Park Maintenance Checklist Form
Please complete the checklist below to ensure proper maintenance of the park.
Date of Inspection
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Inspector's Full Name
First Name
Last Name
Park Area/Section
Please Select
Playground
Picnic Area
Walking Trails
Restrooms
Parking Lot
Sports Fields
Gardens
Condition of Equipment
Excellent
Good
Fair
Poor
Cleanliness of Area
Excellent
Good
Fair
Poor
Are there any hazards or safety concerns?
Yes
No
If yes, please describe the hazards or safety concerns
Additional Notes or Comments
Inspector's Signature
Submit
Should be Empty: