Identify outdoor safety hazards. Place a checkmark if the hazard does not exist. Flag if one exists. Correct the hazard, then document the date when corrected.
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Program/Facilities:
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Reviewer:
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Review Date:
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List here notes, action-required, or any issues not listed below:
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| Cleared / Flagged / Date-Fixed | General Hazards |
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| Playground is free from debris or litter, such as branches, cans, glass, animal waste, etc. | |
| Equipment is free of sharp points, dangerous corners or edges. | |
| There are no potential clothing-entanglement hazards (e.g., open S-hooks or protruding bolts). | |
| All pipe ends are covered with undamaged protective caps or plugs. | |
| Area is clear of standing, water, ice or snow. | |
| 操场是完全免费的,没有任何危险,这样的s exposed footings and anchoring devices and sharp rocks, roots, or any other environmental obstacles. | |
| Surfacing Hazards | |
| Equipment has adequate protective surfacing under and around it. | |
| The loose-fill surfacing material is free of foreign objects or debris. | |
| There is sufficient depth of loose-fill surfacing in heavy use areas such as under swings or at slide exits. | |
| Ground is free of dangerous ditches, holes and traps. | |
| Deterioration of Equipment | |
| Equipment is in good condition (e.g., no rust, rot, cracks or splinters). | |
| Fences, benches, and signs on the playground are all in good condition. | |
| Equipment is securely anchored. | |
| Playground equipment components are unbroken and in good condition (e.g., handrails, guardrails, basketball nets firmly attached, protective barriers, steps or rungs on ladders). |