High Chair Safety Inspection Form
Use this form to thoroughly inspect and document the safety and condition of a high chair. Complete all applicable fields for a comprehensive record.
Inspector Full Name
*
First Name
Last Name
Inspection Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
High Chair Identification Number or Code
*
Structural Integrity (frame, joints, and fasteners)
*
No issues found
Minor wear, does not affect safety
Major damage, needs repair
Harness and Restraint System Condition
*
Fully functional and secure
Minor wear, still usable
Damaged or missing parts
Cleanliness and Sanitation
*
Clean and sanitized
Minor cleaning needed
Requires thorough cleaning
Stability and Balance
*
Stable and level
Slight wobble, not hazardous
Unstable, needs attention
Recall Status Checked
*
No recalls found
Recall found, action required
Describe Any Issues Noted
Recommended Follow-up Actions
Submit Inspection
Should be Empty: