Crib brand name and model # ___________________________________
Check the crib for the following safety hazards:
| 1. Crib has been recalled (check on CPSC's web site). | ___Yes | ___No |
| 2. Crib slats are more than 23/8 inches (60 mm) apart. | ___Yes | ___No |
| 3. Slats are loose, missing, or cracked. | ___Yes | ___No |
| 4. Mattress is too loose -- more than two finger-widths between the edge of the mattress and the crib side. | ___Yes | ___No |
| 5. Corner posts are higher than 1/16th inch (11/2 mm). | ___Yes | ___No |
| 6. There are cutouts in the headboard or foot board. | ___Yes | ___No |
| 7. Drop-side latches could be easily released by baby. | ___Yes | ___No |
| 8. Screws or bolts that secure crib components are loose. | ___Yes | ___No |
| 9. Mattress support is not securely attached to head/foot board. | ___Yes | ___No |
| 10. Crib is provided with a normal sheet instead of a crib sheet. | ___Yes | ___No |
| 11. Crib is provided with a pillow, comforter, or soft bedding. | ___Yes | ___No |
Additional comments or concerns:
_______________________________________________________________Note: If any item receives a "yes" response, the crib should be removed from service until it is repaired or replaced.
Play yard brand name and model # ___________________________________
Check the mesh crib/play yard for the following hazards:
| 1. Mesh crib/play yard has been recalled (check on CPSC's web site). | ___Yes | ___No |
| 2. Mesh has large weave (1/4 inch openings or greater). | ___Yes | ___No ___NA |
| 3. Mesh has tears, holes, or loose threads. | ___Yes | ___No ___NA |
| 4. Mesh is not securely attached to top rail and floor plate. | ___Yes | ___No ___NA |
| 5. Top rail cover has tears or holes. | ___Yes | ___No ___NA |
| 6. If staples are used, some are missing, loose or exposed. | ___Yes | ___No ___NA |
| 7. Mesh crib/play yard is provided with a pillow, comforter, or other soft bedding. | ___Yes | ___No |
Additional comments or concerns:
_______________________________________________________________Note: If any item receives a "yes" response, the crib should be removed from service until it is repaired or replaced.
For additional safety information on cribs and other children's products, visit CPSC's web site (www.cpsc.gov) or call its toll-free hotline (800/638-2772).