Safety Check Log
UPDATED FEBRUARY 2022
Ensure the safety of residents that are at risk for wandering or other unsafe behaviors. Monitor resident status at 15-minute increments throughout the day. Document these status checks with Briggs Safety Check Log.
Staff records the resident's status with each check as well as their initials to verify the check.
The form covers a 24-hour period.
Use in Memory Care Units, or for any resident for whom you have safety concerns.
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Size: 8 1/2 x 11
Paper: white
Print: Black ink printed one side
Punching: 5-hole punched top and side
Packaging: 100 per pad
Paper: white
Print: Black ink printed one side
Punching: 5-hole punched top and side
Packaging: 100 per pad