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# DLA Official Forms

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| Form Number:  DLA1842-2                                                                                                           |
|-----------------------------------------------------------------------------------------------------------------------------------|
| Form Title:  DLA Child Youth Program (CYP) Monthly Crib Safety Inspection Checklist                                               |
| Form Version:  Mar 2018                                                                                                           |
| Status:  Active                                                                                                                   |
| Functional Area:  Installation Management                                                                                         |
| Opr:  DM                                                                                                                          |
| Safeguards:  none                                                                                                                 |
| Electronic:  Yes                                                                                                                  |
| Form Link:  Documents/FormsSite/forms/DL1842-2.pdf                                                                                |
| Type:  Primary                                                                                                                    |
| Prescribed:  DLAI 1015.02                                                                                                         |
| Description:  This checklist will be used as a tool to assist with safety inspections of cribs in DLA Child Developments Centers. |
| Records Retention:  Child Care Operations. Reports. Destroy after 3 years                                                         |
| Form Audience:                                                                                                                    |

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