Child Transport Safety Checklist Form
Complete this checklist to verify all safety measures and trip details before transporting a child.
Trip Date and Time
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Vehicle Identification (ID/License Plate)
*
Driver Name
*
Child Name
*
Pickup Verification
*
Child picked up from authorized location
Pickup location not authorized
Drop-Off Verification
*
Child dropped off at authorized location
Drop-off location not authorized
Seatbelt/Child Seat Check
*
All seatbelts/child seats securely fastened
Seatbelt/child seat issue detected
Safety Equipment Check (First Aid Kit, Fire Extinguisher, etc.)
*
First aid kit present
Fire extinguisher present
Emergency contact list present
Other safety equipment present
Route and Schedule Confirmation
*
Route and schedule confirmed as planned
Route or schedule change reported
Incident or Issue Reporting (if any)
Submit Checklist
Should be Empty: