Carseat check

Personal information on caregiver

Name:

Address:

Phone number:

Email address:

Vehicle

Vehicle
Vehicle information

Year:

Make:

Model:

Child
Child's information

Name:

Age:

Weight:

Height:

Car seat info on arrival:
Photo on arrival if installed.

Car seat is

Car seat received

Is the seat free of crashes?

Is the seat free of frontal airbags?

Vehicle seat faces forward?

Seating position has side airbag? If so, discuss with caregiver.

Location in vehicle
Child arrives in:

Rear facing seat?

Child's age and/or weight appropriate?

Shell at least 1" above head, or required amount?

Shoulder straps in correct slots?

Seat appropriately reclined?

Handle position correct?

Harness adjusted snugly?

Chest clip present?

Chest clip threaded properly?

Chest clip at the armpit level?

Converted seat to forward facing?

Maximum weight limit rear facing?

Forward facing seat?

Child's age and/or weight appropriate?

Ears at or below top of shell?

Shoulder straps in correct slots?

Seat appropriately reclined, if necessary?

Harness adjusted snugly?

Chest clip present?

Chest clip threaded properly?

Chest clip at the armpit level?

Tethered?

Tether can be retrofitted?

Tether part and information

Properly adjusted?

Attached to tether anchor?

Moved child to rear facing?

Moved child to booster?

Maximum weight limit forward facing?

Belt positioning booster?

Child's age and/or weight appropriate?

Ears at or below top of whiplash protection?

Uses lap and shoulder belt?

Shoulder portion fits appropriately?

Lap portion fits appropriately?

Moved child to harnessed seat?

Moved child to seat belt?

Maximum weight limit?

Seat belt?

Uses lap and shoulder belt?

Child's bottom is against seat back?

Child's knees bend at the edge of the seat and their feet reach the floor?

Lap portion fits appropriately?

Shoulder portion fits appropriately?

Ears at or below top of whiplash protection?

Moved child to booster?

Moved child to harnessed seat?

Photo on departure
Installation:

Lower Anchors

Seat belt

Tether

Seat belt or lower connectors properly routed?

Seat secured with less than 1" of movement at the belt path?

Locking clip/lock off mechanism used if needed?

Locking clip/lock off mechanism used correctly?

Seatbelt free of inappropriate locking clip?

Seatbelt

Retractor

Latch plate?

Lower anchors

In LATCH position?

Used correctly?

Restraint information

Manufacturer

Model name

Model number

Date of manufacture

Has instructions?

Seat is within acceptable lifespan?

Free from recalls

Recalls corrected?

Recall fix/phone number:

Harness:

Harness is threaded properly?

Harness lies flat and is not torn or frayed?

Buckle mechanism appears to open and lock appropriately?

Add on products are acceptable?

Technician discussed

Airbags

Unused seatbelt

Projectiles (including pets)

Unattended children in and around cars

Next steps

Caregiver

Caregiver harnessed child/doll?

Caregiver participated in check today?

Caregiver signature
Technician information

Name

Email

Tech ID

Technician signature
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.