Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
Playground Checklist
Playground Checklist
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Is the playground free of litter and debris
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Adequate depth of surface under and around equipment
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Floor surface is free of trip hazards
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Floor surface is not compacted or deteriorating
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Equipment is damage free
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Equipment is appropriately anchored to the floor
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Equipment is free from sharp points, corners, and edges
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Equipment is free from rot, rust, cracks, or splinters
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Protective caps or plugs are not damaged or missing
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Adequate provision of soft padding
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Adequate provision of corner guards
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Shades are not torn and are damage free
Observations
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1
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2
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3
Signature Page
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