Title Page

  • Document No.

  • Audit Title

  • Conducted on

  • Personnel

Zip Line G.S.E Monthly Checks

Access Gate

  • Safe to Continue?

1st Flat form

  • Safe to Continue?

2nd Flat form

  • Safe to Continue?

Support Structure System

  • Safe to Continue?

Stairs

  • Safe to Continue?

All Signage Board

  • Safe to Continue?

Safety Mat

  • Safe to Continue?

Zip Line O.P.P.E Monthly Checks

Junction #1

  • Safe to Continue?

Junction #2

  • Safe to Continue?

Junction #3

  • Safe to Continue?

Junction #4

  • Safe to Continue?

Junction #5

  • Safe to Continue?

Junction #6

  • Safe to Continue?

Wire

  • Safe to Continue?

  • Activity Specialist

  • Activity Leader

  • All checks must be ticked and signed by the trained instructor who carried out that specific check. A zone specifically trained Team Leader, or if not present, a Zone Specifically trained Duty Manager must sign off the sheet as a whole, and the Team Leader specific checks also. If any of the following fail, and the risk from this is not managed/ controlled, or deemed acceptable risk, the site is not suitable for opening. All issues must be reported to the Duty Manager. Site Layout sheets are available for visual diagrams of area specific issues. All daily checks must be completed before opening.

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