Free Safety Checklist Form Template

Safety Checklist Form

Please complete this form with attention to detail.

Inspection Details

Inspection Date

    Inspector

      Email

        Checklist

        Fire extinguishers are properly labeled and within easy reach.

          • Compliant

          • Non-Compliant

          Electrical outlets and cords are free from damage and hazards.

            • Compliant

            • Non-Compliant

            First-aid kits are fully stocked and accessible.

              • Compliant

              • Non-Compliant

              Safety equipment, such as helmets or gloves, is available and in good condition.

                • Compliant

                • Non-Compliant

                Hazardous materials are stored correctly and clearly labeled.

                  • Compliant

                  • Non-Compliant

                  Lighting in all areas is adequate and functional.

                    • Compliant

                    • Non-Compliant

                    Emergency exits are clearly marked and accessible.

                      • Compliant

                      • Non-compliant

                      Emergency contact numbers are posted and easy to locate.

                        • Compliant

                        • Non-Compliant

                        Comments and Action Required

                        No.

                        Comment

                        Action Required

                        1

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