Child Passenger Safety Seat Check/Installation Log

This page is only to be used to report seat checks and installations by nationally certified child passenger safety technicians to GHSP regional coordinators. Please use this log each time you check or install a child passenger safety seat. This page does not update your profile on the Safe Kids webpage for recertification.

 

Name of Technician *

County *

Region/Coordinator

Enter the number next to the seat type below to show the total seats checked and/or installed.

Infant - Rear Facing Seat

Convertible - Rear Facing Seat

Convertible - Forward Facing

Combination - Forward Facing

Booster
Email Address

Date Completed
Select a date from the calendar.
Attachments