Get Playground Safety Maintenance Checklist - Texas Department Of ... - Dshs State Tx

This guide provides a clear, step-by-step process for filling out the Playground Safety Maintenance Checklist used by the Texas Department of State Health Services. By following these instructions, users will be able to complete the checklist effectively and ensure playground safety and maintenance compliance.

Follow the steps to complete the checklist accurately.

1. Press the ‘Get Form’ button to access the checklist and open it in your browser.
2. Fill in the facility name at the top of the checklist, followed by the phone number, physical address, mailing address, city, and zip code. Ensure that the information is accurate and up to date.
3. Select the purpose of the inspection from the available options: routine, complaint, county ID number, or others. Be specific if choosing 'others' by including a brief description.
4. Begin reviewing potential deficiencies by listing any noted issues under the ‘X Indicates a Deficiency’ section. Clearly number them from 1 to 9.
5. For each hazard, check the relevant items related to surfacing, general hazards, general upkeep of playgrounds, durability of the equipment, lead paint, security of hardware, and drainage issues. Provide recommended maintenance actions next to each identified hazard.
6. Document your observations about the condition of the equipment, including any rust, rot, or missing components, and specify necessary repairs.
7. In the comments section, add any additional notes relevant to the inspection. Reference the continuation form if necessary.
8. Sign the checklist as the inspector, printing your name and providing the date. If applicable, include signatures of any other representatives involved.
9. Complete the onsite and offsite time fields, as well as any travel-related details, including travel time and cost.
10. Once all fields are filled, you can save your changes, download a copy, print the form, or share it as needed.

Complete your Playground Safety Maintenance Checklist online today to ensure a safe environment for all users.