APPENDIX D
MANUFACTURED HOUSING COMMUNITIES
PLAYGROUND SAFETY QUESTIONNAIRE

Required For Contact Purposes
Name: E-Mail Address :

The following are minimum requirements:

1) Do ground surfaces under and around the playground equipment contain a minimum of 12 inches of wood chips, mulch, sand, pea gravel, or mats made of safety-tested rubber or rubber-like materials?
Yes No

2) Does protective surfacing extend at least 6 feet in all directions from play equipment? NOTE: For swings, the surface must extend, in back and front, twice the height of the suspending bar.
Yes No

3) Are play structures more than 30 inches high spaced at least 9 feet apart?
Yes No

4) Are all spaces/openings in guardrails or between ladder rungs, less than 3.5 inches apart or more than 9 inches apart?
Yes No

5) Are all elevated surfaces, like platforms and ramps, supplied with guardrails to prevent falls?
Yes No

6) Is the playground equipment inspected monthly to check for dangerous hardware that should be replaced or repaired? (i.e.: open ‘S’ hooks, protruding bolt ends, sharp points, sharp edges, pinch points, etc).
Yes No

7) Are angles within equipment at least 55 degrees?
Yes No

8) Has the playground area been cleared of all tripping hazards? (i.e.: concrete footings, tree stumps, rocks, changes in surface elevation, etc).
Yes No

9) Is the playground area and equipment scheduled for weekly inspection and maintenance? (i.e.: missing, broken or worn-out components fixed or replaced?)
Yes No