Safety Inspection Checklist Format Template
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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
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