FL Form 1068 2006-2024 free printable template
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THE SCHOOL DISTRICT OF MARTIN COUNTY, FLORIDA PLAYGROUND SAFETY INSPECTION School Name: Form #1068 06/06 Playground Inspector Name: Date: Inspection Codes: OK 1 Needs Maintenance O Work Order Written/
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How to fill out playground inspection form
How to fill out CPSI playground inspection form:
01
Begin by carefully reading and familiarizing yourself with the instructions provided on the form.
02
Fill out the basic information section of the form, including the name of the playground, location, date of inspection, and the inspector's name and contact details.
03
Evaluate the playground's critical aspects and equipment. This includes assessing surfacing, equipment, site amenities, accessibility, and hazards. Use the form's checklist or rating system to record findings accurately.
04
Pay close attention to potential safety hazards such as broken or missing equipment, inadequate surfacing, sharp edges, trip hazards, or any other issues that may pose a risk to children using the playground.
05
Take detailed notes of any necessary repairs or maintenance required to address identified hazards.
06
Complete any additional sections on the form, such as comments or recommendations for improvements.
07
Review and verify all the information provided before submitting the form.
Who needs CPSI playground inspection form:
01
Playground owners, operators, or those responsible for playground maintenance require the CPSI (Certified Playground Safety Inspector) playground inspection form.
02
Professionals specializing in playground safety, such as CPSI certified inspectors or individuals responsible for conducting thorough playground inspections, often need the CPSI playground inspection form.
03
Organizations, schools, parks, or any public or private entity that owns or manages a playground may require the CPSI playground inspection form to ensure compliance with safety standards and regulations.
Video instructions and help with filling out and completing playground inspection form
Instructions and Help about cpsi playground inspection kit form
Hi Craig Patel with safe to play today I want to go over with you just a few of the things that I used to make sure that your playground is safe when I do a certified safety inspection some of the tools I use are items like this and what these do is measure Persian that could be possibly a hazard on your playground, so things like bolts that are sticking out with more than two threads different items that might be protruding from some part of your playground equipment could be possible items that I would look at and possibly write up in my report other things that I would use is a head probe and this is a probe to measure any gap that's three and a half inches or larger, so that would maybe be where a body of a kid the feet would go first and then the head would follow, so that would be more of this probe here which could imitate a head at 9 inches, so the feet would go in and then the head would get stuck, so obviously we don't want that to happen this is for an is called a fish probe, and it's for partially bound entrapment so up on top of the structure we would use this so on the fish probe what you'd like to do is measure the opening on the top here if it's larger than this area right here which this is just under that's good news what you do then is flip it around and if it sticks drops down in there that again would imitate the head of a child so this one is compliant, and obviously we're not going to write that up this is to measure anything that's greater than three and a half inches sometimes I find a gap between the upright and the barrier measuring about larger than three and a half eighty-four inches and then the head probe would fit in here and therefore would be considered a headed rattan and I would write that so once you're ready to go ahead and install your new playground or even add a piece of equipment under California code now it's a regulation to get a certified inspection done on your playground, and I'd be more than happy to do that for you thank you
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What is cpsi playground inspection form?
CPSI (Childcare Program Safety Information) Playground Inspection Form is a tool used by Childcare providers to inspect their playgrounds and outdoor play areas. The form is designed to help providers identify hazards and take corrective action to ensure the safety of children in their care. The form includes a detailed checklist of items to inspect, along with guidelines for corrective action if any hazards are identified.
Who is required to file cpsi playground inspection form?
The CPSI Playground Inspection Form must be completed by a Certified Playground Safety Inspector (CPSI) in order to assess the safety of playgrounds.
How to fill out cpsi playground inspection form?
1. Start by entering the date of the inspection and the inspector's name.
2. Identify the playground and provide its address.
3. List all the equipment and surfaces that need to be inspected.
4. Record the manufacturer's name and the model number of each piece of equipment.
5. Inspect the playground for any potential hazards or safety issues.
6. Document any existing hazards or potential problems.
7. List any necessary repairs and replacements.
8. Describe any maintenance that needs to be done.
9. Provide any additional comments or observations.
10. Sign and date the completed form.
What is the purpose of cpsi playground inspection form?
The CPSI Playground Inspection form is designed to help evaluate the safety of a playground and ensure that it meets all applicable safety standards. The form is filled out by a Certified Playground Safety Inspector (CPSI) and is used to identify hazardous conditions and potential hazards that could lead to injury or death. It also serves to document the general condition of the playground and any areas that need to be improved.
What information must be reported on cpsi playground inspection form?
1. Date of inspection
2. Name of inspector
3. Location of playground
4. Description of playground, including type of surface and any equipment
5. Details of any hazards or defects observed
6. Actions taken to address any hazards or defects
7. Recommendations for follow-up and/or further action
8. Signature of inspector
When is the deadline to file cpsi playground inspection form in 2023?
The deadline for filing CPSI Playground Inspection Forms in 2023 depends on the region and policies set by the local government. It is best to contact your local government agency or CPSI representative for more information.
What is the penalty for the late filing of cpsi playground inspection form?
The penalties for late filing of a CPSI playground inspection form vary and can range from a warning letter to a fine or other legal action.
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