Thank you
Premium Sponsors!

For more information about becoming a website sponsor, please click here.

SCHOOL	____________________________________
DATE	____________________________________
LOCATION OF EQUIPMENT	____________________________________

	SATISFACTORY	UNSATISFACTORY
Swing Seats, chains & hooks in safe condition
Slide ladder secure & end secured
Slide free of cracks & sharp edges
Climbing apparatus securely anchored
Climbing apparatus securely anchored
Climbing apparatus free of sharp edges
Cushioning material under all equipment
Area free of debris & broken glass
Tanbark box free of splinters & in good condition
Swings properly anchored
All drinking fountains cleaned daily
No holes in blacktop or grounds

Parts used - please list:





Hours spent on repairs:





What do we need to do in the future?





Employee Signature


Supervisors Signature