Title Page
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Audit Title
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I understand the car seat check up provided today is done with my supervision. Sandy will not and cannot guarantee any child seat checked today is constructed without defects. I understand to have full protective benefits of a child car seat the child must be properly secured in the seat and the seat must be attached to the vehicle in accordance with the manufacturer's and vehicle's instructions. I understand that Sandy accepts no liability for what happens with the install after she leaves the child restraint check. She is not liable for damages or injuries including death, arising from or growing out of the assistance/information received today.
Personal information
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Name:
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Drivers licence no:
Vehicle details
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Make, model & year:
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Plate number:
Additional vehicle?
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Make, model & year:
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Plate number:
Childs information
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Child present?
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Name:
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Age:
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Height:
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Weight:
Car seat information
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Make & model:
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Seat direction?
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Installation method:
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Locking method used?
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Harness height?
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Tether used correctly?
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Less than 1 inch movement?
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Picture of install
2nd seat for same child?
Car seat information
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Make & model:
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Seat direction?
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Installation method:
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Locking method used?
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Harness height?
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Tether used correctly?
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Less than 1 inch movement?
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Picture of install
Extra children
Childs information
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Child present?
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Name:
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Age:
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Height:
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Weight:
Car seat information
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Make & model:
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Seat direction?
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Installation method:
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Locking method used?
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Harness height?
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Tether used correctly?
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Less than 1 inch movement?
-
Picture of install
2nd seat for same child?
Car seat information
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Make & model:
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Seat direction?
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Installation method:
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Locking method used?
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Harness height?
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Tether used correctly?
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Less than 1 inch movement?
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Picture of install
Extra child
Information discussed:
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Harness tightness
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Chest clip placement
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Next step
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Notes:
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Parent/caregivers signature:
