Sample Playground Checklist

Program Tool

Required

WWW.VIRTUALLABSCHOOL.ORG

ACTIVITY ID: 22416

Name

Certifier

Date

Using this checklist, identify safety hazards outdoors. Mark if a hazard is not present. For remaining hazards, correct and document the date when the hazard was corrected. Once you have completed the checklist, review with your coach, trainer, or administrator.

Program/Facilities:	Reviewer:	Review Date:
List here notes, action-required, or any issues not listed below:

Cleared / Flagged / Date-Fixed	General Hazards
	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.
	The playground is free of any trip hazards, such as 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).