Select date

Job/Project Name/Number

Customer Emergency Contact Number (You Must Consider What Actions You Will Take in an Emergency)

Are Physical, Chemical, Mechanical or Environmental Hazards Present?

Identify Hazards Below *By checking the presence of hazards below, you agree to meet BT Safety Policy requirements delineated.

Forklift Inspection (Forklift Operation Requires Licence)

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.