Information

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

1. Site and ancillary items

  • 1.1 Are signs present and legible?

  • Description of fault/damage :

  • Details of job raised including job number, name and completion date if available:

  • 1.2 Are gates in working order :

  • Description of fault/damage:

  • Details of job raised including job number, name and completion date if available:

  • 1.3 Are fences complete and secure :

  • Description of fault/damage:

  • Details of job raised including job number, name and completion date if available:

  • 1.4 Are pathways undamaged and unobstructed :

  • Description of fault/damage:

  • Details of job raised including job number, name and completion date if available:

  • 1.5 Is the site free of litter or any dangerous objects :

  • Has this been passed on to the relevant person :

  • Details of actions taken :

  • 1.6 Are the seats secure and undamaged :

  • Description of fault/damage:

  • Details of job raised including job number, name and completion date if available:

  • 1.7 Are the litter bins secure and undamaged :

  • Description of fault/damage:

  • Details of job raised including job number, name and completion date if available:

  • 1.8 Have the bins been emptied :

  • Has this been passed on to the relevant person :

  • Details of actions taken :

  • 1.9 Are road barriers present and in good condition :

  • Description of fault/damage:

  • Details of job raised including job number, name and completion date if available:

  • 1.10 Are all safety barriers present :

  • Description of fault/damage:

  • Details of job raised including job number, name and completion date if available:

  • 1.11 Is the planting in good order and undamaged :

  • Has this been passed on to the relevant person :

  • Details of actions taken :

2. Surfacing

  • 2.1 Is the safety surfacing undamaged :

  • Description of fault/damage:

  • Details of job raised including job number, name and completion date if available:

  • 2.2 Are loose-fill surfaces at the right level :

  • Description of fault/damage:

  • Details of job raised including job number, name and completion date if available:

3. Equipment-All items :

  • 3.1 Are all supports present :

  • Description of fault/damage:

  • Details of job raised including job number, name and completion date if available:

  • 3.2 Is all timber work undamaged :

  • Description of fault/damage:

  • Details of job raised including job number, name and completion date if available:

4. Swings

  • 4.1 Are the swing chains undamaged :

  • Description of fault/damage:

  • Details of job raised including job number, name and completion date if available:

  • 4.2 Are the seats fixed on securely and undamaged :

  • Description of fault/damage:

  • Details of job raised including job number, name and completion date if available:

5. Slides

  • 5.1 Are the steps undamaged :

  • Description of fault/damage:

  • Details of job raised including job number, name and completion date if available:

  • 5.2 Is the chute undamaged :

  • Description of fault/damage:

  • Details of job raised including job number, name and completion date if available:

  • 5.3 Is it clear of sharp/foreign objects :

  • Description of fault/damage:

  • Details of job raised including job number, name and completion date if available:

6. Roundabouts

  • 6.1 Does it revolve smoothly and noiselessly :

  • Description of fault/damage:

  • Details of job raised including job number, name and completion date if available:

  • 6.2 Is it undamaged :

  • Description of fault/damage:

  • Details of job raised including job number, name and completion date if available:

  • 6.3 If it has a speed governor, does this work :

  • Description of fault/damage:

  • Details of job raised including job number, name and completion date if available:

7. Spring items

  • 7.1 Does the play item move freely,noiselessly and is it undamaged :

  • Description of fault/damage:

  • Details of job raised including job number, name and completion date if available:

8. Climbing Frames

  • 8.1 Are all bars in place :

  • Description of fault/damage:

  • Details of job raised including job number, name and completion date if available:

  • 8.2 Are they securely fixed :

  • Description of fault/damage:

  • Details of job raised including job number, name and completion date if available:

9. Multi-play items

  • 9.1 All in good order with no signs of new timber where a piece has been removed :

  • Description of fault/damage:

  • Details of job raised including job number, name and completion date if available:

  • 9.2 Are the guard rails present :

  • Description of fault/damage:

  • Details of job raised including job number, name and completion date if available:

  • 9.3 Is there no holes in the metal indicating where a piece has been removed :

  • Description of fault/damage:

  • Details of job raised including job number, name and completion date if available:

10. Rocking items

  • 10.1 Does it revolve smoothly and noiselessly :

  • Description of fault/damage:

  • Details of job raised including job number, name and completion date if available:

  • 10.2 Are all safety guards present :

  • Description of fault/damage:

  • Details of job raised including job number, name and completion date if available:

  • 10.3 Is the item unable to strike the ground :

  • Description of fault/damage:

  • Details of job raised including job number, name and completion date if available:

11. Sand play areas :

  • 11.1 Is the sand free from rubbish or contaminates :

  • Description of fault/damage:

  • Details of job raised including job number, name and completion date if available:

12. Ropes

  • 12.1 Are all ropes secure and undamaged :

  • Description of fault/damage:

  • Details of job raised including job number, name and completion date if available:

  • 12.2 Are the connectors all secure and present :

  • Description of fault/damage:

  • Details of job raised including job number, name and completion date if available:

13. Cable runaways

  • 13.1 Does the runner move smoothly and noiselessly :

  • Description of fault/damage:

  • Details of job raised including job number, name and completion date if available:

14. Any other items damaged on the Playground :

  • 14.1 All items not listed above free from damage :

  • 14.2 Add any other damage in this box :

  • Actions taken :

  • Add signature

  • Is the playground ok? Red/Amber/Green

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.