Playground Safety Visual Inspection

• Playground

• Conducted on

  Date

• Inspected by

• Location
  Address

• Equipment

• Upload photo of playground

  Media

• Add comments

• Checklist Instructions to complete inspection checklist
  
  Take a picture of the park/facility and playground to act as a site plan and layout of amenities and equipment
  Conduct a three point visual check prior to entering the site to ensure your safety
  Tick YES or NO as you inspect each amenity
  If the item does not exist put N/A
  IDENTIFY any defects and record them
  Determine action to be taken to rectify such as repaint
  Risk rate the amenities using the risk assessment/risk benefit matrix
  Indicate the condition of amenities from 1 -5 (see below table of contents for risk assessment) Sign and date the completed inspection checklist

  

Reserve Access and Entrances

• Is reserve access and entrances applicable

  Yes

  No

  N/A

• Are the surrounds free of water

  Yes

  No

  N/A

• Probability or likelihood

  1

  2

  3

  4

  5

• Consequence or severity

  1

  2

  3

  4

  5

• Action Plan

• Are the surrounds free of erosion/worn areas

  Yes

  No

  N/A

• Probability or likelihood

  1

  2

  3

  4

  5

• Consequence or severity

  1

  2

  3

  4

  5

• Action Plan

• Are the surrounds mown and weed free

  Yes

  No

  N/A

• Probability or likelihood

  1

  2

  3

  4

  5

• Consequence or severity

  1

  2

  3

  4

  5

• Action Plan

• Gardens tidy and weed free

  Yes

  No

  N/A

• Probability or likelihood

  1

  2

  3

  4

  5

• Consequence or severity

  1

  2

  3

  4

  5

• Action Plan

• No Trip Hazards evident ie rocks or holes

  Yes

  No

  N/A

• Probability or likelihood

  1

  2

  3

  4

  5

• Consequence or severity

  1

  2

  3

  4

  5

• Action Plan

Litter & General Tidiness

• Is litter and general tidiness applicable

  Yes

  No

  N/A

• Surrounding area free of rubbish

  Yes

  No

  N/A

• Probability or likelihood

  1

  2

  3

  4

  5

• Consequence or severity

  1

  2

  3

  4

  5

• Action Plan

• Surrounding area free of glass, syringes etc

  Yes

  No

  N/A

• Probability or likelihood

  1

  2

  3

  4

  5

• Consequence or severity

  1

  2

  3

  4

  5

• Action Plan

• Rubbish bin intact and empty

  Yes

  No

  N/A

• Probability or likelihood

  1

  2

  3

  4

  5

• Consequence or severity

  1

  2

  3

  4

  5

• Action Plan

• Free of spiders and cobwebs

  Yes

  No

  N/A

• Probability or likelihood

  1

  2

  3

  4

  5

• Consequence or severity

  1

  2

  3

  4

  5

• Action Plan

Ancillary Items

• Is ancillary items applicable

  Yes

  No

  N/A

• Fencing & Bollards secure and intact

  Yes

  No

  N/A

• Probability or likelihood

  1

  2

  3

  4

  5

• Consequence or severity

  1

  2

  3

  4

  5

• Action Plan

• Tables, chairs, seats secure and in good condition

  Yes

  No

  N/A

• Probability or likelihood

  1

  2

  3

  4

  5

• Consequence or severity

  1

  2

  3

  4

  5

• Action Plan

• Paths and concrete pads level with no trip hazards, free of cracks,<br>deformities in surfacing

  Yes

  No

  N/A

• Probability or likelihood

  1

  2

  3

  4

  5

• Consequence or severity

  1

  2

  3

  4

  5

• Action Plan

• Reserve signage intact and clean

  Yes

  No

  N/A

• Probability or likelihood

  1

  2

  3

  4

  5

• Consequence or severity

  1

  2

  3

  4

  5

• Action Plan

• Are the toilets clean, tidy, undamaged with adequate hand washing facilities?

  Yes

  No

  N/A

• Probability or likelihood

  1

  2

  3

  4

  5

• Consequence or severity

  1

  2

  3

  4

  5

• Action Plan

Vandalism/Graffiti/Mould

• Is vandalism/graffiti/mould applicable

  Yes

  No

  N/A

• Non evident in surrounding areas ie on toilets, walls etc

  Yes

  No

  N/A

• Probability or likelihood

  1

  2

  3

  4

  5

• Consequence or severity

  1

  2

  3

  4

  5

• Action Plan

• No graffiti present on equipment

  Yes

  No

  N/A

• Probability or likelihood

  1

  2

  3

  4

  5

• Consequence or severity

  1

  2

  3

  4

  5

• Action Plan

• No mould or moss present on equipment

  Yes

  No

  N/A

• Probability or likelihood

  1

  2

  3

  4

  5

• Consequence or severity

  1

  2

  3

  4

  5

• Action Plan

Trees

• Are trees applicable?

  Yes

  No

  N/A

• Pruned, no loose or dead limbs or limbs on ground

  Yes

  No

  N/A

• Probability or likelihood

  1

  2

  3

  4

  5

• Consequence or severity

  1

  2

  3

  4

  5

• Action Plan

• Tree stumps are grinded and in good condition

  Yes

  No

  N/A

• Probability or likelihood

  1

  2

  3

  4

  5

• Consequence or severity

  1

  2

  3

  4

  5

• Action Plan

• Vegetation cut back 2m from equipment

  Yes

  No

  N/A

• Probability or likelihood

  1

  2

  3

  4

  5

• Consequence or severity

  1

  2

  3

  4

  5

• Action Plan

• No exposed roots causing trip hazards

  Yes

  No

  N/A

• Probability or likelihood

  1

  2

  3

  4

  5

• Consequence or severity

  1

  2

  3

  4

  5

• Action Plan

Shade Structure

• Is a shade structure applicable?

  Yes

  No

  N/A

• Post secure in the ground

  Yes

  No

  N/A

• Probability or likelihood

  1

  2

  3

  4

  5

• Consequence or severity

  1

  2

  3

  4

  5

• Action Plan

• Footings not exposed

  Yes

  No

  N/A

• Probability or likelihood

  1

  2

  3

  4

  5

• Consequence or severity

  1

  2

  3

  4

  5

• Action Plan

• Free of rust

  Yes

  No

  N/A

• Probability or likelihood

  1

  2

  3

  4

  5

• Consequence or severity

  1

  2

  3

  4

  5

• Action Plan

• Membrane free of rips and tears

  Yes

  No

  N/A

• Probability or likelihood

  1

  2

  3

  4

  5

• Consequence or severity

  1

  2

  3

  4

  5

• Action Plan

• Membrane securely attached

  Yes

  No

  N/A

• Probability or likelihood

  1

  2

  3

  4

  5

• Consequence or severity

  1

  2

  3

  4

  5

• Action Plan

Safety Surfacing

• Is safety surfacing applicable

  Yes

  No

  N/A

• Mulch or Synthetic under-surfacing present

  Yes

  No

  N/A

• Probability or likelihood

  1

  2

  3

  4

  5

• Consequence or severity

  1

  2

  3

  4

  5

• Action Plan

• Are loose fill surfaces at an adequate depth and free of large holes/excavations?

  Yes

  No

  N/A

• Probability or likelihood

  1

  2

  3

  4

  5

• Consequence or severity

  1

  2

  3

  4

  5

• Action Plan

Synthetic Surfacing

• Is synthetic surfacing applicable?

  Yes

  No

  N/A

• Intact and no trip hazards, rips or tears

  Yes

  No

  N/A

• Probability or likelihood

  1

  2

  3

  4

  5

• Consequence or severity

  1

  2

  3

  4

  5

• Action Plan

• Free of mold or moss present

  Yes

  No

  N/A

• Probability or likelihood

  1

  2

  3

  4

  5

• Consequence or severity

  1

  2

  3

  4

  5

• Action Plan

Safety Surface Edging

• Is safety surfacing edging applicable?

  Yes

  No

  N/A

• Concrete edging in good condition

  Yes

  No

  N/A

• Probability or likelihood

  1

  2

  3

  4

  5

• Consequence or severity

  1

  2

  3

  4

  5

• Action Plan

• Timber edging in good condition

  Yes

  No

  N/A

• Probability or likelihood

  1

  2

  3

  4

  5

• Consequence or severity

  1

  2

  3

  4

  5

• Action Plan

• Rolled rubber edging in good condition

  Yes

  No

  N/A

• Probability or likelihood

  1

  2

  3

  4

  5

• Consequence or severity

  1

  2

  3

  4

  5

• Action Plan

Caps/Bolts/Screws/Nuts/Washers/General Parts (Visual Inspection Only)

• Is Caps/Bolts/Screws/Nuts/Washers/General Parts applicable?

  Yes

  No

  N/A

• Free of rust and damage

  Yes

  No

  N/A

• Probability or likelihood

  1

  2

  3

  4

  5

• Consequence or severity

  1

  2

  3

  4

  5

• Action Plan

• All parts present

  Yes

  No

  N/A

• Probability or likelihood

  1

  2

  3

  4

  5

• Consequence or severity

  1

  2

  3

  4

  5

• Action Plan