Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

1.0 Site Condition

  • Park Name

  • Is the site clean and free of trip and hygiene hazards, unsuitable objects,

  • broken glass and rubbish

  • Risk Level

  • Is the area free from stinging insects and plants?

  • Risk Level

2.0 Soft fall Surfacing

  • Is the soft fall free of debris and foreign objects?

  • Risk Level

  • If a loose soft fall, is it the correct depth (minimum compacted depth 250mm)

  • Risk Level

  • Is the soft fall surface in good repair (eg. Not worn, compacted or uneven)?

  • Risk Level

  • Are play equipment footings/ foundations covered with soft fall?

  • Risk Level

  • Is the play equipment free of any obvious head/ finger entrapments or pinch

3.0 Play Equipment

  • points caused by vandalism, broken or missing equipment or excessive wear?

  • Risk Level

  • Are all bolts, clamps and joints in place and securely fastened?

  • Risk Level

  • Are all post footing/ foundations secure?

  • Risk Level

  • Is the play equipment complete with no missing parts?

  • Risk Level

  • Do all moving parts move freely and smoothly?

  • Risk Level

  • Are all sliding surfaces free of cracks and splits?

  • Risk Level

  • Are all chains, ropes and "S" Hooks secure?

  • Risk Level

  • Are "S" Hooks on chains closed?

  • Risk Level

  • Are tunnels free from all obstructions and unsuitable items?

  • Risk Level

  • Are all rotating items moving freely?

  • Risk Level

  • Are seats and attachments in good condition?

  • Risk Level

  • Are the chain covers in good repair and correctly positioned?

  • Risk Level

  • Are tyres secure, free from pests and well drained?

  • Risk Level

  • Is there any graffiti requiring removal

  • Risk Level

  • Add media

4.0 Action Required

  • Add drawing

  • Add media

5.0 Park facilities - Condition

5.1 Shelters

  • Are Shelters in good serviceable condition

  • Add media

  • Are footings and concrete in good condition

5.2 Seating and Table settings

  • Is park furniture in good serviceable condition

  • Is park furniture in clean and free from damage

  • Is park furniture in free from pest i.e "Ants, Wasps and Spiders"

5.3 BBQ Areas

  • Is BBQ in good serviceable condition

  • Is BBQ clean

  • Is BBQ functional

6.0 Public Conveniences

  • 6.1 Have all toilet, showers and waiting room floors been washed, scrubbed and disinfected?

  • 6.2 Have all lavatory pans and cisterns, urinals and hand basins been Washed, scrubbed and disinfected?

  • 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

  • 6.4 Are all mirrors, taps and surrounding surfaces been cleaned.

  • 6.5 Have all receptacles for used hand towels, refuse, etc. been washed cleaned and disinfected? Liners replaced where required?

  • 6.6 Have all ledges, sills and non-mechanical equipment been dusted?

  • 6.7 Has toilet paper been replaced as required, ensuring adequate provision for daily use?

  • 6.8 Have the concrete path outside waiting areas including footpaths been swept?

  • 6.9 Have the bins been emptied and all papers and rubbish been picked up?

  • 6.10 Have all fittings such as seats, etc been cleaned and washed.

  • 6.11 Have the entrance doors been cleaned?

  • 6.12 Have ceilings, walls, light fittings and behind doors to be kept cobweb free

  • 6.13 Has any loose rubbish in pot plants, gardens on footpaths, roadways and parks been picked up?

  • 6.14 Has the soap and paper towel dispensers been refilled?

  • 6.16 Have dangers been reported to Parks and Gardens Supervisor (ie: Broken Furniture, Fixtures

  • 6.17 has the service log per clean been completed?

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.