Free Workplace Inspection Form Template

Workplace Inspection Form

Please fill out this form completely to evaluate the safety, cleanliness, and functionality of the workplace.

Name

    Email

      Date of Inspection

        Workplace Address

          Inspection Purpose

            • Routine

            • Incident Follow-Up

            • Compliance

            Is the workplace clean and organized?

            Are all work areas free of obstructions or hazards?

            Are fire extinguishers, alarms, and safety equipment functional and accessible?

            Are emergency exits properly marked and unobstructed?

            Are desks, chairs, and equipment in good condition?

            Is there proper lighting and ventilation at workstations?

            Are restroom facilities clean and functional?

            Are electrical systems and appliances functioning properly?

            Immediate Actions Required

            Overall Workplace Condition

              Supporting Documents

              Attach any relevant PDF, image, etc.

                Recommendations or Actions Required:

                Provide any recommendations or actions required based on the inspection findings.

                [Your Name]

                Inspector

                [Date Signed]

                [Your Name]

                Requestor

                [Date Signed]

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