• Club / Facility

  • Location
  • Conducted on

  • Prepared by Liona Edwards

  • Club Representative

  • Club Representative

  • Club Representative

  • Activities

  • Area photo of facility


  • Has the operating club provided evidence of their current public liability insurance?

  • Are there any outside clubs, community groups or others using facilities?

  • Have other casual or regular users completed a hire agreement?

  • Have they provided proof of public liability insurance?

  • Does the operating club inspect the playing surface prior to:

  • Competition

  • Training


  • Is the playing surface area level?

  • Are all field/line markings clearly visible and in good condition?

  • Are all goal posts sturdy and in good working order?

  • Are all sprinklers level with the playing surface and appropriately covered?

  • Are there any other protrusions / dangers on or around the playing surface?

  • Overall condition of the playing surface? 1 - poor 5 - excellent


  • Are the following component condition satisfactory?

  • Walls (damaged)

  • Floors / Stairs<br>(Even surface, predictable slip, sound and visible steps, handrails)

  • Ceiling<br>(Damaged, water stains, leaks)

  • Doors / Locks<br>(Solid, emergency exits operate, signs are clear)

  • Electrical<br>(Tagged, pore points)

  • Gas<br>(LPG bottles outside)

  • Fire Protection<br>(At least one in public area, tags, alarms)

  • Paths<br>(Free of obstructions, even, lighting)

  • Car parks<br>(Free of obstructions, even, lighting)

  • Water<br>(no leaks)

  • Security<br>(Grills, alarms, procedures)

  • Heating / Cooling<br>(Portable)

  • Carpet / Furnishings

  • Is the kitchen in clean and working order?

  • Does the premise have a current food act registration?

  • Are change rooms in clean and working order?

  • Are all toilets (male, female and disabled) in clean and working order?

  • Are first aid kits stocked and available for use?


  • Is fencing in a safe condition?

  • Is appropriate signage displayed at facility.

  • Is signage in good condition.

  • Are grandstands and seating free from broken and/or loose sections?

  • Are any associated buildings/facilities (excluding pavilions) in good condition. Ie. scoreboards, gatekeeper hut.

  • Are rubbish and recycle bins secured in an appropriate position?

  • Is there any evidence of vandalism?

  • Has all flammable material capable of being used for arson been removed?

  • Are there any inherent dangers to passive or casual users within the reserve eg. proximity of creeks, embankments, access road, trees or other organised activities?

  • Are there any inherent dangers to players, sporting participants or spectators within the location of the reserve eg. Proximity of creeks, embankments, access road, trees?


  • Hazard 1

  • Hazard 2

  • Hazard 3


  • Renovation program as per parks contract?

  • Specific action / treatments required?


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.