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Playground inspection checklist template

Playground Inspection Form - sipe 2026

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The document is a High Frequency Playground Inspection Form used to assess the condition of playground equipment and surfaces. It includes sections for inspector details, inspection frequency, criteria for evaluation, and codes to indicate the condition of various components. The form requires inspectors to note any issues, corrective actions taken, and to return the completed form to a supervisor.

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Click ‘Get Form’ to open the Playground Inspection Form - sipe in the editor.
Begin by filling in the DISTRICT, INSPECTOR NAME, REPAIRER NAME, SCHOOL, and DATE/TIME fields at the top of the form.
Select the INSPECTION FREQUENCY by circling either DAILY or WEEKLY.
For each inspection criterion listed, use the provided codes (1-4) to indicate the condition of components. Write any relevant comments in the INSPECTION COMMENTS section.
If repairs are needed, provide details in the REPAIR COMMENTS section and note any corrective actions taken.
List any applicable work order numbers for repairs at the end of the form.
Finally, ensure that you return the completed inspection form to your supervisor and keep a copy on file for future reference.

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is safety checklist inspections?

Safety inspection checklists are tools professionals from various industries use to conduct safety examinations and tests. The Occupational Safety and Health Administration (OSHA) sets the standards for most safety checklists used on job sites across various industries in the United States.

What is the checklist for playground cleaning?

Remove all litter from the playground area. Completed. Sweep up leaves and debris. Completed. Wipe down all surfaces and equipment. Completed. Sanitize surfaces and equipment. Check for loose parts and repair/replace as necessary. Check and clean play equipment. Check play area for any hazards. Disinfect and clean all bathrooms.

What are the CPSC guidelines for playgrounds?

Make sure play structures more than 30 inches high are spaced at least 9 feet apart. Check for dangerous hardware, like open S hooks or protruding bolt ends. Make sure spaces that could trap children, such as openings in guardrails or between ladder rungs, measure less than 3.5 inches or more than 9 inches.

What are the self inspection checklist for playground safety?

CHECK THE EQUIPMENT FOR S, BENDING, WARPS, RUSTING, OR BREAKAGE OF ANY COMPONENT CHECK FOR TRIPPING HAZARDS, SUCH AS EXPOSED FOOTINGS, ROOTS, ROCKS, ETC. CHECK FOR LOOSE NUTS, BOLTS, AND CAPS OR PROTRUDING BOLTS WITH SHARP EDGES AND NO CAPS CHECK FOR LACK OF LUBRICATION ON MOVING PARTS.

What are the requirements for playground surfacing?

Check that protective surfacing extends at least 6 feet in all directions from play equipment. For swings, be sure surfacing extends, in back and front, twice the height of the suspending bar. Make sure play structures more than 30 inches high are spaced at least 9 feet apart.

playground safety checklist pdf

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Do playgrounds need to be inspected?

California is known for its stringent safety standards. The state requires public playgrounds to comply with the California Code of Regulations, which includes strict guidelines for playground inspections, maintenance, and hazard correction.

What is the safe framework for playground safety?

The Playground Injury Prevention framework consists of four elements that lay the foundation for safe play areas: supervision, appropriate environments, fall surfacing and equipment maintenance. Rather than being hierarchical in nature, each element interacts with one another.

How much does a playground inspection cost?

Accreditation Requirements The prices range depending on how much equipment there is to inspect. The average price is $200.00 to $400.00 (this depends on the size of the equipment).

Playground Inspection Form - sipe 2026

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See more Playground Inspection Form - sipe versions

Complete this form in 5 minutes or less

Got questions?

What is safety checklist inspections?

What is the checklist for playground cleaning?

What are the CPSC guidelines for playgrounds?

What are the self inspection checklist for playground safety?

What are the requirements for playground surfacing?

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Do playgrounds need to be inspected?

What is the safe framework for playground safety?

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