DLA FORM 1842, OCT 2011 PDF (DLA)

When evaluating your area, be sure to look at the environment from the child's age perspective as well as program type.

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DAILY CHILD AND YOUTH PROGRAMS INDOOR SAFETY CHECKLIST

Program/Center Classroom Number

Person(s) Completing Inspection (Name & Initials) Room Lead Type of Room/Age Group Week of Inspection

Conditions to be Reviewed

Satisfactory = Y; Not Satisfactory = N AM PM AM PM AM PM AM PM AM PM M T W Th F

Corrective Actions Needed Date of 

Correction

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.

Section I - General Conditions to be Monitored. Initial Here Daily
DLA FORM 1842, OCT 2011 PDF (DLA)

When evaluating your area, be sure to look at the environment from the child's age perspective as well as program type.

Page # of ##

1. 

2.

DAILY CHILD AND YOUTH PROGRAMS INDOOR SAFETY CHECKLIST

Program/Center Classroom Number

Person(s) Completing Inspection (Name & Initials) Room Lead Type of Room/Age Group Week of Inspection

Section II - Life Safety Conditions to be Monitored.

AM PM AM PM AM PM AM PM AM PM

M

T W Th F

Satisfactory = Y; Not Satisfactory = N

Corrective Actions Needed Date of 

Correction Conditions to be Reviewed 2. Check for children in adult bathrooms, janitorial 

 closets, laundry and storage closets, and any 

 rooms or closets without vision panels on a 

 daily basis.

1. Ensure that hot spot locations where a child 

 might go unnoticed are checked prior to the 

 group leaving the classroom (at any time).

7. Emergency evacuation routes (both primary 

 (green) and secondary (orange)) are clearly 

 shown (color coded) on floor plans which are 

 posted in each classroom.

3. Evacuation routes or egress paths are clear, 

 open, and free from obstructions that could 

 inhibit safe exit from the area.

4. Check to ensure all doors and outside gates 

 are secure.

6. Emergency action plans and procedures are 

 posted near primary & secondary emergency 

 exits.

9. Emergency exits are marked and 

 unobstructed.

11. Fire alarm pull stations are easily accessible.

10. Exit signs are well illuminated and clearly 

 marked.

12. There is an 18 inch clearance zone around 

 all sprinkler heads.

5. Emergency telephone numbers are accessible 

 at all times and posted near each phone.

8. Door alarms function properly.

Initial Here Daily

CENTER MANAGEMENT REVIEW This document is reviewed on a weekly basis

COMMENTS

Signature - indicates a review of the document and corrective action(s) have been initiated or taken DATE