Fillable checklist

Childproofing Checklist: Home Hazards for Young Kids (Free Printable PDF)

Fillable US home childproofing walk for stairs, windows, outlets, tip-over, poisons, water, cords, and smoke or CO. Print blank or save a filled PDF.

Safety Fillable form · 12 sections · 67 checks Download filled or blank PDF and CSV Cross-checked against CPSC, PoolSafely, and CDC · Last verified Sep 16, 2026

Snugage fillable checklist

Fill this on screen, then download a PDF or CSV. Download a blank copy to complete by hand. Answers stay in this tab only. The next visitor sees a blank form. This is a US home childproofing walk: stairs and gates, windows, outlets, furniture tip-over, poisons and medicines, bath and indoor water, pool or spa if you have one, cords, sleep space, and smoke or CO alarms. It is not a licensed home inspection and not a municipal safety inspection. CPSC says no device is completely childproof. Mark N/A on items the house does not have.

  • 12 sections
  • 67 checks
  • Blank for each visitor

Form details

Property

This is a visual childproofing template, not a licensed home inspection and not a municipal safety inspection. CPSC childproofing devices must be installed per the maker and reengaged after use. No device is completely childproof. Pool barrier guidelines in CPSC Pub. 362 are not a mandatory CPSC standard. Local pool-fence and CO rules vary by state and city.

9 fields
Property

CPSC window-fall guidance treats houses and apartments the same for screens, furniture, and guards. Renters should ask the landlord before installing screw-mounted window guards.

Used to decide whether stair gates apply. Mark stair-gate lines N/A on a true one-story home with no interior stairs.

Write who lives here or visits (for example infants, toddlers, visiting grandchildren). Do not treat an age you write here as a Pass or Fail limit. This form does not assign Pass or Fail from a child's age.

CPSC Pub. 362 treats spas and hot tubs as pools for barriers. Mark the Pool and spa station N/A only if this is None.

Inspection station

Stairs, gates, and doors

CPSC: use safety gates that meet current child safety standards, not pet gates. At the top of stairs, only use a gate that screws to the wall. Mark N/A if the home has no interior stairs.

7 items
Stairs, gates, and doors

A hardware-mounted safety gate is installed at the top of each stair

CPSC childproofing: for the top of stairs, only use gates that screw to the wall. Pressure-mounted gates can pop out. Mark N/A if there are no interior stairs.

A hardware-mounted safety gate is installed at the top of each stair: Yes, No, or N/A

A safety gate is in place at the bottom of stairs children can reach

CPSC: use safety gates to help prevent falls down stairs and to keep children from entering rooms with hazards. Mark N/A if there are no stairs.

A safety gate is in place at the bottom of stairs children can reach: Yes, No, or N/A

Gates are child safety gates that meet current standards, not pet gates

CPSC: pet gates should never be used as a child safety gate. Replace older gates that have V shapes large enough to entrap a child's head and neck.

Gates are child safety gates that meet current standards, not pet gates: Yes, No, or N/A

Adults can open and close the gates; children cannot dislodge them easily

CPSC: look for gates children cannot dislodge easily, but that adults can open and close without difficulty. Reengage each gate after you pass through. No device is completely childproof.

Adults can open and close the gates; children cannot dislodge them easily: Yes, No, or N/A

Door-knob covers or locks keep children out of rooms with hazards

CPSC: door-knob covers and door locks can keep children away from places with hazards. The cover must be sturdy, and an adult must be able to open the door quickly in an emergency.

Door-knob covers or locks keep children out of rooms with hazards: Yes, No, or N/A

Doors to the garage, basement workshop, or similar hazard rooms stay secured

CPSC treats gates and door locks as a way to keep children out of rooms with possible dangers. Mark N/A if those rooms do not exist or are not reachable from the living area.

Doors to the garage, basement workshop, or similar hazard rooms stay secured: Yes, No, or N/A

Gates, latches, and door covers were reengaged after this walk

CPSC: to be effective, safety devices must be properly installed and reengaged after use. A gate left open at the top of the stairs is No.

Gates, latches, and door covers were reengaged after this walk: Yes, No, or N/A

Inspection station

Windows and falls

CPSC: screens keep bugs out, not children in. Use window guards or stops. Limit openings to four inches or less, including the space between guard bars. That four-inch figure is CPSC guidance (Pub. 5124 and the childproofing page), not a licensed inspection measurement. Do not invent a second height.

7 items
Windows and falls

No one is relying on insect screens to keep a child from falling

CPSC Pub. 5124, the 2026 Window Safety Week release, and the childproofing page all say never depend on screens. A screen that looks tight is still not a guard. Mark No if a screen is the only thing between a child and an open drop.

No one is relying on insect screens to keep a child from falling: Yes, No, or N/A

Windows a child can reach have guards or stops, especially in bedrooms

CPSC Pub. 5124: safeguard windows with guards or stops, especially bedrooms. The 2026 release: renters should talk with the landlord before installing screw-mounted guards. Mark N/A for windows that do not open or that a child cannot reach even with furniture moved.

Windows a child can reach have guards or stops, especially in bedrooms: Yes, No, or N/A

Guards or stops limit the opening to four inches or less where they are used

CPSC childproofing, Pub. 5124, and the 2026 Window Safety Week release all use four inches or less, including the space between guard bars. This walk does not require a tape-measure fail. Mark No if you can see a gap a toddler's torso would fit through. Do not invent a second inch limit.

Guards or stops limit the opening to four inches or less where they are used: Yes, No, or N/A

At least one window in each room can still be used for fire escape

CPSC childproofing: if you have window guards, be sure at least one window in each room can be easily used for escape in a fire. Pub. 5124: on the 6th floor and below, guards should be ones adults and older children can open. This form does not assign Pass or Fail from a floor number you did not confirm.

At least one window in each room can still be used for fire escape: Yes, No, or N/A

Furniture and climbable objects are kept away from windows

CPSC Pub. 5124, the 2026 release, and the childproofing page: keep furniture away from windows so children cannot climb near them. A bed, dresser, or toy box under an open window is No.

Furniture and climbable objects are kept away from windows: Yes, No, or N/A

Windows that are open were opened from the top when that is possible

CPSC Pub. 5124 and the 2026 release: whenever possible, open windows from the top, not the bottom. Mark N/A for casements or sliders that have no top sash.

Windows that are open were opened from the top when that is possible: Yes, No, or N/A

Guards, stops, and safety netting were checked this visit and still look secure

CPSC childproofing: check these devices frequently to make sure they are secure, properly installed, and maintained. Loose bars or a stop a child can defeat is No. Safety netting on balconies, decks, or landings belongs on this line too.

Guards, stops, and safety netting were checked this visit and still look secure: Yes, No, or N/A

Inspection station

Outlets

CPSC: outlet covers and plates help prevent shock. Protectors must not be easy for a child to remove and must be large enough that a child cannot choke on them. If you replace a receptacle, use a tamper-resistant type.

5 items
Outlets

Unused outlets have covers or plates a child cannot easily pull out

CPSC childproofing: be sure outlet protectors cannot be easily removed by children. A loose plug-in cap on the floor is No. Tamper-resistant receptacles count as Yes if the slots stay closed.

Unused outlets have covers or plates a child cannot easily pull out: Yes, No, or N/A

Any plug-in caps in use are large enough that a child cannot choke on them

CPSC childproofing: covers must be large enough so children cannot choke on them. Mark N/A if you use only tamper-resistant receptacles or full plates, with no small caps.

Any plug-in caps in use are large enough that a child cannot choke on them: Yes, No, or N/A

If a receptacle was replaced, it is a tamper-resistant type

CPSC childproofing: if you are replacing receptacles, use a tamper-resistant type. Mark N/A if you did not replace any receptacle. Do not fail an older house solely because original receptacles are not tamper-resistant; note the upgrade.

If a receptacle was replaced, it is a tamper-resistant type: Yes, No, or N/A

No outlet or switch is missing a faceplate or showing bare wiring a child can reach

CPSC childproofing treats exposed electrical parts as a shock hazard. A cracked plate that leaves slots or screws open in a child's reach is No.

No outlet or switch is missing a faceplate or showing bare wiring a child can reach: Yes, No, or N/A

Unused slots on indoor power strips or extension cords have covers if children are present

CPSC childproofing pairs unused-outlet protection with child presence. Mark N/A if there are no strips or cords, or if children do not use those rooms.

Unused slots on indoor power strips or extension cords have covers if children are present: Yes, No, or N/A

Inspection station

Furniture and TV tip-over

CPSC Anchor It: unsecured TVs, furniture, and appliances are hidden hazards. Anchor dressers, bookcases, chests, desks, TV stands, and ranges. Follow the manufacturer instructions. This is not a licensed structural inspection.

7 items
Furniture and TV tip-over

Dressers, bookcases, chests, desks, and shelves a child can climb are anchored to the wall or floor

CPSC childproofing and Anchor It: deaths occur when children climb or pull up on television stands, shelves, bookcases, dressers, desks, and chests. Existing furniture can use anti-tip brackets. New dressers are sold with anti-tip devices: install them right away.

Dressers, bookcases, chests, desks, and shelves a child can climb are anchored to the wall or floor: Yes, No, or N/A

Each TV is wall-mounted or separately anchored to the wall

Anchor It: mount flat-screen TVs to the wall or to furniture. Televisions that are not wall mounted should still be anchored to the wall. Recycle older CRT televisions rather than stacking them on unstable furniture.

Each TV is wall-mounted or separately anchored to the wall: Yes, No, or N/A

Each TV sits only on furniture designed to hold a television

Anchor It: televisions should only be placed on furniture designed to hold a television, such as a television stand or media center. A TV on a dresser or a lightweight cart is No.

Each TV sits only on furniture designed to hold a television: Yes, No, or N/A

A freestanding range or stove has its anti-tip bracket installed

CPSC childproofing: freestanding ranges and stoves should be installed with anti-tip brackets to prevent scalding and crushing. Mark N/A for a wall oven only, or if there is no range.

A freestanding range or stove has its anti-tip bracket installed: Yes, No, or N/A

Toys, remotes, and other climb bait are off the tops of TVs and furniture

Anchor It: remove items that might tempt kids to climb, such as toys and remote controls, from the top of the TV and furniture.

Toys, remotes, and other climb bait are off the tops of TVs and furniture: Yes, No, or N/A

Anti-tip hardware was installed using the manufacturer instructions

Anchor It: follow the manufacturer instructions to secure TVs and furniture properly. Hardware left in the bag in a drawer is No. Mark N/A if a unit is a built-in that cannot tip.

Anti-tip hardware was installed using the manufacturer instructions: Yes, No, or N/A

Sharp furniture and hearth edges a toddler can hit have bumpers, or the child cannot reach them

CPSC childproofing: use corner and edge bumpers to help prevent injuries from falls against sharp edges of furniture and fireplaces. Bumpers must stay securely on the edge. Mark N/A if there is no toddler who can fall against those edges.

Sharp furniture and hearth edges a toddler can hit have bumpers, or the child cannot reach them: Yes, No, or N/A

Inspection station

Poisons and medicines

CPSC and CDC: child-resistant packaging is not childproof. Lock medicines, cleaners, and laundry packets away. Call Poison Help at 800-222-1222 if you think a child got into a product. Call 911 if the child has collapsed or is not breathing.

9 items
Poisons and medicines

Medicines, vitamins, and supplements are in a locked cabinet or box, out of sight and reach

CPSC poison prevention and CDC Up and Away: keep medications in a locked cabinet or box and out of a child's sight and reach. Never leave medicine on a kitchen counter or at a bedside. CDC: even safety caps can be opened by some children.

Medicines, vitamins, and supplements are in a locked cabinet or box, out of sight and reach: Yes, No, or N/A

Medicines stay in original child-resistant containers, and caps are relocked after each use

CPSC: keep medicines in their original child-resistant containers, never in unsecured containers. CDC: twist a locking cap until you hear the click.

Medicines stay in original child-resistant containers, and caps are relocked after each use: Yes, No, or N/A

Guest purses, coats, and bags that may hold medicine are stored up and away during visits

CDC Up and Away: ask visitors to keep purses, coats, backpacks, and other bags that have medicine in them up and away and out of sight. Mark N/A if no guests with medicine bags were in the home on this walk and you still have a place ready.

Guest purses, coats, and bags that may hold medicine are stored up and away during visits: Yes, No, or N/A

Household cleaners and chemicals are locked up in original containers

CPSC childproofing and poison pages: lock cleaners away. Keep them in original child-resistant containers. Never pour them into a cup, bottle, or unmarked jug. CPSC childproofing also lists matches, lighters, knives, and other sharps behind the same latches.

Household cleaners and chemicals are locked up in original containers: Yes, No, or N/A

Laundry detergent packets are in the original container, locked up, and out of a child's hands

CPSC Home Safe and the poison page: store laundry packets in original containers, locked up and away. Do not let children handle laundry detergent packets.

Laundry detergent packets are in the original container, locked up, and out of a child's hands: Yes, No, or N/A

High-powered magnet sets are stored away from children

CPSC Home Safe: swallowed magnets can stick together across intestines. Keep high-powered magnet sets away from children. Mark N/A if none are in the home.

High-powered magnet sets are stored away from children: Yes, No, or N/A

Button-cell or coin batteries are secured; toy battery doors have a working screw closure

CPSC poison prevention: keep products with accessible batteries away from children if the compartment has no screw closure or is damaged. Do not let children play with loose button or coin batteries. Mark N/A if none are in the home.

Button-cell or coin batteries are secured; toy battery doors have a working screw closure: Yes, No, or N/A

Unfinished or unused medicines have been discarded through a proper take-back, not left in a drawer

CPSC: properly discard unfinished or unused medicines. CDC Up and Away also wants unused product put away after every use. Mark N/A if there is no leftover medicine to discard.

Unfinished or unused medicines have been discarded through a proper take-back, not left in a drawer: Yes, No, or N/A

Poison Help 800-222-1222 is saved in phones used by caregivers

CPSC childproofing, CPSC Home Safe, and CDC all give 800-222-1222. Program it into cell phones. Call Poison Help if the child is awake and alert. Call 911 if the child has collapsed or is not breathing.

Poison Help 800-222-1222 is saved in phones used by caregivers: Yes, No, or N/A

Inspection station

Bath and indoor water

CPSC: stay within reach when a baby is bathing. Young children can drown in moments in a tub, bath seat, bucket, pond, or fountain. CPSC and CDC both say set the water heater to 120 F or lower. Do not invent a second temperature as Pass or Fail.

7 items
Bath and indoor water

An adult stays within arm's reach whenever a young child is in the tub

CPSC childproofing and Home Safe: give constant supervision and stay within reach. If you must leave, take the child with you. Do not leave a young child in a bathtub under the care of another young child.

An adult stays within arm's reach whenever a young child is in the tub: Yes, No, or N/A

A bath seat, if used, is never treated as a substitute for an adult within reach

CPSC Home Safe lists bath seats with other water you must not leave a child near, even for a moment. Mark N/A if no bath seat is used.

A bath seat, if used, is never treated as a substitute for an adult within reach: Yes, No, or N/A

Buckets and pails are emptied and stored so a toddler cannot fall in headfirst

CPSC Home Safe: never leave a bucket with even a small amount of liquid unattended. Toddlers can fall headfirst into buckets and drown. Decorative indoor ponds or fountains belong on this line too.

Buckets and pails are emptied and stored so a toddler cannot fall in headfirst: Yes, No, or N/A

The water-heater thermostat is set to 120 F or lower, or tap water is mixed by an anti-scald device

CPSC childproofing and CDC Protect the Ones You Love From Burns both use 120 F or lower. Anti-scald devices on faucets and shower heads are a CPSC add-on, not a second temperature. Do not invent a Pass or Fail from a tap reading you did not take. Mark No if the dial is clearly above 120 F and there is no anti-scald or mixing valve.

The water-heater thermostat is set to 120 F or lower, or tap water is mixed by an anti-scald device: Yes, No, or N/A

Bath water is tested by an adult before a child is placed in the tub

CPSC wants burns prevented at the tap. An adult checks the water before the child goes in. This line is practice, not a thermometer certification.

Bath water is tested by an adult before a child is placed in the tub: Yes, No, or N/A

Children are kept away from the cooking area when burners or hot liquids are in use

CDC burns guidance: supervise children near the cooking area and never leave food unattended on the stove. A toddler in reach of a pot handle is No.

Children are kept away from the cooking area when burners or hot liquids are in use: Yes, No, or N/A

Bathroom cabinet latches were closed after this walk

CPSC childproofing puts bathroom cabinet latches on the same list as kitchen latches, for medicines and cleaners. A latch left open is No. Mark N/A if those cabinets have no child contents.

Bathroom cabinet latches were closed after this walk: Yes, No, or N/A

Inspection station

Pool and spa

Mark every line N/A if there is no pool, spa, or hot tub. CPSC Pub. 362 guidelines are not a mandatory CPSC standard. Local codes may require a taller fence. Barriers do not replace an adult watching the water.

8 items
Pool and spa

A fence at least 4 feet high surrounds the pool or spa perimeter

CPSC Home Safe, PoolSafely, and Pub. 362 all use a minimum 4-foot fence around the entire perimeter, including portable pools. Pub. 362 prefers 5 feet and notes some places require 60 inches. This walk does not assign Pass or Fail from a tape measure you did not use. Mark No if the barrier is obviously short, missing a side, or easy to climb.

A fence at least 4 feet high surrounds the pool or spa perimeter: Yes, No, or N/A

The barrier isolates the water, or doors to the pool have alarms and self-closing hardware

Pub. 362: a barrier that completely surrounds the pool is better than using the house as the fourth side. If the house is one side, install door alarms on all doors to the pool, plus self-closing and self-latching devices or locks children cannot reach. CPSC childproofing: doors heading to the pool should have self-closing, self-locking hardware or door alarms.

The barrier isolates the water, or doors to the pool have alarms and self-closing hardware: Yes, No, or N/A

Pool gates are self-closing and self-latching, and they were closed after this walk

PoolSafely and Pub. 362: use self-closing and self-latching gates. PoolSafely wants gates that open out from the pool. CPSC childproofing: after each pool use, reestablish the barrier. A propped gate is No.

Pool gates are self-closing and self-latching, and they were closed after this walk: Yes, No, or N/A

A pool or spa cover, if you have one, works and its control is out of a child's reach

CPSC childproofing lists a power safety cover as one layer. Pub. 362 and PoolSafely: keep the cover in good working order and keep the control device out of the reach of children. Mark N/A if you do not use a cover.

A pool or spa cover, if you have one, works and its control is out of a child's reach: Yes, No, or N/A

Door alarms or a pool alarm are in use if the house is one side of the barrier

CPSC childproofing, Pub. 362, and PoolSafely all add door or pool alarms when the house is the fourth side. Mark N/A if a four-sided isolation fence keeps the house out of the barrier.

Door alarms or a pool alarm are in use if the house is one side of the barrier: Yes, No, or N/A

A portable pool is fenced, covered, or emptied and stored when not in use

PoolSafely: if you have a portable pool, fence it, cover it, or empty it and store it away when not in use. For an above-ground pool, secure, lock, or remove the ladder when the pool is not in use, or surround it with a barrier. Mark N/A if there is no portable or above-ground pool.

A portable pool is fenced, covered, or emptied and stored when not in use: Yes, No, or N/A

Household adults know to check the pool first if a child goes missing

CPSC childproofing: always check the pool first if your child goes missing. Most toddler drownings occur in their own backyard pools. Write who was told in Notes.

Household adults know to check the pool first if a child goes missing: Yes, No, or N/A

An adult is designated to watch the water whenever a child is in or near the pool

Pub. 362: barriers can never replace adult supervision. PoolSafely: never leave a child unattended in or near the water, and designate an adult Water Watcher. Layers of protection are extra time, not a substitute for watching.

An adult is designated to watch the water whenever a child is in or near the pool: Yes, No, or N/A

Inspection station

Window covering and other cords

CPSC: cordless window coverings are the only option that eliminates the strangulation hazard. Retrofit kits reduce risk. They do not eliminate dangling pull cords. Keep cribs, beds, furniture, and toys away from window cords.

6 items
Window covering and other cords

Window coverings in rooms children use are cordless, or every accessible cord was checked

CPSC childproofing, Home Safe, and Go Cordless: go cordless in homes with young children. If you cannot replace corded coverings, CPSC says the leftover steps only reduce the hazard. Examine the front, side, and back of shades and blinds.

Window coverings in rooms children use are cordless, or every accessible cord was checked: Yes, No, or N/A

There are no dangling pull cords a child can reach

CPSC: eliminate dangling cords by making pull cords as short as possible. CPSC notes that Window Covering Safety Council retrofit kits do not fix the dangling pull-cord hazard on many common blinds. A long loop or pull a toddler can grab is No.

There are no dangling pull cords a child can reach: Yes, No, or N/A

Continuous-loop cords and bead chains are anchored taut to the floor or wall

CPSC childproofing and Go Cordless: use tension devices to anchor continuous loops and bead chains. The cord should be taut but still operable. If there is no hold-down, CPSC points to WindowCoverings.org or 800-506-4636 for a kit. Mark N/A if there are no continuous loops.

Continuous-loop cords and bead chains are anchored taut to the floor or wall: Yes, No, or N/A

Cribs, beds, furniture, and toys are away from windows and window covering cords

CPSC Go Cordless: move cribs, beds, furniture, and toys away from windows and window covering cords, preferably to another wall. This line is about cords. The Windows station covers fall climbing.

Cribs, beds, furniture, and toys are away from windows and window covering cords: Yes, No, or N/A

Baby-monitor, lamp, and other cords stay out of a child's sleep or play space

CPSC Go Cordless also warns that baby-monitor cords have strangled children. Keep those cords, and other appliance cords, out of the crib and play space. This form does not assign Pass or Fail from a cord length in inches.

Baby-monitor, lamp, and other cords stay out of a child's sleep or play space: Yes, No, or N/A

No string, necklace, or toy cord is tied around a child's neck or across a crib

CPSC childproofing focuses on window covering cords as the home device. Keep other strings and cords off necks and out of sleep spaces. Mark N/A if there is no infant sleep space and no hanging toy cords.

No string, necklace, or toy cord is tied around a child's neck or across a crib: Yes, No, or N/A

Inspection station

Sleep space

Mark every line N/A if no infant uses a crib, bassinet, play yard, or bedside sleeper. CPSC: use products that meet current federal sleep-product rules. Bare is best. Place the baby on their back. This is not a medical visit.

5 items
Sleep space

The baby sleeps in a crib, bassinet, play yard, or bedside sleeper that meets current CPSC standards

CPSC childproofing and Safe Sleep: use infant sleep products that meet the CPSC mandatory standards. Do not leave a baby unsupervised in a product that is not designed for sleep.

The baby sleeps in a crib, bassinet, play yard, or bedside sleeper that meets current CPSC standards: Yes, No, or N/A

The sleep surface is firm and flat, with only a fitted sheet: no pillows, quilts, bumpers, or toys

CPSC Safe Sleep and Home Safe: Bare is Best. Place the baby on their back, alone, with a fitted sheet only. Do not add pillows, blankets, sheepskins, pillow-like bumpers, or stuffed toys. CPSC also says not to use weighted blankets or weighted swaddles.

The sleep surface is firm and flat, with only a fitted sheet: no pillows, quilts, bumpers, or toys: Yes, No, or N/A

Caregivers place the baby on their back for every sleep

CPSC childproofing, Home Safe, and Safe Sleep: always place the baby on their back. If the baby falls asleep elsewhere, move them to the crib, bassinet, play yard, or bedside sleeper.

Caregivers place the baby on their back for every sleep: Yes, No, or N/A

Inclined sleepers, rockers, and similar products are not used for infant sleep

CPSC Home Safe: stop using inclined sleepers and check CPSC.gov/cribs for recalls. Safe Sleep: inclined products such as rockers, gliders, soothers, and swings should never be used for infant sleep. This form does not assign Pass or Fail from an angle you measured.

Inclined sleepers, rockers, and similar products are not used for infant sleep: Yes, No, or N/A

The sleep product was checked against CPSC recalls

CPSC Safe Sleep and Home Safe: check SaferProducts.gov and sign up for recall notices. Mark No if you have not checked this product, even if it looks fine.

The sleep product was checked against CPSC recalls: Yes, No, or N/A

Inspection station

Smoke and CO alarms

CPSC childproofing: smoke alarms on every level, inside each bedroom, and outside sleeping areas. Test once a month. CPSC also wants a CO alarm outside bedrooms near each sleeping area even if the home has no fuel-burning appliances. Local CO rules vary.

6 items
Smoke and CO alarms

A working smoke alarm is on every level, including the basement

CPSC childproofing and CDC burns guidance both ask for smoke alarms on every floor. Mark N/A only if the home is a single level with no basement and that level is covered by the next two lines.

A working smoke alarm is on every level, including the basement: Yes, No, or N/A

A working smoke alarm is inside each bedroom

CPSC childproofing: install smoke alarms inside each bedroom. CDC burns guidance wants alarms near all rooms where people sleep. Mark No if a bedroom has no alarm.

A working smoke alarm is inside each bedroom: Yes, No, or N/A

A working smoke alarm is outside each sleeping area

CPSC childproofing: also install alarms outside sleeping areas. A bedroom-only layout with no hall or landing alarm is incomplete.

A working smoke alarm is outside each sleeping area: Yes, No, or N/A

Smoke alarms were tested this month with the test button

CPSC childproofing: check smoke alarms once a month. CDC: test once a month. Press the test button. CPSC also mentions changing ordinary batteries at least once a year, or using sealed 10-year batteries. Do not invent a replacement year you cannot read on the unit.

Smoke alarms were tested this month with the test button: Yes, No, or N/A

CO alarms are on every level and outside sleeping areas

CPSC childproofing: install a CO alarm to help prevent CO poisoning even when the home does not have fuel-burning appliances, outside bedrooms near each sleeping area. The CPSC CO fact sheet: battery-operated units or units with battery backup on every level and outside sleeping areas. Many states require CO alarms; local rules vary. CPSC does not recommend putting a CO alarm in the kitchen or above a fuel-burning appliance.

CO alarms are on every level and outside sleeping areas: Yes, No, or N/A

CO alarms were tested this visit per the manufacturer instructions

CPSC CO fact sheet: follow the manufacturer. The test button checks circuitry, not sensor accuracy. Alarms have a recommended replacement age. Mark N/A only if you have no CO alarm and local rules plus CPSC's even-without-fuel advice still lead you to skip one, and you say so in Notes.

CO alarms were tested this visit per the manufacturer instructions: Yes, No, or N/A

Form details

Findings and sign-off

List every No line here. This worksheet is not a licensed home inspection, not a municipal safety inspection, and not medical or legal advice.

5 fields
Findings and sign-off

List each No item and any room you could not enter. Say so if a pool, stair, or sleep line was marked N/A because it does not exist.

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References

  1. Childproofing Your Home - U.S. CPSC
  2. Anchor It! furniture and TV tip-over campaign - U.S. CPSC
  3. Home Safe with Young Children checklist - U.S. CPSC
  4. Window Covering Cords (Go Cordless) - U.S. CPSC
  5. Preventing Window Falls, Pub. 5124 - U.S. CPSC
  6. National Window Safety Week 2026 tips - U.S. CPSC
  7. Poison Prevention Information Center - U.S. CPSC
  8. Safe Sleep: cribs and infant products - U.S. CPSC
  9. Carbon Monoxide Fact Sheet - U.S. CPSC
  10. Safety Barrier Guidelines for Residential Pools, Pub. 362 - U.S. CPSC
  11. Summer Safety Barrier Checklist for Pool and Spa Owners - PoolSafely.gov
  12. PROTECT Initiative and Up and Away medicine storage - CDC
  13. Protect the Ones You Love From Burns (120 F water heater) - CDC

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Childproofing Checklist: Home Hazards for Young Kids blank checklist
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Childproofing Checklist: Home Hazards for Young Kids blank checklist
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These checklists are provided for general reference only. Always verify the steps against local codes, a licensed inspector or a qualified contractor before relying on them, especially for safety-critical work.