Child Safety Compliance Checklist Form
Use this form to evaluate and document child safety compliance at your facility or program.
Facility/Program Name
*
Date of Inspection
*
-
Month
-
Day
Year
Date
Inspector's Full Name
*
First Name
Last Name
All exits and emergency routes are clearly marked and unobstructed.
*
Compliant
Non-Compliant
Not Applicable
First aid kits and emergency equipment are accessible and fully stocked.
*
Compliant
Non-Compliant
Not Applicable
All staff have up-to-date child safety training certifications.
*
Compliant
Non-Compliant
Not Applicable
Supervision ratios meet or exceed required standards at all times.
*
Compliant
Non-Compliant
Not Applicable
Access to children is controlled and monitored (e.g., secure entry/exit).
*
Compliant
Non-Compliant
Not Applicable
All areas are clean, free from hazards, and equipment is in good repair.
*
Compliant
Non-Compliant
Not Applicable
Any incidents, injuries, or safety concerns are documented and reported.
*
Compliant
Non-Compliant
Not Applicable
Corrective actions taken for any non-compliance (please specify details).
Submit Checklist
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