Get Yearly Mechanical Safety Check - Kansas Department Of Health ... - Kdheks

Filling out the Yearly Mechanical Safety Check form is essential for ensuring the safety of vehicles used to transport children in child care facilities. This guide provides a clear and user-friendly process for completing the form online, making it easier for you to ensure compliance with the Kansas Department of Health and Environment requirements.

Follow the steps to complete the form accurately and efficiently.

1. Press the ‘Get Form’ button to access the Yearly Mechanical Safety Check form and open it in your chosen online document editor.
2. Begin by filling in the make of the car and the year of the vehicle that is being checked.
3. Indicate the number of individual restraints available in the vehicle to ensure the safety of the children being transported.
4. Enter the vehicle insurance policy number as a requirement for liability limits in accordance with K.A.R. 28-4-130.
5. Complete the sections for liability limits: personal injury or death in any one accident, injuries to two or more persons in one accident, and loss of property.
6. Identify who completed the mechanical safety check by entering the first and last name of the person, alongside the date of completion.
7. In accordance with regulations, confirm that a first aid kit is present in the vehicle and list the required items, such as band-aids, gauze squares, and scissors.
8. Fill in the facility name exactly as it appears on the license, along with the facility's license number, street address, city, and county.
9. The authorized representative for the facility must sign and date the form to attest that the information provided is true and correct.
10. Once all sections are completed, you have the option to save any changes made, download the form, print it for your records, or share it as necessary.

Complete your document online to ensure compliance and enhance the safety of children in care.