Free Safety Inspection Checklist Format Template
Safety Inspection Checklist Format
Location: [Your Company Name]
Inspection Date: [Date]
Inspector's Name: [Your Name]
Department/Area Inspected: [Your Department]
1. Fire Safety
|
Item |
Check |
Comments/Actions Required |
Completion Date |
|---|---|---|---|
|
Fire extinguishers accessible |
☐ |
||
|
Fire extinguishers properly charged |
☐ |
||
|
Emergency exits unobstructed |
☐ |
||
|
Emergency exit signs illuminated |
☐ |
||
|
Smoke detectors functional |
☐ |
||
|
Fire alarms tested |
☐ |
2. Electrical Safety
|
Item |
Check |
Comments/Actions Required |
Completion Date |
|---|---|---|---|
|
Cords and plugs in good condition |
☐ |
||
|
Circuit breakers labeled |
☐ |
||
|
Electrical panels accessible |
☐ |
||
|
No overloaded power strips |
☐ |
3. General Workplace Safety
|
Item |
Check |
Comments/Actions Required |
Completion Date |
|---|---|---|---|
|
Floors clean and dry |
☐ |
||
|
Walkways clear of obstructions |
☐ |
||
|
Proper signage for hazardous areas |
☐ |
||
|
First aid kits stocked |
☐ |
||
|
Personal protective equipment available |
☐ |
4. Equipment Safety
|
Item |
Check |
Comments/Actions Required |
Completion Date |
|---|---|---|---|
|
Machinery in good working order |
☐ |
||
|
Safety guards in place |
☐ |
||
|
Lockout/tagout procedures followed |
☐ |
5. Chemical Safety
|
Item |
Check |
Comments/Actions Required |
Completion Date |
|---|---|---|---|
|
Chemicals stored properly |
☐ |
||
|
MSDS (Material Safety Data Sheets) accessible |
☐ |
||
|
Proper labeling on all containers |
☐ |
||
|
Eye wash stations functional |
☐ |
6. Emergency Preparedness
|
Item |
Check |
Comments/Actions Required |
Completion Date |
|---|---|---|---|
|
Emergency procedures posted |
☐ |
||
|
Employees trained in emergency procedures |
☐ |
||
|
Emergency contact numbers posted |
☐ |
7. Housekeeping
|
Item |
Check |
Comments/Actions Required |
Completion Date |
|---|---|---|---|
|
Waste disposed of regularly |
☐ |
||
|
Storage areas organized |
☐ |
||
|
Spills cleaned up immediately |
☐ |
Inspector's Signature:
Date: 2050-08-13
