Date M T W Th Fri Hazard Y/N Y/N trip hazards and Y/N Y/N Y/N 1) The entire playground has adequate drainage, is clean/free of hazardous debris/objects (rocks, sticks, litter.) Safety Inspection Checklist 10 Tips from CPSC 1. Fill out, securely sign, print or email your playground equipment inspection checklist to print form instantly with SignNow. When new play equipment is installed or at the introduction of a new playground safety and maintenance program, it is a good idea to have an audit performed by a Certified Playground Safety Inspector (CPSI). Playground Inspection Checklist. Fill out, securely sign, print or email your Playground Inspection Checklist - NC Child Care instantly with SignNow. Make sure surfaces around playground equipment have at least 12 inches of wood chips, mulch, sand, or pea gravel, or are mats made of safety-tested rubber or rubber-like materials. Circle the appropriate response. The most secure digital platform to get legally binding, electronically signed documents in just a few seconds. Playground Inspection Process When new play equipment is installed and at . Use this simple checklist to help make sure your local community or school playground is a safe place to play. Available for PC, iOS and Android. Available for PC, iOS and Android. YES NO All surfaces underneath play equipment are covered with the amount of impact-absorbing material required per CPSC recommendations for the highest possible fall. The audit identifies the pieces that are on the playground, their current condition, and how they measure up to the ASTMI specification F1487. It should be noted that there is a major difference between an audit and an inspection of the playground. Adults model and teach maintenance skills—tool use, hazard identification, etc. 16. Tailor ‘Section 1’ to the inspection requirements of your workplace and use it to conduct quarterly inspections. Y/N … the introduction of a new playground safety and maintenance program, it is good practice to have an audit of the equipment performed by a Certified Playground Safety Inspector (CPSI). Program Records Checklist Center. Material such as sand, wood chips, or pea gravel, or a manufactured energy-absorptive Involves children in care and maintenance of playground. PLAYGROUND SAFETY CHECKLIST . Equipment Inspection Form Pdf. To help answer these questions, here’s a playground inspection checklist. Make sure surfaces around playground equipment have at least 12 inches of wood chips, mulch, sand, or pea gravel, or are mats made of safety-tested rubber or rubber-like materials. Playground Equipment and Structures Inspection Checklist Page | 3 . The National Program for Playground Safety developed an easy-to-use Playground Report Card to evaluate the safety of your community’s playgrounds. Prevention of Shaken Baby Syndrome Policy (Español) Professional Development Plan - Center Based Early Educators. Public Playground Safety Checklist . Prevention of Shaken Baby Syndrome Policy. The most secure digital platform to get legally binding, electronically signed documents in just a few seconds. Playground Inspection Checklist. In addition, the surfacing and design of the play area are evaluated. Check that protective surfacing extends at least 6 feet in all directions from play equipment. Enter the date/month of the inspection. 2. Involves adults in children’s play—regular adult/child planning and evaluation. Start a free trial now to save yourself time and money! Y = Yes N= No. The audit 17. Preservice Requirements for Administrator of a Child Care Center. Playground Inspection Process. Details Date of inspection, workplace name, area being inspected and person performing the inspection; Adults help chil-dren learn to solve playground problems through cooperative planning and analysis of problems. Start a free trial now to save yourself time and money! 15. 30 for a sample inspection form and corresponding codes to use on the form. To determine the security of a given play area, these are the things to look out for and avoid: Broken or Rusted Equipment: Loose bolts, busted swings, missing caps, and cracks in materials are all warning signs that playground safety has been compromised.