Inflatable Bounce House Safety Checklist
Use this form to document a pre-use safety inspection for an inflatable bounce house, including site details, equipment condition, supervision, hazards, and final readiness.
Site and Event Details
Event or Location Name
*
Date of Inspection or Use
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Time of Inspection
*
Hour Minutes
AM
PM
AM/PM Option
Exact Setup Location or Address
*
Organizer or Operator Name
*
First Name
Last Name
Contact Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Contact Email
example@example.com
Bounce House Unit Name or Identifier
*
Equipment and Setup Inspection
Model or Type of Bounce House
Anchor/Stake Condition
*
Secure
Needs Attention
Not Applicable
Blower/Fan Condition and Power Connection Status
*
Good
Needs Attention
Not Checked
Electrical Cord Condition
*
Good
Damaged
Not Applicable
Surface Under the Unit
*
Clear and Level
Uneven
Wet
Debris Present
Other
Weather Status at Inspection Time
*
Safe/Clear
Windy
Rainy
Hot
Other
User Capacity and Supervision
Maximum Allowed Participants
*
Current Intended Number of Users
*
Intended User Age Group
*
Please Select
3-5 years
6-8 years
9-12 years
13+ years
Mixed ages
Other
Adult Supervision Present?
*
Yes
No
Designated Attendant Assigned?
*
Yes
No
Safety Rules Reviewed With Users
*
No shoes
No food or drinks
No rough play
One-at-a-time entry and exit
Other
Hazard Check and Final Status
Is the entrance/exit area clear?
*
Yes
No
Are there any visible tears, holes, loose seams, or deflation issues?
*
Clear
Minor issue
Major issue
Are there any nearby hazards such as overhead branches, sharp objects, or power lines?
*
Clear
Needs attention
Overall readiness status
*
Approved for use
Needs correction before use
Do not use
Inspector name or initials
*
Additional notes or corrective actions required
Submit Checklist
Should be Empty: