Select date
Inspected by
Inspected by
H&S Representative Signature
Manager/Coordinator Signature

Site Conditions

Hygiene - Is the area free from broken glass, dog or human excreta, condoms & syringes? (especially Sandpits)

Are surrounding trees healthy and free from dead wood which may fall?

Is the area free from fallen tree limbs on the ground?

Are seats in good condition, sturdy and free from damage?

Are sprinklers free from damage and appear in good working order?

Is the fence and boundary appropriate and free from damage?

Is the playground area free from water pooling and lying in areas for excessive periods?


Are posts and foundations firm?

Are nuts, bolts, screws, clamps and other fittings securely fastened and "S" hooks closed?

Is the equipment free from protruding nuts, bolts and nails?

Are cables, tyres and seats from from protrusions?

Is equipment free from splintering wood, or fibreglass (especially sliding surfaces)?

Are steps and ladders and other means of access to equipment safe and free from damage?

Are handrails sturdy?

Is the equipment safe and free from missing floor boards and planks?

Are cables and other ropework free from knotting, splicing and lashing?

Are chain covers in good condition and free from rust beneath?

Are sliding surfaces undamaged and free from burning and/or cracking?

Are all structures clear of obstructions (tunnels etc)?

Is the area free from acts of vandalism?

Do all moving items move freely on their bearings (swings, rotating equipment)?

Have all metal components been checked for wear and corrosion (including springs)?

Is softfall material provided?

Is the softfall level 150mm deep for fall heights up to 1.5m?

Is softfall level at 250mm - 300mm for fall heights greater than 1.5m?

Please take photos of any unsatisfactory equipment or issue.
Extra Comments


To be signed by WH&S Officer once Inspection completed and returned
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.