Master Routine Playground Inspection Form

• Which group are you inspecting?

  Select NG1 (DE/MH) NG2 (GG) SG1 (SM) SG1A (JR) SG2 (SJ) SG2A (HH) SG3 (DL)

  • NG1 (DE/MH)
  • NG2 (GG)
  • SG1 (SM)
  • SG1A (JR)
  • SG2 (SJ)
  • SG2A (HH)
  • SG3 (DL)

• Site Conducted

  Select Cotton Patch Shire St Tuli Wk Sika Wk Ivory Rd Romney Rd Savannah Dr Teeswater Wk Sorrel Dr

  • Cotton Patch
  • Shire St
  • Tuli Wk
  • Sika Wk
  • Ivory Rd
  • Romney Rd
  • Savannah Dr
  • Teeswater Wk
  • Sorrel Dr

• Site Conducted

  Select Marconi Dr Mayflower Ct Caxton Dr Southwell Gdns Stilings Cl Talbot Cl Red House Road Orchard Close Draycott Park

  • Marconi Dr
  • Mayflower Ct
  • Caxton Dr
  • Southwell Gdns
  • Stilings Cl
  • Talbot Cl
  • Red House Road
  • Orchard Close
  • Draycott Park

• Site Conducted

  Select Linham Rd Crowpill Ln Duke St Viscount Sq Countess Av Meadowlands Av Victoria Park

  • Linham Rd
  • Crowpill Ln
  • Duke St
  • Viscount Sq
  • Countess Av
  • Meadowlands Av
  • Victoria Park

• Site Conducted

  Select Bonita Dr (Dev Owned) Cannington (Tod, Jnr, MUGA) Parsons Cl Danesboro Rd Holford Rd (Play & Gym) Haygrove Park Northgate Yard (Tod, Jnr)

  • Bonita Dr (Dev Owned)
  • Cannington (Tod, Jnr, MUGA)
  • Parsons Cl
  • Danesboro Rd
  • Holford Rd (Play & Gym)
  • Haygrove Park
  • Northgate Yard (Tod, Jnr)

• Site Conducted

  Select Gloucester Rd (Tod, Jnr) Edinburgh Rd The Green (Sunnybank) Union St Bower Pd (Play, Gym, Ballcourt, Goal) Pollard Rd Stafford Rd Puriton Park Mansfield Park

  • Gloucester Rd (Tod, Jnr)
  • Edinburgh Rd
  • The Green (Sunnybank)
  • Union St
  • Bower Pd (Play, Gym, Ballcourt, Goal)
  • Pollard Rd
  • Stafford Rd
  • Puriton Park
  • Mansfield Park

• Site Conducted

  Select Marsa Way TA6 5JN Castle Green Walk (Mound) Hazeley Close (Boat) Appledore Drive (Train) Coronation Park Eastover park (MUGA) Eastover Park Chamberlin Ave

  • Marsa Way TA6 5JN
  • Castle Green Walk (Mound)
  • Hazeley Close (Boat)
  • Appledore Drive (Train)
  • Coronation Park
  • Eastover park (MUGA)
  • Eastover Park
  • Chamberlin Ave

• Site Conducted

  Select Apex (Tod, Jnr, Skate, Gym) Apex Dog Agility St Christopher Way Coleridge Gdns Crosses Pen Winchester Rd (Play, MUGA) Rosewood Cl Rosewood Gr Olivier Cl

  • Apex (Tod, Jnr, Skate, Gym)
  • Apex Dog Agility
  • St Christopher Way
  • Coleridge Gdns
  • Crosses Pen
  • Winchester Rd (Play, MUGA)
  • Rosewood Cl
  • Rosewood Gr
  • Olivier Cl

• Conducted on

  Date
• Location
  Address

Questions

• Is the playground you are inspecting closed for maintenance?

  No.

  Yes.

• Is Park signage in place and easy to read?

  Yes.

  No.

  Developer Owned (N/A)

  Bark Park (N/A)

• Do the gates shut in 4-8 seconds?

  Yes

  No

  N/A

• Are there any issues with the safer surfaces? (Shrinkage, sinking, holes, etc)

  No.

  Yes.

  N/A

• Are any ropes fraying?

  No.

  Yes.

  N/A

• Is any wood splitting?

  Yes

  No

  N/A

• Are there any trip points?

  No.

  Yes.

• Are there any entrapment points?

  No.

  Yes.

• Is there any dog faeces in or around the play equipment?

  No.

  Yes.

• Is there any offensive graffiti?

  No.

  Yes.

• Does the playground have excessive litter?

  No.

  Yes.

• Are there any vegetation safety issues?

  No.

  Yes.

  N/A

• Are there any HIGH RISK maintenance or safety defects which which need reporting? (If yes, this will immediately notify Duncan, Scott & Lizzie)

  No.

  Yes.

• Finally, are there any other maintenance or safety defects which haven't been captured in the questions above?

  No.

  Yes.

• Is it safe and secure?

  Yes.

  No.

Sign-off

• Signature (type name or sign)

  Sign