Playground Inspection Report Form PDF Details

Ensuring the safety and maintenance of playgrounds is critical for the welfare of children and the peace of mind of their guardians. The Playground Inspection Report form serves as a crucial tool in this endeavor, providing a comprehensive checklist to evaluate the condition and safety of playground equipment and its environment. This form covers a wide range of inspection points, including the adequacy of protective surfacing under and around equipment, the presence of any foreign objects or debris in loose-fill surfacing materials, and the absence of general hazards like open "S" hooks or trip hazards. Additionally, it assesses the presence of any deterioration or damage to the equipment, such as broken or missing components, and examines the security of hardware to ensure there are no loose fastening devices or worn connections. The form also focuses on the condition of the paint, specifically looking for peeling, cracking, or chipping of leaded paint. Beyond the physical condition of the playground, the form includes checks for general maintenance issues like debris, vandalism, and trash can status. Each inspection point requires a yes or no response, with space provided for specifics if the answer is no, including the identification of necessary corrective actions and their completion dates. The importance of this form extends to legal preparedness, providing playground owners and their attorneys with critical documentation to defend against potential litigation, with explicit instructions not to release the information except to specific officials or designated representatives. This piece provides a foundational understanding of the functionality and significance of the Playground Inspection Report form in maintaining playground safety and compliance.

QuestionAnswer
Form NamePlayground Inspection Report Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesplayground inspection checklist forms, playground checklist template, playground assessment checklist, monthly playground inspection checklist

Form Preview Example

 

Playground Inspection Form

 

High Frequency (Maintenance)

Playground:

 

Date:

Inspected By:

 

Start Time:

 

 

End Time:

Corrective Action

Playground

Condition

Requirement

Yes No

If No, Explain With Specifics

Identify

Date

Completed

Surfacing

All equipment has adequate protective surfacing under and around

Surfacing materials have not deteriorated

Loose-fill surfacing materials have no foreign objects or debris

General Hazards

No open "S" hooks

No trip hazards (e.g., concrete footers, rocks, roots, etc.)

Deterioration of Equipment

No broken, missing componets

No kinked, twisted, worn, broken chains

All equipment securely anchored

Security of Hardware

No loose fastening devices, worn connections

Leaded Paint

No peeling, cracking, chipping of leaded paint

Page 1

Playground:

 

Date:

Inspected By:

 

Start Time:

 

 

End Time:

Corrective Action

Playground

Condition

Requirement

Yes No

If No, Explain With Specifics

Identify

Date

Completed

General

Maintenance

Playground free of debris (e.g., litter, braches, bottles)

No vandalism

No missing trash cans

Trash cans not full

Other

Reviewed By:

Date Reviewed:

Important: This information has been prepared to assist the playground owner's attroney in defending potential litigation. Do not release this information to any person except an entity officical, designated claims representative, or an investigating police officer.

Page 2

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As for the blanks of this specific PDF, here is what you should consider:

1. Start completing the playground inspection checklist with a selection of essential blank fields. Consider all the information you need and be sure absolutely nothing is omitted!

Step # 1 for filling in playground inspection checklist template

2. Once your current task is complete, take the next step – fill out all of these fields - General Hazards, No open S hooks, No trip hazards eg concrete, No broken missing componets, Deterioration of Equipment, No kinked twisted worn broken, and All equipment securely anchored with their corresponding information. Make sure to double check that everything has been entered correctly before continuing!

Filling in part 2 of playground inspection checklist template

3. The next section is normally fairly easy, Security of Hardware, No loose fastening devices worn, Leaded Paint, No peeling cracking chipping of, and Page - all of these fields must be filled in here.

Filling in section 3 in playground inspection checklist template

4. To go onward, your next part will require typing in several form blanks. Examples include Playground, Inspected By, Playground Condition, Date, Start Time, End Time, Requirement, Yes No, If No Explain With Specifics, Corrective Action, Identify, Date, Completed, Playground free of debris eg, and No vandalism, which you'll find fundamental to going forward with this particular form.

Stage no. 4 of submitting playground inspection checklist template

5. While you reach the finalization of this file, there are actually several more requirements that should be satisfied. Specifically, Other, Reviewed By Date Reviewed, and Important This information has should all be filled in.

Stage no. 5 of filling out playground inspection checklist template

It is easy to make a mistake when filling out your Important This information has, so ensure that you look again prior to deciding to finalize the form.

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