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Sample company (fictional) · Playground ChecksDraft generated Oct 30, 2026
Playground check record
Aug 20, 2026
Record
Company
Sample company (fictional)
Trade
Playground Checks
Check
Aug 20, 2026
Playground
Playground name
Jordan Pike
Used by
HOA or residential
Surfacing
Engineered wood fiber
Routine check interval
7 days
Last routine check
Aug 18, 2026
Last daily check (Michigan centers)
Aug 18, 2026
Last certified inspection
Aug 18, 2026
Routine
Loose bolts, missing end caps, cracks or sharp edges on equipment
Pass
Broken glass, trash or other debris in the play area
Fail
Cracks in plastic parts
Pass
Loose anchoring or footings
Pass
Rot or insect damage in wood
Pass
Surfacing deep enough, especially under swings and at slide exits
Pass
Surfacing not displaced, packed down or fouled
Pass
Gaps that could trap a head or protrusions that could catch clothing
Pass
Swing hangers, chains and bearings not worn
Pass
No standing water or poor drainage
Pass
Readings
Reading
Value
Result
Loose-fill surfacing depth (not shredded or recycled rubber) Public Playground Safety Handbook (CPSC) (https://www.cpsc.gov/s3fs-public/325.pdf), checked 2026-10-28
13.6 in
Pass
Photos
Photos taken on the phone at the job print here, each captioned with what it shows.
Findings
Severity
Finding
Status
Close the area
Broken glass, trash or other debris in the play area. Failed at this check.
Open
Signature
The signature drawn on the phone at the job prints here.
Next due
Daily check before use (Michigan licensed child-care centers only) Mich. Admin. Code R. 400.8125 Outdoor play area (LII) (https://www.law.cornell.edu/regulations/michigan/Mich-Admin-Code-R-400-8125), checked 2026-10-28