Form Dla 1842 - Daily Child And Youth Programs Indoor Safety Checklist
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DAILY CHILD AND YOUTH PROGRAMS INDOOR SAFETY CHECKLIST
Program/Center
Classroom Number
When evaluating your area, be sure to look at the environment from the child's age perspective as well as program type.
Person(s) Completing Inspection (Name & Initials)
Room Lead
Type of Room/Age Group
Week of Inspection
1.
2.
Section I - General Conditions to be Monitored.
Satisfactory = Y; Not Satisfactory = N
Date of
M
T
W
Th
F
Corrective Actions Needed
Correction
Conditions to be Reviewed
AM PM AM PM AM PM AM PM AM PM
1. Electrical outlets are childproofed.
2. Electrical cords are out of children's reach and
are placed away from doorways and traffic
paths. Only UL approved cords used.
3. No unapproved, flammable, poisonous,
explosive or highly caustic materials in center.
4. Classroom contains no highly flammable
furnishings or decorations.
5. Furniture has no sharp edges or corners at eye
level.
6. Hinges, screws, and bolts on furniture and
equipment are securely fastened.
7. Steps and platforms have enough padding to
keep children safe.
8. Inclines are clear and free of obstructions in
walkways and on composite play equipment.
9. Cushioning is under areas where children may
climb and is in good condition.
10. Floors are dry and floor coverings are securely
fastened.
11. Materials harmful to children such as matches,
power tools, detergents, solvents, cleaning
supplies, and equipment are locked and
inaccessible to children.
12. Adult scissors, knives, and other sharp objects
are out of children's reach.
13. Toys and equipment have no broken pieces or
splinters and are working properly.
14. Small objects that could be put in the mouth,
ears, or nose are not accessible to children.
15. There is adequate open and age appropriate
space for children to play in each activity area.
16. Staff can easily move about and supervise
children crawling or walking.
17. Interior doors and cabinets in areas used by
children are operable from either side and kept
locked.
18. Doors with vision panels are clear without
obstructions.
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DLA FORM 1842, OCT 2011
PDF (DLA)
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