Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

General Safety

  • Warning labels and age signage present and legible.

  • Equipment free of crush and shear hazards.

  • Equipment free of entanglement hazards, protrusions.

  • Equipment free of sharp points, edges.

  • Bolt ends less than two threads, rounded, smooth.

  • No change in openings causing head entrapment.

  • No inspect, bird or animal infestation.

Finishes and Material Conditions

  • Surfaces are clean, free of graffiti and vandalism.

  • Wood is free of rot, splinters, warping, checking.

  • Metal surfaces are free of rust and loose paint chips.

  • Free of bent, broken, missing parts, excessive wear.

  • Plastics components are free of cracks.

  • Welds are intact and crack free.

  • Hardware is present, tight and fully engaged

Fasteners

  • PVC coatings are not peeling and in good condition.

  • Cables/ropes are anchored and not unraveled.

  • Turnbuckles are engaged and properly adjusted.

  • Fittings/bearings are functional, greased, squeak free.

  • Pipe caps are present on ends of tubing.

Structural Members

  • Footings/anchoring devices are secure and stable

  • Structural members are sound and securely fastened.

  • Springs/rocking components in good repair.

Gripping and stepping components.

  • Hand gripping components secure and do not rotate.

  • Stepping surfaces are level, stable and clean.

  • Foot holds/rungs are tight and free of excessive wear.

Slides

  • Slide bedway and rails are smooth and clear of debris.

  • Bedway at platform is free of entanglement hazard.

Swings and moving components

  • Chains are not twisted and are free of excessive wear.

  • S-hooks are not worn and closed to within 0.04 inch.

  • Swing hangars and bushings are free of excessive wear.

  • Swing seats are smooth and in good condition.

  • Tire seats are lightweight, smooth and in good condition.

  • Tire swing assemblies greased and in good condition.

  • All moving components are in good condition, secure, and lubricated.

Other

  • Loose fill surfacing is level and at proper depth.

  • Other.

  • Inspector's Name

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.