Free Safety Design Evaluation Checklist Template

Download

Share

Free Safety Design Evaluation Checklist Template

Safety Design Evaluation Checklist


1. Risk Assessment and Hazard Identification

Task

Completed (✓)

All potential hazards in the design are identified and documented.

Risk assessments are conducted for each identified hazard.

Control measures are implemented to mitigate risks.

Compliance with relevant safety standards and regulations is ensured.


2. Material and Component Safety

Task

Completed (✓)

The materials used are durable and non-toxic.

Components meet industry safety standards (e.g., fire resistance).

Parts are tested for wear and tear under expected operating conditions.

Safety labels and warnings are provided for hazardous components.


3. Ergonomic and Human Factors

Task

Completed (✓)

The design is user-friendly and minimizes physical strain or fatigue.

Controls and interfaces are intuitive and accessible to all users.

Emergency exits and safety features are easily identifiable.

The design accommodates individuals with disabilities or special needs.


4. Fire and Electrical Safety

Task

Completed (✓)

Fire-resistant materials are used in critical areas.

Electrical systems are insulated and meet safety standards.

Emergency shutdown systems are implemented and tested.

Fire extinguishers, alarms, and sprinklers are appropriately placed.


5. Emergency Preparedness

Task

Completed (✓)

Emergency evacuation routes are marked and accessible.

Safety equipment (e.g., alarms, first aid kits) is functional and accessible.

Regular safety drills are planned and documented.

Redundant systems are in place for critical operations during emergencies.


6. Maintenance and Inspection

Task

Completed (✓)

Maintenance schedules for safety-critical systems are established.

Regular inspections ensure design integrity and safety compliance.

Records of safety inspections and corrective actions are maintained.

Wear-and-tear components are monitored and replaced as needed.


Overall Safety Design Evaluation:

  • Exceeds Expectations

  • Meets Expectations

  • Below Expectations

  • Needs Improvement


Additional Comments:
[Insert any additional feedback, observations, or suggestions for improvement.]


Evaluator Name: [Your Name]
[Date Signed]

Designer Name: [Designer Name]
[Date Signed]


Checklist Templates @ Template.net