Staff and K9 Welfare Check Form
Complete this form to record the welfare and safety status of staff and K9s during routine checks.
Date and Time of Check
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Staff Member Name
*
First Name
Last Name
K9 Name or ID
*
Location of Check
*
General Welfare Status
*
Please Select
Excellent
Good
Fair
Needs Attention
Any Observed Issues or Concerns?
Environment Safety Confirmed?
*
Please Select
Yes
No
K9 Condition
*
Please Select
Alert and Healthy
Tired
Injured/Unwell
Other
Action Taken (if any)
Additional Comments
Submit Welfare Check
Should be Empty: