Ohio Department of Job and Family Services
CHILD CARE PLAYGROUND INSPECTION REPORT
Area Being Assessed
Equipment is placed out of the path of the traffic pattern.
Equipment is anchored or stable, all parts are in working order and securely fastened.
Climbing ropes are anchored at both ends and not capable of creating a loop of 5” or greater.
“S” hooks are closed so the gap is less than .04 inch or the thickness of a dime.
Equipment is free of rust, cracks, holes, splinters, sharp points or edges, chipped or peeling paint,
toxic substances, protruding bolts and tripping hazards.
Equipment has no openings that are between 3 ½ and 9 inches. These are entrapment hazards.
There are protective barriers on platforms that are 30 inches or higher off the ground.
Equipment is assembled and installed according to manufacturers’ guidelines.
Sandboxes are covered when not in use.
Play area is protected from traffic and animals and is defined by fence in good repair or other
If gates are used, they are equipped with functional latches which cannot be easily opened by
Gates are not padlocked when children are present at the center.
Play area is free of foreign objects and rubbish.
Shaded area is provided as needed
Storage of accumulated trash, rubbish and garbage is outside of the play area.
. The protective material under and around equipment for climbing, swings and slides meet the
standards of rule 2-12-14 Appendix A *
Loose fill particulate (mulch, sand, pea gravel, etc.) checked for packing. Date:
Turned over or raked monthly to increase the resilience capability.
Fall zones extend at least six feet in all directions from the perimeter of the equipment.*
Fall zones between two pieces of equipment are at least nine feet.*
Falls zones are kept free of all obstacles that children could run into or fall on.
Retaining devices (fencing, walls, landscape timbers, retaining walls) are not in a fall zone.
Equipment that is over twelve inches is meeting the requirements of Appendix A to Rule 14
regarding protective fall surfaces.*
Effective January 1, 2010, see rule 5101:2-12-14 for more information.
Any area marked with a “no” must be corrected and the date it was corrected listed in the “yes” column.
Comments/Plan of Action:
Signature of Person Completing Report
Signature of Administrator
Play area(s) and equipment shall be inspected at least four times a year on a quarterly basis by the administrator, during the months that the program is
in operation. Quarterly is defined as: 1
Quarter = January-March; 2
Quarter = April-June; 3
Quarter = July-September; 4
Quarter = October-
December. If the program is in operation for any period of time during the quarter, an inspection must be completed.
This is a prescribed form and must be kept on file for one year to meet the requirements of rule 5101:2-12-14.
JFS 01281 (Rev. 1/2007)