Low Frequency Inspection (Quarterly/Semiannually)
Codes
Date
Playground
Inspector
Equipment List
Page ___________ of ___________ (Hands On- Physical Check Inspector)
The following codes can be used to indicate the present condition of the equipment so that corrective action can be planned, tracked, and documented.
GENERAL SAFETY 1. Warning labels and age signage present and legible 2. Equipment free of crush and shear hazards 3. Equipment free of entanglement hazards, protrusions 4. Equipment free of sharp points, edges 5. Bolts ends less than two threads, rounded, smooth 6. No change in openings causing head entrapment
Code
Explanation
N/A (Not Applicable) A “N/A” indicates that the component or information is non-existent or not provided, either because it does not apply to a particular component or because the answer is not available.
7. No insect, bird or animal infestation FINISHES & MATERIAL CONDITIONS
1. Metal surfaces are free of rust and loose paint chips 2. Surfaces are clean, free of graffiti and vandalism 3. Wood is free of rot, splinters, warping, checking 4. Free of bent, broken, missing parts, excessive wear 5. Plastics components are free of cracks 6. Welds are intact and crack free 7. PVC coatings are not peeling and in good condition FASTENERS 1. Hardware is present, tight and fully engaged 2. Pipe caps are present on ends of tubing 3. Fittings/bearings are functional, greased, squeak free 4. Turnbuckles are engaged and properly adjusted 5. Cables/ropes are anchored and not unraveled STRUCTURAL MEMBERS 1. Footings/anchoring devices are secure and stable 2. Structural members are sound and securely fastened 3. Springs/rocking components in good repair GRIPPING & STEPPING COMPONENTS 1. Hand gripping components secure and do not rotate 2. Stepping surfaces are level, stable and clean 3. Foot holds/rungs are tight and free of excessive wear SLIDES 1. Slide bedway and rails are smooth and clear of debris 2. Bedway at platform is free of entanglement hazard SWINGS & MOVING COMPONENTS 1. Chains are not twisted and are free of excessive wear 2. S - hooks are not worn and closed to within 0.04 inch 3. Swing hangers & bushings are free of excessive wear 4. Swing seats are smooth & in good condition
√ (Okay)
A check mark indicates that the component has been checked and that the conditions are satisfactory . An “M” indicates that the condition was corrected during the inspection. Examples would be tightening hardware or removing debris. An “R” indicates that repairs cannot be readily completed while the inspector is on site and follow up repairs will be necessary by a skilled staff member or outside vendor. If the condition could present a hazard to users, the equipment should be taken out of service until the situation can be corrected. When the repairs have been made, indicate so by marking an “X” for completed maintenance. An “O” indicates that a serious hazard may be present requiring additional action or that the inspector wants or needs a second opinion. If the condition could present a hazard to users, the equipment should be taken out of service until the situation can be corrected. When the repairs have been made, indicate so by marking an “X” for completed maintenance. Examples: • The inspector may not have the authority to order the removal of a piece of equipment. • The inspector may be unsure of the existence of a protrusion or entanglement hazard and needs to consult with a CPSI. • The structural integrity of a piece of playground equipment is in question and a structural engineer must be consulted. A “P” indicates that replacement parts are required and need to be ordered and installed. If the condition could present a hazard to users, the equipment should be taken out of service until the situation can be corrected. When the repairs have been made, indicate so by marking an “X” for completed maintenance. An “X” indicates that all necessary work and actions have been taken to repair, replace, or remove an unacceptable condition. Make certain that the date of correction is written beside the “X.”
M (Maintenance)
R (Repair)
O (Outstanding)
5. Tire seats are lightweight, smooth & in good condition 6. Tire swing assemblies greased and in good condition 7. All moving components are in good condition, secure, & lubricated OTHER PROTECTIVE SURFACING
P (Parts)
Comment on back
1. Loose-fill surfacing is level and at proper depth 2. Use zones are clear of obstacles and debris 3. Surface drainage is functional with no standing water 4. Wear mats are properly secured in place, level 5. Unitary surfaces are intact, free of depressions & ruts
X (Corrected)
6. Surfaces intended to be accessible are essentially level (1:48 cross slope, 1:16 running slope) 7. Accessible surfaces are free of abrupt changes of elevation greater than ½ inch and do not have cracks or gaps greater than ½ inch horizontal. 8. Transfer platforms have a height above the surfacing between 11 and 18 inches.
Codes
√ (Okay)
N/A (Not Applicable)
M=Maintenance R=Repair Required O=Outstanding Issue P=Parts Needed X=Corrected
Comments:
Reviewed By: __________________________________________________ Date: ______________________ Note: This is a quarterly/semi-annual report and designed as a sample inspection report. Manufacturer’s maintenance instructions for inspection schedules and replacement parts are to be referred to prior to any repairs. Maintenance schedules should be developed based upon actual or anticipated playground use” (CPSC). Retain all inspection reports to assist in developing comprehensive maintenance programs, inspection schedules, and for future budgeting and planning.
Preserving the Play Environment • Promoting the Value of Play • Protecting Children
Preserving the Play Environment • Promoting the Value of Play • Protecting Children
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