Babysitting/Nanny Safety

Are you going to be a Babysitter? A Nanny? In order to properly prepare, please see the items below.

 

Mother Name and Cell Phone:

Father Name and Cell Phone:

Any other Emergency Contacts?


 

Home Address:

 

Destination Address:

 

Return Time:

 

Child #1 Name:

Allergies:

Epipen: Yes No

Where is it?:

How to Use:

Symptoms to Look For:

Asthma Inhaler: Yes No

Where is it?:

How to Use: 

Symptoms to Look For:

Seizure Disorder: Yes No

Symptoms to Look For:

What to do?:

Diabetes: Yes No

Symptoms to Look For:

What to do?:

Any other medical conditions?

Medications: (List dose and when/how to administer)

Bedtime Instructions:

 

Child #2 Name:

Allergies:

Epipen: Yes No

Where is it?:

How to Use:

Symptoms to Look For:

Asthma Inhaler: Yes No

Where is it?:

How to Use: 

Symptoms to Look For:

Seizure Disorder: Yes No

Symptoms to Look For:

What to do?:

Diabetes: Yes No

Symptoms to Look For:

What to do?:

Any other medical conditions?

Medications: (List dose and when/how to administer)

Bedtime Instructions:

 

Pets: 

Any instructions for pets?:

 

The Home:

Pool: Yes No

Can child #1 swim? Yes No

Can child #2 swim? Yes No

Gates?

 

Backyard fence? Yes No

 

Alarm System?: Yes No

How to operate:

 

Kitchen: Gas or Electric Stove

Where are cleaning supplies?

Are cabinets locked?

Are knives kept on counter?

 

Bathrooms:

Where are cleaning supplies?

Are cabinets locked? 

 

Circuit Breaker Location: Garage, Basement, Storage Closet?

Any off-limit areas in the home (home workshop, home gym, etc?)

Are windows secure?

Stairs? Could a child fall through the stairs?

Firearms locked and secured?

 

Where is a first aid kit (or bring your own)? 

Where is a flashlight?

Where is the fire extinguisher?

 

What to do in the event of a fire?

Get certified in CPR and First Aid at Rockwall CPR to properly prepare for babysitting!

Printable Google Document