Appendix C
PLAYGROUND SAFETY CHECKLIST
SITE: ________________________________________ DATE: ___________________
WORK AREA: _________________________________ INSPECTOR: _____________
N/A S
U LOCATION/COMMENT
___ ___ All playground equipment securely
___ ___________________
anchored
___ ___ Equipment anchored in concrete: concrete
___ ___________________
not raised above ground level
___ ___ Playground equipment using chains:
___ ___________________
chain links not worn more than 50%
___ ___ Chain to frame connectors not worn
___ ___________________
___ ___ Chains are connected to equipment
___ ___________________
with appropriate hardware
___ ___ All "S" hooks in good condition and
___ ___________________
adequately crimped
___ ___ Swing seats in good condition
___ ___________________
___ ___ All climbing apparatus rungs in good
___ ___________________
condition
___ ___ All playground equipment free from sharp
___ ___________________
edges
___ ___ Slide bedways in good condition
___ ___________________
___ ___ Slide ladders in good condition
___ ___________________
___ ___ No protruding pipes, long bolts or other
___ ___________________
such exposures
___ ___ Adequate cushioning materials under all
___ ___________________
playground equipment
___ ___ All wooden playground equipment free of
___ ___________________
cracks and splintered wood
___ ___ No above-ground protrusions in play areas
___ ___________________
___ ___ No large holes around sprinklers
___ ___________________
___ ___ Over watering
___ ___________________
___ ___ Faucet leaks
___ ___________________
___ ___ Lighting
___ ___________________
___ ___ Insect pests
___ ___________________
OTHER ITEMS
___ ___ __________________________________
___ ___________________
___ ___ __________________________________
___ ___________________
COMMENTS
______________________________________________________________________________
____________________________________________________________________________
Completed by: ___________________________________ Date: ____________________
cc: Program Coordinator; Dean, Career and Tech. Ed; Director of Administrative Services
Work Order #
