Home Childproofing Checklist Form

Home Childproofing Checklist Form — Form Fields

This personal template includes 8 fields. Track childproofing tasks room by room to ensure your home is safe for young children. Free to customize and use on ZenBuild.

• Parent or Guardian Name (text, required)
• Child's Age (text, required)
• Home Type (dropdown selection, required) — options: Apartment, House, Condo, Townhouse
• Kitchen Safety Items Done (checkboxes, optional) — options: Stove Knob Covers, Cabinet Locks, Refrigerator Lock, Sharp Utensils Stored High, Chemicals Locked Away
• Living Room Safety Items Done (checkboxes, optional) — options: Corner Guards, Outlet Covers, Secured Furniture, Blind Cord Safety, Fireplace Gate
• Bathroom Safety Items Done (checkboxes, optional) — options: Toilet Lock, Non-Slip Mats, Cabinet Locks, Drain Cover, Water Temperature Set to 120°F
• Outstanding Items to Complete (long text, optional)
• Overall Home Safety Confidence (1–5) (rating, required)