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Park Inspection Form

2. PARK INSPECTION FORM

4. Location*

   1. Aycock
   2. Lions
   3. Oak
   4. Centennial
   5. Market

8. Signage- Are the park signs acceptable at the entrances and on shelters?*

   1. Yes
   2. No
9. Parking Area(s)- Are the parking areas clean and operational?*

   1. Yes
   2. No
10. Landscaping- Is the overall landscaping (grass and flower beds) acceptable and free from any hazardous limbs, trees or stumps?*

    1. Yes
    2. No
11. Sidewalks / Trails- Are the sidewalks and trails in good condition and free of any trip hazards?*

    1. Yes
    2. No
13. Benches - Are the benches in good condition and free from any graffiti?*

    1. Yes
    2. No
14. Picnic Tables - Are the picnic tables in good condition and free from any graffiti?*

    1. Yes
    2. No
15. Shelters - Are the shelters (pavilion & restrooms) in good condition and free from any graffiti?*

    1. Yes
    2. No
16. Flag - Is the American Flag in good condition, properly lit and displayed?*

    1. Yes
    2. No
18. Plumbing - Are all toilets, sinks & water fountains operational? *

    1. Yes
    2. No
19. Trash Receptacles - Are the trash receptacles in good condition and not overflowing?*

    1. Yes
    2. No
20. Lighting - Are all lights working on trail, pavilion and restrooms?*

    1. Yes
    2. No
21. General Cleanliness - Is the general cleanliness of the park acceptable?*

    1. Yes
    2. No
25. Access to Play Areas - Are the pathways to the play areas clear and free from obstruction and trip hazards?*

    1. Yes
    2. No
26. Play Structures - Are the play structures in good working order?*

    1. Yes
    2. No
27. Play Area Boarders - Are the play area boarders in place with stakes firmly in place?*

    1. Yes
    2. No
28. Safety Surfacing - Is safety surfacing (wood fiber, rubber tiles & rubber mats) in good condition with no apparent wear areas?*

    1. Yes
    2. No
30. If you answered NO to anything above, please describe. If not, answer NA.*

32. Other*

    If there are any other issues, please identify here.

36. Inspection Completed by:*

37. Date:*

38. Time:*

40. Follow Up Inspection

    If a follow up inspection is required, please list date, time and inspector's name here.

Leave This Blank:


42. 1. Receive an email copy of this form.
43. Email address

    This field is not part of the form submission.

44. Submit

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