Park Supervision Checklist
Complete this checklist to document the inspection and condition of park facilities, cleanliness, and safety.
Inspector Full Name
*
First Name
Last Name
Date and Time of Inspection
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Park Name or Location
*
Weather Conditions at Time of Inspection
*
Please Select
Clear
Partly Cloudy
Overcast
Rainy
Snowy
Windy
Other
General Park Area Condition
*
Rows
Excellent
Good
Fair
Poor
Playground
1
2
3
4
Restrooms
5
6
7
8
Benches/Tables
9
10
11
12
Walking Paths
13
14
15
16
Lighting
17
18
19
20
Landscaping
21
22
23
24
Safety and Cleanliness Checklist (check all that apply)
*
No visible litter or trash
Trash bins are emptied and clean
No broken glass or hazardous materials
No evidence of vandalism or graffiti
Restrooms are clean and stocked
Playground equipment is safe and intact
Benches/tables are in good condition
Lighting is functional
No safety hazards (e.g., exposed wires, sharp edges)
Other (please specify)
Are any immediate hazards present?
*
Yes
No
If hazards are present, please describe and specify location
Upload photos of any issues or hazards (optional)
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Additional Comments or Recommendations
Submit Checklist
Should be Empty: