Free Health & Safety Workplace Evaluation Form

Evaluation Date | [January 1, 2050] |
Evaluator's Name | [Your Name] |
Department/Section | [Operations] |
General Information
Office
Warehouse
Production Area
Other:
Section 1: Workplace Environment
1. Lighting
Adequate
Inadequate
Comments:
2. Ventilation
Adequate
Inadequate
Comments:
3. Noise Levels
Acceptable
Excessive
Comments:
4. Cleanliness and Hygiene
Satisfactory
Unsatisfactory
Comments:
Section 2: Equipment and Machinery
1. Condition of Equipment
Good
Needs Maintenance
Comments:
2. Safety Guards in Place
Yes
No
Comments:
3. Emergency Shut Offs Accessible
Yes
No
Comments:
Section 3: Fire Safety and Emergency Procedures
1. Fire Extinguishers
Adequate Number
Insufficient
Comments:
2. Evacuation Routes
Clearly Marked
Not Clearly Marked
Comments:
3. Emergency Lighting
Functional
Non-Functional
Comments:
Section 4: Personal Protective Equipment (PPE)
1. Availability of PPE
Sufficient
Insufficient
Comments:
2. Usage of PPE
Always Used
Sometimes Used
Never Used
Comments:
Section 5: Training and Awareness
1. Safety Training
Regularly Provided
Not Provided
Comments:
2. Awareness of Safety Procedures
High
Moderate
Low
Comments:
Additional Observations
Evaluator's Signature:

Date: [Month Day, Year]
- 100% Customizable, free editor
- Access 1 Million+ Templates, photo’s & graphics
- Download or share as a template
- Click and replace photos, graphics, text, backgrounds
- Resize, crop, AI write & more
- Access advanced editor
Introducing Template.net's Health & Safety Workplace Evaluation Form Template. Fully customizable and editable in our Ai Editor Tool, this template streamlines safety assessments. Ensure compliance effortlessly while tailoring evaluations to your specific needs. Simplify workplace safety protocols with Template.net's intuitive solution.