Child Safety Audit Form
Child Safety Audit Form
Audit date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Organization or site name
*
Site type
*
Please Select
Childcare center
Preschool or early learning program
School
Youth program or community organization
Residential or overnight setting
Recreational or sports program
Other
Auditor name and role
*
Areas or activities reviewed
*
Classrooms or activity rooms
Indoor common areas
Outdoor play or activity areas
Arrival and departure processes
Staff supervision and coverage
Incident reporting and response procedures
Transportation or off-site activities
Other area or activity
Supervision and staff coverage rating
*
Please Select
Strong — consistent supervision and coverage observed
Adequate — practices generally support safety; minor improvements identified
Needs improvement — notable gaps or inconsistencies identified
Urgent concern — significant risk or immediate action indicated
Not reviewed / unable to assess
Arrival, departure, and authorized-pickup procedures rating
*
Please Select
Strong — procedures are clear and consistently followed
Adequate — procedures are generally effective; minor improvements identified
Needs improvement — notable procedural gaps or inconsistencies identified
Urgent concern — significant risk or immediate action indicated
Not reviewed / unable to assess
Physical environment and hazard-prevention rating
*
Please Select
Strong — environment is well maintained and hazards are addressed
Adequate — generally safe; minor improvements identified
Needs improvement — notable hazards or prevention gaps identified
Urgent concern — significant hazard or immediate action indicated
Not reviewed / unable to assess
Incident reporting and response procedures rating
*
Please Select
Strong — procedures are clear, accessible, and consistently followed
Adequate — procedures are generally effective; minor improvements identified
Needs improvement — notable gaps or inconsistencies identified
Urgent concern — significant gap or immediate action indicated
Not reviewed / unable to assess
Findings, urgent concerns, and recommended follow-up
*
Submit Audit
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