Title Page

  • Site conducted

  • Number of child restraints:

  • Customer contact:

  • Conducted on

  • Prepared for

  • Location

Untitled Page

  • Child’s age:

  • Is the child present?

  • Does the child meet the heigh marker?

  • Is the seat rear facing or forward facing?

  • Restraint brand/model:

  • Location in vehicle

  • Vehicle registration:

  • Installation photos:

  • Installation method:

  • Is the restraint within angle tolerance:

  • Customer educated on how to use the seat:

Confirmation

  • The fitment of this child restraint system has been carried out to meet or exceed the manufacturers guidelines. The ongoing safety of the occupant is dependant on factors that we as restraint professionals have no control over. We encourage the carer to be diligent with their daily routine in respect to the safe use of this device. If there is any doubt after the initial fitment has been completed that this device is unsafe, then the customer must contact JZ Car Seats within 24 hours for a review. The day-to-day safety of this device is completely in the hands of the carer and we encourage the carer to understand how it was fitted and how it needs to be used and monitored. Please always refer back to your car seat manual when seeking information related to your car restraint.

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.