Instruction for Care and Maintenance of
Miracle Playground Equipment
Form #21
Revision 3
Date 18/09/12
Page 2 of 3
PLAYGROUND EQUIPMENT SAFETY INSPECTION CHECKLIST
PREPARED FOR: ______________
INSPECTION DATE:
LOCATION: ____________________
INSPECTION BY:
DETAILS OF EQUIPMENT SUPPLIED:
__
RECORD RESULTS FOR EACH COMPONENT. YES / NO OR (-) NOT APPLICABLE
COMPONENT/
FREESTANDING
ITEM
MISSING PARTS
SU
R
F
AC
E SOUN
D
END CAPS IN PLACE
ALL FASTNERS SECURE
FOOTINGS SECURE
COATING CONDITION
‘S’ HOOKS, SHACKLES ETC
CHE
CK
WEAR
LUB
R
IC
ATI
ON RE
QUI
R
ED
VA
ND
ALISM
SAFETY UNDERS
URFACE
CLEA
N &
CL
EAR
FURTHER
COMMENTS
REPAIRS
COMPLETED
F
FOOTINGS
SWING FRAME
STRAP SEAT
INFANT SEAT
SWING CHAINS
Summary of Contents for SWING SEAT
Page 7: ......
