International Ride Operator Certification Ride Assessment Form
Facility Name
Ride Name - Park
Ride Type
Please Select
Coaster/Drop Tower
Flat/Circular
Kiddie
Water Ride
Rider Controlled
Dark Ride
Specialty
Water Park
Ride Manufacturer (if known)
Ride Name - Manufacturer (if known)
Date of Assessment
-
Month
-
Day
Year
Date
Assessment Conducted By:
Please Select
Erik Beard
Cindee Huddy
Patty Beazley
Lisa Howard Sitler
Anna Danau
Megan Putman
Frank James
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Separate Entry / Exit Gates or Combined Entry / Exit Gate
Separate Entry / Exit Gates
Combined Entry / Exit Gate
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Type of Combined Entry / Exit Gate
Interlocked & Monitored Gate: Will not allow the ride to start unless the gates are both locked and closed (visual verification permitted)
Self-Closing, Pressure Pad Activated, Magnetically Locked Gate (visual verification permitted)
Interlocked, Magnetically Locked Gate With A Visual or Electronic Indication of Proper Gate Closure (lock is interlocked, gate positioning is not but is indicated visually by, for example, lights in the ride area or on the panel (visual verification permitted)
Mechanical Lock: Interlocked (i.e. coaster platform loading gates) (visual verification permitted)
Painted Line / Chain: WATERPARK ONLY (visual verification permitted)
Magnetic Lock (No Self-Closing Mechanism and/or No Pressure Pad Installed): (physical verification required)
Mechanical Lock/Latch: Non-Interlocked (physical verification required)
No Lock/Latch or No Gate (staffing at access point required for Full Compliance; staffing in the vicinity sufficient for Minimal Compliance)
Other
Photo of Combined Entry / Exit Gate
Recommendations for Combined Entry / Exit Gate (if any)
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Type of Entry Gate
Magnetic Lock: Lock Interlocked & Gate Position Monitored (visual verification permitted) (Gate position monitoring must either be interlocked or give unmistakeable visual indication of gate closure to operator)
Magnetic Lock: Self-Closing and Pressure Pad Activated (visual verification permitted)
Magnetic Lock: Lock Interlocked but Gate Position Not Monitored (physical verification required)
Magnetic Lock: Lock Not Interlocked, Gate Position Monitored (physical verification required)
Magnetic Lock: Non-Interlocked, Gate Position Not Monitored (physical verification required)
Mechanical Lock: Interlocked (i.e. coaster platform loading gates) (visual verification permitted)
Mechanical Lock/Latch: Non-Interlocked (physical verification required)
No Lock/Latch or No Gate (staffing at access point required for Full Compliance; staffing in the vicinity sufficient for Minimal Compliance)
Painted Line / Chain: WATERPARK ONLY (visual verification permitted)
Other
Type of Entry Gate
Interlocked & Monitored Gate: Will not allow the ride to start unless the gates are both locked and closed (visual verification permitted)
Self-Closing, Pressure Pad Activated, Magnetically Locked Gate (visual verification permitted)
Interlocked, Magnetically Locked Gate With A Visual or Electronic Indication of Proper Gate Closure (lock is interlocked, gate positioning is not but is indicated visually by, for example, lights in the ride area or on the panel (visual verification permitted)
Mechanical Lock: Interlocked (i.e. coaster platform loading gates) (visual verification permitted)
Painted Line / Chain: WATERPARK ONLY (visual verification permitted)
Magnetic Lock (No Self-Closing Mechanism and/or No Pressure Pad Installed): (physical verification required)
Mechanical Lock/Latch: Non-Interlocked (physical verification required)
No Lock/Latch or No Gate (staffing at access point required for Full Compliance; staffing in the vicinity sufficient for Minimal Compliance)
Other
Type of Entry Gate
Interlocked Magnetic (visual verification permitted if gate position electronically monitored)
Interlocked Mechanical (i.e. coaster platforms) (visual verification permitted)
Non-Interlocked Magnetic (physical verification required)
Non-Interlocked Mechanical locks/latch (physical verification required)
No Lock/Latch or No Gate (staffing generally required)
Waterpark: Boundary line / chain
Photo of Entry Gate
Recommendations for Entry Gate (if any)
Type of Exit Gate
Magnetic Lock: Lock Interlocked & Gate Position Monitored (visual verification permitted) (Gate position monitoring must either be interlocked or give unmistakeable visual indication of gate closure to operator)
Magnetic Lock: Self-Closing and Pressure Pad Activated (visual verification permitted)
Magnetic Lock: Lock Interlocked but Gate Position Not Monitored (physical verification required)
Magnetic Lock: Lock Not Interlocked, Gate Position Monitored (physical verification required)
Magnetic Lock: Non-Interlocked, Gate Position Not Monitored (physical verification required)
Mechanical Lock: Interlocked (i.e. coaster platform loading gates) (visual verification permitted)
Mechanical Lock/Latch: Non-Interlocked (physical verification required)
No Lock/Latch or No Gate (staffing at access point required for Full Compliance; staffing in the vicinity sufficient for Minimal Compliance)
Painted Line / Chain: WATERPARK ONLY (visual verification permitted)
Other
Type of Exit Gate
Interlocked & Monitored Gate: Will not allow the ride to start unless the gates are both locked and closed (visual verification permitted)
Self-Closing, Pressure Pad Activated, Magnetically Locked Gate (visual verification permitted)
Interlocked, Magnetically Locked Gate With A Visual or Electronic Indication of Proper Gate Closure (lock is interlocked, gate positioning is not but is indicated visually by, for example, lights in the ride area or on the panel (visual verification permitted)
Mechanical Lock: Interlocked (i.e. coaster platform loading gates) (visual verification permitted)
Painted Line / Chain: WATERPARK ONLY (visual verification permitted)
Magnetic Lock (No Self-Closing Mechanism and/or No Pressure Pad Installed): (physical verification required)
Mechanical Lock/Latch: Non-Interlocked (physical verification required)
No Lock/Latch or No Gate (staffing at access point required for Full Compliance; staffing in the vicinity sufficient for Minimal Compliance)
Other
Type of Exit Gate
Interlocked Magnetic (visual verification permitted if gate position electronically monitored)
Interlocked Mechanical (i.e. coaster platforms) (visual verification permitted)
Non-Interlocked Magenetic (physical verification required absent unmistakeable visual indication of gate security)
Non-Interlocked Mechanical locks/latch (physical verification required)
No Lock/Latch or No Gate (staffing generally required)
Waterpark: Boundary line / chain
Photo of Exit Gate
Recommendations for Exit Gate (if any)
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Are there other gates in the ride area to be verified during Area Access Control?
Yes
No
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Describe Location and Function of Additional Gate
Type of Gate
Interlocked & Monitored Gate: Will not allow the ride to start unless the gates are both locked and closed (visual verification permitted)
Self-Closing, Pressure Pad Activated, Magnetically Locked Gate (visual verification permitted)
Interlocked, Magnetically Locked Gate With A Visual or Electronic Indication of Proper Gate Closure (lock is interlocked, gate positioning is not but is indicated visually by, for example, lights in the ride area or on the panel (visual verification permitted)
Mechanical Lock: Interlocked (i.e. coaster platform loading gates) (visual verification permitted)
Painted Line / Chain: WATERPARK ONLY (visual verification permitted)
Magnetic Lock (No Self-Closing Mechanism and/or No Pressure Pad Installed): (physical verification required)
Mechanical Lock/Latch: Non-Interlocked (physical verification required)
No Lock/Latch or No Gate (staffing at access point required for Full Compliance; staffing in the vicinity sufficient for Minimal Compliance)
Other
Type of Gate
Magnetic Lock: Lock Interlocked & Gate Position Monitored (visual verification permitted) (Gate position monitoring must either be interlocked or give unmistakeable visual indication of gate closure to operator)
Magnetic Lock: Self-Closing and Pressure Pad Activated (visual verification permitted)
Magnetic Lock: Lock Interlocked but Gate Position Not Monitored (physical verification required)
Magnetic Lock: Lock Not Interlocked, Gate Position Monitored (physical verification required)
Magnetic Lock: Non-Interlocked, Gate Position Not Monitored (physical verification required)
Mechanical Lock: Interlocked (i.e. coaster platform loading gates) (visual verification permitted)
Mechanical Lock/Latch: Non-Interlocked (physical verification required)
No Lock/Latch or No Gate (staffing at access point required for Full Compliance; staffing in the vicinity sufficient for Minimal Compliance)
Painted Line / Chain: WATERPARK ONLY (visual verification permitted)
Other
Type of Additional Gate
Interlocked Magnetic (visual verification permitted if gate position electronically monitored)
Interlocked Mechanical (i.e. coaster platforms) (visual verification permitted)
Non-Interlocked Magenetic (physical verification required absent unmistakeable visual indication of gate security)
Non-Interlocked Mechanical locks/latch (physical verification required)
No Lock/Latch or No Gate (staffing generally required)
Waterpark: Boundary line / chain
Photo of Additional Gate
Recommendations for Additional Gate (if any)
Are there other gates in the ride area to be verified during Area Access Control?
Yes
No
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Describe Location and Function of Additional Gate
Type of Gate
Interlocked & Monitored Gate: Will not allow the ride to start unless the gates are both locked and closed (visual verification permitted)
Self-Closing, Pressure Pad Activated, Magnetically Locked Gate (visual verification permitted)
Interlocked, Magnetically Locked Gate With A Visual or Electronic Indication of Proper Gate Closure (lock is interlocked, gate positioning is not but is indicated visually by, for example, lights in the ride area or on the panel (visual verification permitted)
Mechanical Lock: Interlocked (i.e. coaster platform loading gates) (visual verification permitted)
Painted Line / Chain: WATERPARK ONLY (visual verification permitted)
Magnetic Lock (No Self-Closing Mechanism and/or No Pressure Pad Installed): (physical verification required)
Mechanical Lock/Latch: Non-Interlocked (physical verification required)
No Lock/Latch or No Gate (staffing at access point required for Full Compliance; staffing in the vicinity sufficient for Minimal Compliance)
Other
Type of Gate
Magnetic Lock: Lock Interlocked & Gate Position Monitored (visual verification permitted) (Gate position monitoring must either be interlocked or give unmistakeable visual indication of gate closure to operator)
Magnetic Lock: Self-Closing and Pressure Pad Activated (visual verification permitted)
Magnetic Lock: Lock Interlocked but Gate Position Not Monitored (physical verification required)
Magnetic Lock: Lock Not Interlocked, Gate Position Monitored (physical verification required)
Magnetic Lock: Non-Interlocked, Gate Position Not Monitored (physical verification required)
Mechanical Lock: Interlocked (i.e. coaster platform loading gates) (visual verification permitted)
Mechanical Lock/Latch: Non-Interlocked (physical verification required)
No Lock/Latch or No Gate (staffing at access point required for Full Compliance; staffing in the vicinity sufficient for Minimal Compliance)
Painted Line / Chain: WATERPARK ONLY (visual verification permitted)
Other
Type of Additional Gate
Interlocked Magnetic (visual verification permitted if gate position electronically monitored)
Interlocked Mechanical (i.e. coaster platforms) (visual verification permitted)
Non-Interlocked Magenetic (physical verification required absent unmistakeable visual indication of gate security)
Non-Interlocked Mechanical locks/latch (physical verification required)
No Lock/Latch or No Gate (staffing generally required)
Waterpark: Boundary line / chain
Photo of Additional Gate
Recommendations for Additional Gate (if any)
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Is the ride area obstructed?
Ride area is obstructed. Operators must secure the exit gate before beginning Loading Procedures.
Ride area is unobstructed and it is efficient to secure the exit before beginning Restraint Device Security Verification. Operators/attendants must secure exit before beginning restraint checks.
Ride area is unobstructed and is is NOT efficient to secure the exit before beginning Restraint Device Security Verification. Operators/attendants may secure the exit during restraint checks if done in a methodical manner.
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Type of primary restraint device?
Lap Bar (physical push/pull required unless security and proper positioning may be objectively determined visually)
Over-the-shoulder restraint (physical push/pull required unless security and proper positioning may be objectively determined visually)
Lockable seatbelt (physical pull required unless security and proper positioning may be objectively determined visually)
Latchable seatbelt (visual security verification acceptable)
Static Seatbelt (no latch) (visual security verification acceptable)
No Positive Restraint Device present (rider positioning is primary means of restraint)
Other
Photo of Primary Restraint
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Is there a secondary restraint device?
Yes
No
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Type of secondary restraint device?
Lockable seatbelt (physical pull required unless security and proper positioning may be objectively determined visually)
Latchable seatbelt (visual security verification acceptable)
Crotch Belt (i.e. at bottom of over-the-shoulder restraint)
Static Seatbelt (no latch or buckle) (visual security verification acceptable)
Other
Photo of Secondary Restraint
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Location of Safe Zone 1
Control Panel
Exit Gate
Entry Gate
Waterpark: Slide Dispatch
Waterpark: Runout / Catch Pool
Front Load
Rear Load
Front Unload
Rear Unload
Other
Photo of Safe Zone 1
Defined Visual Confirmation from Safe Zone 1 Includes (Within Zone of Operator Awareness)
Combined Entry / Exit Gate
Entry Gate
Exit Gate
Riders Seated Properly and Properly Secured
Ride Area Clear Except for Team Members in Safe Zones
Waterpark: Water Flow, Depth, and Clarity
Other (Monitors, Mirrors, Etc. - Specify Below)
If "Other" specify.
Recommendations (if any)
Photo (as necessary to supplement / illustrate recommendation)
Is there another Safe Zone?
Yes
No
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Location of Safe Zone 2
Control Panel
Exit Gate
Entry Gate
Waterpark: Slide Dispatch
Waterpark: Runout / Catch Pool
Front Load
Front Unload
Rear Load
Rear Unload
Other
Photo of Safe Zone 2
Defined Visual Confirmation from Safe Zone 2 Includes (Within Zone of Operator Awareness)
Combined Entry / Exit Gate
Entry Gate
Exit Gate
Riders Seated Properly and Properly Secured
Ride Area Clear Except for Team Members in Safe Zones
Waterpark: Water Flow, Depth, and Clarity
Other (Monitors, Mirrors, Etc. - Specify Below)
If "Other" specify.
Recommendations (if any)
Photo (as necessary to supplement / illustrate recommendation)
Is there another Safe Zone?
Yes
No
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Location of Safe Zone 3
Control Panel
Exit Gate
Entry Gate
Waterpark: Slide Dispatch
Waterpark: Runout / Catch Pool
Front Load
Rear Load
Front Unload
Rear Unload
Other
Photo of Safe Zone 3
Defined Visual Confirmation from Safe Zone 3 Includes (Within Zone of Operator Awareness)
Combined Entry / Exit Gate
Entry Gate
Exit Gate
Riders Seated Properly and Properly Secured
Ride Area Clear Except for Team Members in Safe Zones
Waterpark: Water Flow, Depth, and Clarity
Other (Monitors, Mirrors, Etc. - Specify Below)
If "Other" specify.
Recommendations (if any)
Photo (as necessary to supplement / illustrate recommendation)
Is there another Safe Zone?
Yes
No
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Location of Safe Zone 4
Control Panel
Exit Gate
Entry Gate
Waterpark: Slide Dispatch
Waterpark: Runout / Catch Pool
Front Load
Front Unload
Rear Load
Rear Unload
Other
Photo of Safe Zone 4
Defined Visual Confirmation from Safe Zone 4 Includes (Within Zone of Operator Awareness)
Combined Entry / Exit Gate
Entry Gate
Exit Gate
Riders Seated Properly and Properly Secured
Ride Area Clear Except for Team Members in Safe Zones
Waterpark: Water Flow, Depth, and Clarity
Other (Monitors, Mirrors, Etc. - Specify Below)
If "Other" specify.
Recommendations (if any)
Photo (as necessary to supplement / illustrate recommendation)
Is there another Safe Zone?
Yes
No
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Location of Safe Zone 5
Control Panel
Exit Gate
Entry Gate
Waterpark: Slide Dispatch
Waterpark: Runout / Catch Pool
Front Load
Rear Load
Front Unload
Rear Unload
Other
Photo of Safe Zone 5
Defined Visual Confirmation from Safe Zone 5 Includes (Within Zone of Operator Awareness)
Combined Entry / Exit Gate
Entry Gate
Exit Gate
Riders Seated Properly and Properly Secured
Ride Area Clear Except for Team Members in Safe Zones
Waterpark: Water Flow, Depth, and Clarity
Other (Monitors, Mirrors, Etc. - Specify Below)
If "Other" specify.
Recommendations (if any)
Photo (as necessary to supplement / illustrate recommendation)
Is there another Safe Zone?
Yes
No
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Location of Safe Zone 6
Control Panel
Exit Gate
Entry Gate
Waterpark: Slide Dispatch
Waterpark: Runout / Catch Pool
Front Load
Rear Load
Front Unload
Rear Unload
Other
Photo of Safe Zone 6
Defined Visual Confirmation from Safe Zone 6 Includes (Within Zone of Operator Awareness)
Combined Entry / Exit Gate
Entry Gate
Exit Gate
Riders Seated Properly and Properly Secured
Ride Area Clear Except for Team Members in Safe Zones
Waterpark: Water Flow, Depth, and Clarity
Other (Monitors, Mirrors, Etc. - Specify Below)
If "Other" specify.
Recommendations (if any)
Photo (as necessary to supplement / illustrate recommendation)
Is there another Safe Zone?
Yes
No
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Location of Safe Zone 7
Control Panel
Exit Gate
Entry Gate
Waterpark: Slide Dispatch
Waterpark: Runout / Catch Pool
Front Load
Rear Load
Front Unload
Rear Unload
Other
Photo of Safe Zone 7
Defined Visual Confirmation from Safe Zone 7 Includes (Within Zone of Operator Awareness)
Combined Entry / Exit Gate
Entry Gate
Exit Gate
Riders Seated Properly and Properly Secured
Ride Area Clear Except for Team Members in Safe Zones
Waterpark: Water Flow, Depth, and Clarity
Other (Monitors, Mirrors, Etc. - Specify Below)
If "Other" specify.
Recommendations (if any)
Photo (as necessary to supplement / illustrate recommendation)
Is there another Safe Zone?
Yes
No
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Location of Safe Zone 8
Control Panel
Exit Gate
Entry Gate
Waterpark: Slide Dispatch
Waterpark: Runout / Catch Pool
Front Load
Front Unload
Rear Load
Rear Unload
Other
Photo of Safe Zone 8
Defined Visual Confirmation from Safe Zone 8 Includes (Within Zone of Operator Awareness)
Combined Entry / Exit Gate
Entry Gate
Exit Gate
Riders Seated Properly and Properly Secured
Ride Area Clear Except for Team Members in Safe Zones
Waterpark: Water Flow, Depth, and Clarity
Other (Monitors, Mirrors, Etc. - Specify Below)
If "Other" specify.
Recommendations (if any)
Photo (as necessary to supplement / illustrate recommendation)
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If all Gates, Restraints, Safe Zones, and Pre-Dispatch Safety Checks have been assessed, press "Submit"
Submit
Should be Empty: