Title Page

  • Document No.

  • Campus

  • Conducted on

  • Prepared by

  • Personnel

  • Follows procedures to avoid the spread of infectious illnesses

  • Follows emergency policies and procedures

  • Greets youth on arrival or within activity

  • Explains activities to youth

  • Models activities

  • Takes responsibility for participants safety by monitoring external visitors

  • Takes responsibility for participants safety by adhering to ratio requirements

  • Takes responsibility for participants safety by practicing line of sight

  • Is aware of students coming and going from the program

  • Adheres to confidentiality of participants behavior and health records

  • Keeps materials organized and accessible

  • Adheres to discipline policies set forth in handbook

  • Dispenses rewards and consequences without bias

  • Makes accommodations for youth with disabilities to allow participation and success

  • Takes responsibility for participants emotional safety by not allowing bullying and exclusion behaviors

  • Models respectful tone and voice

  • Models empathy

  • Maintains a positive and professional relationship with other staff members

  • Communicates with families

  • Listens to children and maintains eye contact

  • Models appropriate body language

  • Uses encouraging language

  • Uses children's names

  • Uses activities as opportunities to promote positive interactions among children

  • Recognizes participants for positive behavior

  • Recognizes participants for making responsible decisions

  • Demonstrates respect for participants culture (s)

  • Includes all youth in programming

  • Fosters a sense of community among participants

  • Develops strong and appropriate relationships with yourh

  • Shows evidence of planning for activities

  • Supports organizations Mission with activities

  • Determines if participants needs are met

  • Considers participants ages when planning activities

  • Encourages participants to try new activities

  • Helps participants find an appropriate activity

  • Provides activities that are culturally sensitive

  • Adheres to daily schedule

  • Creates orderly and timely transitions

  • Participates, assists, and provides constructive feedback to participants during activities

  • Ensures that all youth are engaged

  • Uses different grouping strategies

  • Supports school day learning

  • Attendance and absent tracker complete

  • Roll is taken during sessions

  • Staff members know numbers

  • Is snack time organized

  • Are gym activities organized and fun

  • Are staff members monitoring computers

  • Is there a quiet place for those who have homework

  • Are medications stored properly

  • Medication log filled out correctly

  • Tuition log updated daily

  • Staff members in dress code

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.