Sports Session Safety Checklist Form
Use this checklist before a sports session to confirm participant readiness, equipment safety, and field or facility conditions.
Participant and Session Details
Participant Full Name
*
First Name
Middle Name
Last Name
Team or Group Name
Sport / Activity Type
*
Please Select
Soccer
Basketball
Baseball
Volleyball
Running
Swimming
Gymnastics
Martial Arts
Fitness Training
Other
Session Date
*
 -
Month
 -
Day
Year
Date
Session Start Time
*
Hour Minutes
AM
PM
AM/PM Option
Location / Venue
*
Coach / Supervisor Name
*
First Name
Middle Name
Last Name
Session Purpose or Notes
Safety Readiness and Health Check
Are you feeling well today?
*
Yes
No
Do you have any current pain or injury concerns?
*
None
Minor
Moderate
Severe
Have you had any recent illness or dizziness?
*
No
Yes, mild symptoms
Yes, significant symptoms
Are there any pre-session restrictions to note?
Lower intensity only
No contact activity
Avoid running
Avoid lifting
Other
Equipment and Protective Gear Checklist
Which required items are present and in safe condition?
*
Appropriate shoes
Helmet
Pads
Mouthguard
Water bottle
Sport-specific equipment
Are all required protective items available and safe to use?
*
Yes
No
Missing or damaged equipment details
Replacement action needed
*
None needed
Borrow from facility
Use spare equipment
Replace before session
Other
Facility and Environment Safety Check
Playing area / court / field clear
*
Yes
No
Surface condition safe
*
Yes
No
Lighting adequate
*
Yes
No
N/A
Weather acceptable for outdoor activity
Yes
No
N/A
Emergency access unobstructed
*
Yes
No
First aid supplies available
*
Yes
No
Hazards observed
Corrective action taken or needed
Final Safety Review and Acknowledgment
Final safety status
*
Cleared to proceed
Proceed with caution
Do not proceed
Name of person completing checklist
*
First Name
Last Name
Role or position
*
Completion date and time
*
 -
Month
 -
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Signature
Submit Checklist
Submit Checklist
Should be Empty: