Daily Playground Inspection Checklist
FORM 23-1
Date of Inspection ___________________ Inspected by:_________________________________
Area Inspected ____________________________________________________________________
Playground Surfaces
Yes No NA Comments
Surface materials appropriate?
Surface thickness correct? (12”)
Does it extend 6 feet in all directions?
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
Yes No NA Comments
Open “S” hooks?
Exposed screws, bolts?
Protruding end bolts?
Exposed wires, broken fences?
Any Other Unsafe Condition?
Grounds
Yes No NA 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?
