Childcare High Chair Inspection Form
Please complete this form to document the inspection of a childcare high chair. All fields are required for a thorough safety check.
Inspector Name
*
First Name
Last Name
Date of Inspection
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Chair Identification Number or Location
*
Are all safety harnesses present and functional?
*
Yes
No
Not Applicable
Is the tray secure and free from cracks or damage?
*
Yes
No
Not Applicable
Are all legs and joints stable and undamaged?
*
Yes
No
Not Applicable
Are all moving parts operating smoothly and safely?
*
Yes
No
Not Applicable
Is the high chair clean and free from debris?
*
Yes
No
Not Applicable
Are there any missing or loose parts?
*
No
Yes
Not Applicable
Additional Comments or Observations
Submit Inspection
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