Playground Safety Inspection

This is the monthly Playgound Safety Inspection Form required to be completed by the custodial group at each school location having playground equipment.

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I have tested stability and rigidity of all climbers, swings, whirls, slides, wood equipment, bouncing rides and sports equipment.

• Yes
• No

I have checked for proper assembly, installation and ground anchoring

• Yes
• No

I have checked for protruding bolts and nuts and covered them.

• Yes
• No

I have checked for bent, broken or severely worn pipe and sharp edges on pipes or plates.

• Yes
• No

I have filled holes around all equipment and provided a soft, resilient, energy-absorbing ground surface under all equipment.

• Yes
• No

I have reviewed for exposed concrete footings on equipment.

• Yes
• No

I have checked to be sure all equipment is spaced away from other equipment and traffic patterns.

• Yes
• No

I have checked for rusting and worn galvanized frames and painted if necessary.

• Yes
• No

I have painted playground equipment as needed.

• Yes
• No

I have checked to be sure all fittings are tight and that the bards and pipes do not move.

• Yes
• No

I have checked to see if cracking of wood on climbers needs to be filled with silicone caulking

• Yes
• No

I have checked to be sure the exit of the bedway is parallel to the ground on slides.

• Yes
• No

I have checked the surface around each slide exit for corrosion.

• Yes
• No

I have examined the slide bedways, bedrails, handrails for foreign objects, holes and rouch edges.

• Yes
• No

I have closed and inspected all S-Hooks on swings.

• Yes
• No

I have tested for free movement of each swing hanger and other moving attached parts.

• Yes
• No

I have checked for proper grease in tire swing assemblies.

• Yes
• No

I have checked for worn swing chains and replaced them.

• Yes
• No

I have inspected and replaced slashed rubber belt seats.

• Yes
• No

I have checked for wearing away and erosion of the surface around whirl bases.

• Yes
• No

I have checked for worn bearings and replaced with new one if needed.

• Yes
• No

A good practice is to replace both bearings at the same time, because if one goes bad, it won't be long until the other follows.

I have checked for loose spring castings and tightened.

• Yes
• No

I have replaced any broken springs or seats if identified

• Yes
• No

Repairs Needed

Please include description of item or concern.

Action Taken

Please include if part is ordered or status of progress.

Date / Time of Inspection

Date

Time

Inspected By

Email *

School Inspected- None -Educational Services CenterBittersweetDiscoveryElm RoadElsie RogersGrissomHorizonMadisonMary FrankMeadow's EdgeMoranNorthpointPenn High SchoolPennwayPrairie VistaSchmuckerWalt DisneySupport Services CenterTransportationTechnology Offices

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