Free Health and Safety Checklist Form Template
Health and Safety Checklist Form
Please fill out the form with your information below.
Company Name
Address
Date of Inspection
Inspector Name
Section I. Workplace Hazard Assessment
Are potential hazards identified?
Are hazard signs displayed properly?
Is emergency lighting operational?
Are first aid kits stocked and accessible?
Are PPE requirements posted?
Section 2: Environmental Health and Safety
Are floors clean and dry?
Is waste disposed of in a timely manner?
Are restrooms clean and well-stocked?
Additional Observations and Recommendations
Date:
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