?

  Yes

  No

  N/A

• Are all plugs, sockets, and switches in good condition and free of damage?

  Yes

  No

  N/A

Accessories

• Are accessories, such as boxing gloves, jousting poles, etc., used in the device?

  Yes

  No

  N/A

• Are they free from damage and wear?

  Yes

  No

  N/A

• Are they clean?

  Yes

  No

  N/A

• Are fencing queues and railings intact and free from sharp edges and obstructions?

  Yes

  No

  N/A

• Is a generator used to supply power to the device blower?

  Yes

  No

  N/A

• Is the generator inspected regularly?

  Yes

  No

  N/A

• Are procedures in place for monitoring and fueling generators?

  Yes

  No

  N/A

• Are water misters used with the device?

  Yes

  No

  N/A

• Is the mister firmly attached to the device?

  Yes

  No

  N/A

• Is the mister clean, free from debris and odor?

  Yes

  No

  N/A

• Is the water source clean and free of debris?

  Yes

  No

  N/A