The Health and Safety Checklist is a 112-item tool developed to assess key health and safety standards and identify ways to improve health and safety in early care and education (ECE) programs. The Checklist includes 72 out of the 138 key health and safety standards in Stepping Stones Third Edition. The Checklist was reviewed by an advisory committee of health and safety experts before being pilot tested by child care health consultants. The Checklist has links to the Caring for Our Children standards and other related resources. It can be used on a computer, electronic tablet or smart phone or printed on paper and filled out by hand. The User Manual provides background information and guidelines for rating each item. Updated 6/2018.