Title Page

  • Conducted on

  • Prepared by

  • Location

Policies & Procedures

  • Safety policy displayed

  • Safety committee in place

  • Issue resolution procedures in place

  • New employees and contractor orientation in place

  • First aid kits and eye wash equipment available

  • Injury logs maintained

  • Emergency contact numbers displayed

  • Standard operating procedures for workshop activities

  • Unauthorized persons prohibited from entering shop

  • ‘If you are injured’ explanation poster displayed

  • Lockout/tagout used in maintenance/repair Written Program in place?

Manual Handling

  • Manual handling risks such as heavy and awkward items identified, assessed and controls implemented

  • Awkward and sustained postures identified, assessed and controls implemented

  • Mechanical aids used to lift heavy or awkward items

  • Tool boxes mobile for ease of moving around workshop area.

Fire Protection

  • Fire extinguishers provided, maintained and accessible

  • Fire fighting instructions provided to personnel

  • Adequate fire extinguishers (every 75 feet), identified, checked and 36" clearance maintained.

  • Sprinkler heads with 18” of clearance, flow not obstructed.

  • Phone number of fire department posted

  • Outside hydrants clear, accessible

  • Combustibles stored away from electrical outlets/junctions

  • NO SMOKING signs posted and enforced where needed

Flammable Gases and Liquids

  • Compressed gas cylinders stored and secured appropriately

  • Oily rags stored in metal safety can with tight fitting lid while waiting laundering or disposal.

  • Flammable liquids stored in flammable cabinet when not in use. (10 gallons or more)

  • Flammable Storage locker doors shut and secured.

  • All fuels, lubricants other flammable liquids in proper container types.

  • Flammable liquid drums grounded and bonded to containers when dispensing

  • Heat and spark generating activities performed 20 feet or more away

Workshop Areas

  • All exits clear and accessible

  • Toilets provided and clean

  • Kitchen/break area provided and clean

  • Adequate lighting provided

  • Hearing protection and audiometric testing provided and records maintained

  • Electrical equipment maintained per manufacturer’s recommendations and records kept

  • All hoists and trolley jacks serviced and maintained according to manufacturer’s recommendations and records kept

  • Compressors inspected and serviced regularly

  • Power tools inspected and serviced regularly

  • Parts stored in appropriate areas with racking, shelves, etc.

  • No goods stored on top of internal offices/buildings unless designed for load bearing purposes

  • Eye protection provided and required where needed

  • Guards fitted to equipment where required (i.e. bench grinders, compressor pulleys, etc.)

  • All asbestos containing materials handled appropriately

  • No electrical equipment used in ‘wet’ areas of workshop

  • Tire inflation cages available and used

  • All lifting equipment inspected regularly (i.e. chains, slings, etc.)


  • All dangerous goods/hazardous substances stored and labeled appropriately

  • Material Safety Data Sheets available for all chemicals

  • Chemical inventory maintained

  • Appropriate person protective equipment/training provided for employees when using dangerous goods/hazardous substances

  • Waste oils and other products disposed of properly

Falls from Heights

  • Mezzanine levels provided with guard rails and kickboards

  • Stairs have handrails and anti-slip treads

  • Work platforms used to gain access to work at height

  • Pit areas provided with fall protection


  • Workshop floor free of slips and trips hazards

  • Fluid spills cleaned up immediately

  • Spill-containment equipment/materials provided

  • Rubbish not stored near flammable substances

  • All tools and equipment stored appropriately

  • Air lines, hoses, and tools clear of floor surfaces

  • Clothing laundered as appropriate

Sign Off

  • Name and Signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.