Infant Security Tag Inventory Form
Track and manage infant security tags in the nursery or maternity ward.
Date of Inventory Entry
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Staff Member Name
*
First Name
Last Name
Location/Ward
*
Please Select
Nursery
Maternity Ward
NICU
Other
Tag ID Number
*
Tag Status
*
In Use
Available
Under Maintenance
Retired/Decommissioned
Reason for Status Change
*
Please Select
Routine Check
Malfunction Detected
Battery Replacement
End of Life
Other
Action Taken
*
Assigned to Infant
Returned to Storage
Sent for Maintenance
Disposed
Other
Device Manufacturer
*
Please Select
SafeBaby Systems
InfantGuard
Hugs
Other
Tag Type/Model
*
Please Select
RFID Band
Clip-on Tag
Ankle Bracelet
Disposable Tag
Other
Tag Condition
*
Good
Needs Battery
Damaged
Other
Storage Location
*
Please Select
Storage Cabinet A
Storage Cabinet B
Maintenance Room
Assigned to Infant
Crib or Bed Number (if assigned)
Additional Notes or Comments
Submit Inventory Entry
Should be Empty: