How to Fill Out Weekly Playground Inspection Checklist

Weekly Playground Inspection Checklist at a glance

What it is: The Weekly Playground Inspection Checklist is a form for a School/Facility and the Date Inspected.

Who signs: Fill in Inspected by.

A filled-in Weekly Playground Inspection Checklist example: a weekly hardware check

Weekly Playground Inspection Checklist example filled out, example: a weekly hardware check
An aide at a school fills in the weekly playground inspection checklist. She answers all five Hardware questions, marking Yes only for exposed screws, bolts and No for the rest. The picture shows page 1, and its names and figures are sample values. The aide inspects Playground Surfaces, Grounds and Equipment on another day, so their boxes stay empty. Notes and Inspected by is left blank because the aide completes it after the inspection.

How to fill out Weekly Playground Inspection Checklist, box by box

School/Facility and Date Inspected

Weekly Playground Inspection Checklist example filled out, school/Facility and Date Inspected

Enter the School/Facility and the Date Inspected.

Playground Surfaces

Weekly Playground Inspection Checklist example filled out, playground Surfaces

Under Playground Surfaces, mark Yes, No or N/A and add Comments.

Surface materials appropriate?

Surface thickness 12 inches within 6 foot of playground equipment Does it extend 6 feet in all directions from the playground equipment? For swings, does it extend twice the height of the suspending bar in back and front?

Any holes or gaps that need filling in?

Other?

Hardware

Weekly Playground Inspection Checklist example filled out, hardware

Under Hardware, mark Yes, No or N/A and add Comments.

Open "S" hooks?

Exposed screws, bolts?

Protruding end bolts?

Exposed wires, broken fences?

Any Other Unsafe Condition?

Grounds

Weekly Playground Inspection Checklist example filled out, grounds

Under Grounds, mark Yes, No or N/A and add Comments.

Any tripping hazards, exposed concrete footing, tree stumps, rocks, etc.? Any broken glass, cans, soft drink pull-tabs, nails, etc?

Any animal feces in the area?

Equipment

Weekly Playground Inspection Checklist example filled out, equipment

Under Equipment, mark Yes, No or N/A and add Comments.

Do elevated surfaces (platforms, ramps) have guardrails?

Is equipment properly anchored?

Is there at least 9 ft. between play structures > 30" high?

Are spaces that could trap children (i.e., in guardrails/ladder rungs), < 3.5" or > 9"?

Any splintering on wood?

Mark Yes, No or N/A for Surface thickness correct? (12"), and add Comments.

Any sharp points or edges on equipment?

Is equipment in good overall condition?

Other (missing, broken, etc.) ?

Notes and Inspected by

Weekly Playground Inspection Checklist example filled out, notes and Inspected by

If you or another on your campus find any damge or condition that could potentially cause injury to a child using this playgound, you will cause the play area to be closed off and IMMEDIATELY submit a Safety to Life work order request through Maintenance Work Control.

Fill in Inspected by.

More rules for Weekly Playground Inspection Checklist

This PDF report can be printed and filled in by hand, or completed on a computer and printed. It cannot be saved electronically with ADOBE Reader.

Sources

[1] Weekly Playground Inspection Checklist (Form 18, Revised 12/09) (the Official source link on this page).

Equipment Inspection Sheet Form PDF Details

Keeping playgrounds safe is a top priority for schools and facilities with outdoor play areas. The Equipment Inspection Sheet form, a comprehensive checklist designed for weekly inspections, plays a crucial role in this process. Available in a PDF format, this form allows individuals to either print and manually fill in the details or use a computer for completion before printing. However, it's important to note that the form cannot be saved digitally when using ADOBE Reader, thus emphasizing the importance of a physical review process. This detailed checklist covers every aspect of playground safety, from the appropriateness and thickness of surface materials to the inspection of playground equipment for any hazardous conditions such as sharp points, protruding bolts, or potential tripping hazards. Additionally, it demands an evaluation of the spacing between play structures and the presence of guardrails on elevated surfaces, ensuring all elements conform to safety standards. With sections dedicated to analyzing playground surfaces, hardware, and grounds, as well as specific equipment conditions, the form is meticulous in its approach to identifying any issues that could pose a risk to children. Notably, it includes a protocol for immediate action if any damages or dangerous conditions are discovered, underscoring the urgency of maintaining a safe play environment for children. The form also provides space for comments and notes, allowing inspectors to detail their findings and actions taken, ensuring a thorough and accountable inspection process.

QuestionAnswer
Form NameEquipment Inspection Sheet Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesplayground checklist print form, playground checklist print pdf, weekly playground form online, checklist for equipment inspection