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Surfacing

  1. Surfacing

  2. Location*

  3. Describe location of playground at the facility.

  4. Describe location of broken piece in detail.

  5. Does all surfacing material yeaild both a peak deceleration of no more tahn 200 G's and a HIC (Head injury criteria) of no more than 100 when tested in accordance with ASTMI F 1292?*

  6. Does each peice of equiptment meet the height requirements for each particualr piece of playground equiptment?*

  7. On the swings, is the highest accessible part is the height of the pivot point where the swings suspended elements connect to the supporting structure?*

  8. On the elevated platforms, is the highest accessible part the height of the platform surface above the playing surface?*

  9. On the horizontal ladders, is the highest accessible part the maximum height of the structure?*

  10. On merry go rounds, is the highest accessible part the height above the ground of any part at the perimeter on which a child may sit or stand?*

  11. On the seesaws, is the highest accessible part is the maximum height attainable by any part of the seesaw?*

  12. On the spring rockers, is the highest accessible part the maximum height above the playing surface of the seat or designated play surface?*

  13. On the climbers, is the highest part of the climber intended for foot support?*

  14. On the playground, are there any hard surfacing materials, such as asphalt, or concrete, hard dirt, or soil, grass or turf?*

  15. Do all unitary materials (rubber mats or rubber like material) have identification of the critical height rating? (This information is to be attained from the manufacturer of the material)*

  16. Are there any loose filled material installed over had surfaces such as asphalt?*

  17. Do all surface materials pass ASTMI test F 1951?*

  18. Do all landing surfaces meet the requirements according to the ASTMI F 1292 from the maximum fall height?*

  19. On the stationary equipment, is the use zone extended a minimum of 6 feet in all directions from the perimeter of the equipment?*

  20. On the slides, does the use zone at the end of the slide extend out a minimum distance of 6 feet or a maximum of 8 feet?*

  21. On the single axis swings, does the use zone extend to the front and rear of a single axis swing a distance of two times the height of the pivot point above the surfacing material?*

  22. On multi-axis swings, is the use zone extended in any direction from a minimum distance of 6 feet plus the length of suspended members?*

  23. On merry go rounds, does the use zone extend a minimum of six feet beyond the perimeter of the platform?*

  24. On spring rocking equipment, is the use zone extended a minimum of 6 feet from the perimeter of the equipment? Adjacent spring rockers with a maximum seat height of 30 inches may share the same use zone. Rocking equipment meant for standing requires a zone of 7 feet, and use zones may not be shared.*

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

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  27. This field is not part of the form submission.