Preschool Safety Checklist Form

Preschool Safety Checklist Form
Use this Preschool Safety Checklist Form to record and confirm completion of essential safety inspections for preschool environments.
Inspection ID
Date and Time of Inspection
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Hour MinutesAM/PM Option
Inspector Name
First NameLast Name
Preschool Name and Address
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Classroom or Area Inspected
Safety Checklist
Were any incidents or safety issues observed?
If yes, describe the incident or issue
Is urgent follow-up required?
Inspector Signature (type or draw)
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