Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

Performance Objective 1: Staff Presence, Appearance, and Training

  • Are staff present?

Adequate Staffing Level and Presence in Operating Area

  • Adequate Staffing Level and Presence in Operating Area

  • Action Required

  • Timeline for Action

Appropriate Supervision

  • Appropriate Supervision and Decision Making Responsibilities

  • Action Required

  • Timeline for Action

Good Appearance

  • Good Appearance and Presentation

  • Action Required

  • Timeline for Action

Appropriate Training in Place

  • Appropriate Training in Place

  • Action Required

  • Timeline for Action

Safely Operating Tools and Equipment

  • Safely Operating Tools and Equipment

  • Action Required

  • Timeline for Action

Knows Necessary Park Standards

  • Knows Necessary Park Standards

  • Action Required

  • Timeline for Action

Knows/Enforces Park Regulations

  • Knows/Enforces Park Regulations

  • Action Required

  • Timeline for Action

Good Customer Service Skills

  • Good Customer Service Skills

  • Action required

  • Timeline for Action

Performance Objective 2: Facilites are Safe, Clean, Operational, and Maintained

Parking Lots/Roads

  • Safe

  • Clean

  • Operational

  • Meets Standard

  • Action Required

  • Timeline for Action

Toilets

  • Safe

  • Clean

  • Operational

  • Meets Standard

  • Action Required

  • Timeline for Action

Tables

  • Safe

  • Clean

  • Operational

  • Meets Standard

  • Action Required

  • Timeline for Action

Benches

  • Safe

  • Clean

  • Operational

  • Meets Standard

  • Action Required

  • Timeline for Action

Garbage

  • Safe

  • Clean

  • Operational

  • Meets Standard

  • Action Required

  • Timeline for Action

Trails/Walkways/Steps

  • Safe

  • Clean

  • Operational

  • Meets Standard

  • Action Required

  • Timeline for Action

Bridges

  • Safe

  • Clean

  • Operational

  • Meets Standard

  • Action Required

  • Timeline for Action

Landscape/Grounds/Lawns

  • Safe

  • Clean

  • Operational

  • Meets Standard

  • Action required

  • Timeline for Action

Culverts/Ditches

  • Safe

  • Clean

  • Operational

  • Meets Standard

  • Action Required

  • Timeline for Action

Fences/Gates/Barriers

  • Safe

  • Clean

  • Operational

  • Meets Standard

  • Action Required

  • Timeline for Action

Campsites (incl. fire rings, tables, number posts, surface)

  • Safe

  • Clean

  • Operational

  • Meets Standard

  • Action required

  • Timeline for Action

Signage

  • Safe

  • Clean

  • Operational

  • Meets Standard

  • Action Required

  • Timeline for Action

Info Shelter

  • Safe

  • Clean

  • Operational

  • Meets Standard

  • Action required

  • Timeline for Action

Group Site

  • Safe

  • Clean

  • Operational

  • Meets Standard

  • Action Required

  • Timeline for Action

Structures

  • Safe

  • Clean

  • Operational

  • Meets Standard

  • Action Required

  • Timeline for Action

Fire Hydrants/Hose Containers

  • Safe

  • Clean

  • Operational

  • Meets Standard

  • Action Required

  • Timeline for Action

Sani Stations

  • Safe

  • Clean

  • Operational

  • Meets Standard

  • Action Required

  • Timeline for Action

Day Use Area

  • Safe

  • Clean

  • Operational

  • Meets Standard

  • Action Required

  • Timeline for Action

Water Standpipes, Grey Water, Hand Pumps

  • Safe

  • Clean

  • Operational

  • Meets Standard

  • Action Required

  • Timeline for Action

Performance Objective 2: Marine/Freshwater Facilities

Beach Area

  • Safe

  • Clean

  • Operational

  • Meets Standard

  • Action Required

  • Timeline for Action

Docks/Floats

  • Safe

  • Clean

  • Operational

  • Meets Standard

  • Action Required

  • Timeline for Action

Boat Launch

  • Safe

  • Clean

  • Operational

  • Meets Standard

  • Action Required

  • Timeline for Action

Markers/Mooring/Buoys

  • Safe

  • Clean

  • Operational

  • Meets Standrd

  • Action Required

  • Timeline for Action

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.