files (1)CHS254Unit4PlaygroundChecklist.docxCHS254Unit4PlaygroundChecklist.docx
Playground Safety Check List
Reviewer Name:
Directions: Put an
X in the
Yes,
No, or N/A column to indicate if the item safe, unsafe, or not applicable. Provide brief comments to explain what you saw for each line item. Answer the Final Question.
Supervision
Item
Yes
No
N/A
Comments
Children can easily be viewed on equipment
Children can be viewed in crawl spaces
Rules are posted regarding expected behavior
Age-Appropriate Design
Item
Yes
No
N/A
Comments
Playgrounds have separate areas for ages 2-5 and 5-12
Platforms have appropriate guardrails
Platforms allow change of directions to get on/off structure
Signage indicating age group for equipment provided
Equipment design prevents climbing outside the structure
Supporting structure prevents climbing on it
Fall Surfacing
Item
Yes
No
N/A
Comments
Suitable surfacing materials provided
Height of all equipment is 8 feet or lower
Appropriate depth of loose-fill provided
Six-foot use zone has appropriate surfacing
Concrete footings are covered
Surface free of foreign objects
Equipment Maintenance
Item
Yes
No
N/A
Comments
Equipment is free of noticeable gaps
Equipment is free of head entrapments
Equipment is free of broken parts
Equipment is free of missing parts
Equipment is free of protruding bolts
Equipment is free of splinters
Equipment is free of rust
Equipment is free of cracks/holes
Overall Comfort Design
Item
Yes
No
N/A
Comments
Overall design encourages open-ended play.
Shady areas are provided
Places to sit are provided (i.e., picnic table)
The surfaces are varied.
There is fencing and or gating for security
Source of fresh water for drinking and handwashing
There are bathrooms available
There are trash receptacles
There is adequate lighting
Final Question:
Is there any item you feel should be on this checklist that is not?
CHS254Unit4PlaygroundChecklist.docx
Playground Safety Check List
Reviewer Name:
Directions: Put an
X in the
Yes,
No, or N/A column to indicate if the item safe, unsafe, or not applicable. Provide brief comments to explain what you saw for each line item. Answer the Final Question.
Supervision
Item
Yes
No
N/A
Comments
Children can easily be viewed on equipment
Children can be viewed in crawl spaces
Rules are posted regarding expected behavior
Age-Appropriate Design
Item
Yes
No
N/A
Comments
Playgrounds have separate areas for ages 2-5 and 5-12
Platforms have appropriate guardrails
Platforms allow change of directions to get on/off structure
Signage indicating age group for equipment provided
Equipment design prevents climbing outside the structure
Supporting structure prevents climbing on it
Fall Surfacing
Item
Yes
No
N/A
Comments
Suitable surfacing materials provided
Height of all equipment is 8 feet or lower
Appropriate depth of loose-fill provided
Six-foot use zone has appropriate surfacing
Concrete footings are covered
Surface free of foreign objects
Equipment Maintenance
Item
Yes
No
N/A
Comments
Equipment is free of noticeable gaps
Equipment is free of head entrapments
Equipment is free of broken parts
Equipment is free of missing parts
Equipment is free of protruding bolts
Equipment is free of splinters
Equipment is free of rust
Equipment is free of cracks/holes
Overall Comfort Design
Item
Yes
No
N/A
Comments
Overall design encourages open-ended play.
Shady areas are provided
Places to sit are provided (i.e., picnic table)
The surfaces are varied.
There is fencing and or gating for security
Source of fresh water for drinking and handwashing
There are bathrooms available
There are trash receptacles
There is adequate lighting
Final Question:
Is there any item you feel should be on this checklist that is not?
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