Anonymous

CIS Checking Sheet 2

CRT Checking Clinic Data Collection Sheet

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Title Page

Conducted on
Check Conducted by
Location
Vehicle

Check

Child’s age
RF or FF
Restraint
Restraint Type
- Capsule
- Child Seat RF
- Child Seat FF
- Harnessed Booster
- Seatbelt Booster
- Seatbelt Only
- None
Restraint Standard
Installation
Installation
- Good
- Loose
- Incorrect Belt Path
- Wrong Angle
- Locking Clip Required
- Seatbelt not long enough
Seat Limit
- Within Limit
- Exceed Weight
- Exceed Height
- Took small
Harness
- Good
- Loose
- Twisted
- Incorrect Routing
- Incorrect Height
- Booster N/A
Tether
- Correctly Used
- N/A
- Too tight/loose
- Not Used
- No Anchorbolt
- Incorrect Point
- Removed
Action Taken
- Installed/Reinstalled Correctly
- Advice given
- Locking Clip Provided
- Anchorbolt Voucher
- Vehicle Fault Fixed
- Seat Provided
- Unable to Remedy Issues
Final Photo

Notes

Notes

Anonymous

CIS Checking Sheet 2

CRT Checking Clinic Data Collection Sheet

Use this Template

Print as PDF

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