Safety Checklist Form

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

                        2

                        3

                        4

                        5

                        Please check the box below to proceed

                          Checklist Form Templates @ Template.net

                          Thank you for your attention to safety!

                          Your diligence helps maintain a safe and secure environment.

                          Create free forms at Template.net