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Safety Guidelines for Secondary Interschool Athletics in Alberta

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APPENDIX I - Sample <strong>Safety</strong> Checklist For Gymnasium Facilities<br />

Each school should develop a procedure <strong>for</strong> regular <strong>in</strong>spection <strong>in</strong>clud<strong>in</strong>g appropriate follow-up.<br />

Check <strong>for</strong> exist<strong>in</strong>g board policy/procedure. In <strong>in</strong>stances where no <strong>for</strong>m is available, this <strong>for</strong>m could<br />

be used.<br />

Site name:______________________________________________________________________<br />

Inspection date:___________________ Time:_________ Inspected by:____________________<br />

Inspect <strong>for</strong>:<br />

YES NO COMMENTS<br />

Gymnasium Space<br />

• free of “stored” furniture/boxes/equipment along ____ ____ _________________________<br />

perimeter walls and corners<br />

Floors<br />

• clean and dry ____ ____ _________________________<br />

• provides <strong>for</strong> safe foot traction ____ ____ _________________________<br />

• clear of objects which may cause ____ ____ _________________________<br />

tripp<strong>in</strong>g/slipp<strong>in</strong>g<br />

• floor sockets covered and flush with floor ____ ____ _________________________<br />

• floor plates secure <strong>in</strong> floor, hooks and plate <strong>in</strong> ____ ____ _________________________<br />

good condition and flush with floor<br />

Entrances/Exits<br />

• free of obstructions ____ ____ _________________________<br />

• no door knobs, protrud<strong>in</strong>g handles on ____ ____ _________________________<br />

gymnasium side of door<br />

• doors open away from gymnasium area ____ ____ _________________________<br />

Stairs<br />

• clear of obstacles ____ ____ _________________________<br />

• stair treads <strong>in</strong> good condition ____ ____ _________________________<br />

• rail<strong>in</strong>gs secure ____ ____ _________________________<br />

• free of protrud<strong>in</strong>g nails, cracks or spl<strong>in</strong>ters ____ ____ _________________________<br />

Ceil<strong>in</strong>g<br />

• tiles and mesh on lights secure ____ ____ _________________________<br />

Walls<br />

• all outlets, switches, registers and other ____ ____ _________________________<br />

fixtures pos<strong>in</strong>g an unreasonable hazard should<br />

be padded or made flush with the surface of<br />

the wall<br />

• free of protrud<strong>in</strong>g hooks and nails ____ ____ _________________________<br />

Basketball Backstop<br />

• backboards <strong>in</strong> good condition ____ ____ _________________________<br />

• cable and attachments from backboard to ____ ____ _________________________<br />

wall secure<br />

• rims secure and straight ____ ____ _________________________<br />

• Velcro strips on walls beh<strong>in</strong>d backboards <strong>in</strong> good<br />

condition<br />

• w<strong>in</strong>ch not located directly below a wall-mounted<br />

backboard<br />

____ ____ _________________________<br />

____ ____ _________________________<br />

Cont<strong>in</strong>ued on next page<br />

<strong>Safety</strong> <strong>Guidel<strong>in</strong>es</strong> <strong>for</strong> <strong>Secondary</strong> <strong>Interschool</strong> <strong>Athletics</strong> <strong>in</strong> <strong>Alberta</strong> - February 2012

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