Title Page
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
1.0 Site Condition
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Park Name
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Is the site clean and free of trip and hygiene hazards, unsuitable objects,
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broken glass and rubbish
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Risk Level
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Is the area free from stinging insects and plants?
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Risk Level
2.0 Soft fall Surfacing
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Is the soft fall free of debris and foreign objects?
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Risk Level
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If a loose soft fall, is it the correct depth (minimum compacted depth 250mm)
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Risk Level
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Is the soft fall surface in good repair (eg. Not worn, compacted or uneven)?
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Risk Level
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Are play equipment footings/ foundations covered with soft fall?
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Risk Level
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Is the play equipment free of any obvious head/ finger entrapments or pinch
3.0 Play Equipment
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points caused by vandalism, broken or missing equipment or excessive wear?
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Risk Level
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Are all bolts, clamps and joints in place and securely fastened?
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Risk Level
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Are all post footing/ foundations secure?
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Risk Level
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Is the play equipment complete with no missing parts?
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Risk Level
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Do all moving parts move freely and smoothly?
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Risk Level
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Are all sliding surfaces free of cracks and splits?
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Risk Level
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Are all chains, ropes and "S" Hooks secure?
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Risk Level
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Are "S" Hooks on chains closed?
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Risk Level
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Are tunnels free from all obstructions and unsuitable items?
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Risk Level
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Are all rotating items moving freely?
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Risk Level
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Are seats and attachments in good condition?
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Risk Level
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Are the chain covers in good repair and correctly positioned?
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Risk Level
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Are tyres secure, free from pests and well drained?
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Risk Level
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Is there any graffiti requiring removal
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Risk Level
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Add media
4.0 Action Required
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Add drawing
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Add media
5.0 Park facilities - Condition
5.1 Shelters
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Are Shelters in good serviceable condition
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Add media
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Are footings and concrete in good condition
5.2 Seating and Table settings
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Is park furniture in good serviceable condition
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Is park furniture in clean and free from damage
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Is park furniture in free from pest i.e "Ants, Wasps and Spiders"
5.3 BBQ Areas
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Is BBQ in good serviceable condition
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Is BBQ clean
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Is BBQ functional
6.0 Public Conveniences
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6.1 Have all toilet, showers and waiting room floors been washed, scrubbed and disinfected?
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6.2 Have all lavatory pans and cisterns, urinals and hand basins been Washed, scrubbed and disinfected?
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6.3 Have all tiled walls and all fittings been washed, scrubbed and disinfected, Did the contractor clean and polish all bright metal on doors and fittings
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6.4 Are all mirrors, taps and surrounding surfaces been cleaned.
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6.5 Have all receptacles for used hand towels, refuse, etc. been washed cleaned and disinfected? Liners replaced where required?
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6.6 Have all ledges, sills and non-mechanical equipment been dusted?
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6.7 Has toilet paper been replaced as required, ensuring adequate provision for daily use?
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6.8 Have the concrete path outside waiting areas including footpaths been swept?
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6.9 Have the bins been emptied and all papers and rubbish been picked up?
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6.10 Have all fittings such as seats, etc been cleaned and washed.
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6.11 Have the entrance doors been cleaned?
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6.12 Have ceilings, walls, light fittings and behind doors to be kept cobweb free
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6.13 Has any loose rubbish in pot plants, gardens on footpaths, roadways and parks been picked up?
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6.14 Has the soap and paper towel dispensers been refilled?
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6.16 Have dangers been reported to Parks and Gardens Supervisor (ie: Broken Furniture, Fixtures
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6.17 has the service log per clean been completed?