Play Area Inspection Copy

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

General Area

• Litter bins

  Yes

  No

  N/A

• Picnic tables and other furniture

  Yes

  No

  N/A

• Area is free from odours

  Yes

  No

  N/A

• Horticultural maintenance

  Yes

  No

  N/A

• Gates and fences

  Yes

  No

  N/A

Emergency

• Site location signs present with contact and emergency numbers

  Yes

  No

  N/A

• Access and egress paths clear

  Yes

  No

  N/A

Equipment inspection

• Yes

  No

  N/A

Ancillary areas

• Other areas condition

  Yes

  No

  N/A

Other comments

• Other comments

Sign Off

• On site representative

  Sign