• Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Storage and Labeling

  • Are chemicals safely stored?

  • Do you comply with licensing requirements for the quantities of chemicals (or other dangerous goods) stored at the workplace?

  • Are chemicals clearly labeled?


  • Is there a Hazardous Substance/Chemical Register?

Risk Assessments

  • Have risk assessments been completed and reviewed for all chemicals?

Material Safety Data Sheets (MSDS)

  • Are current MSDS available for all chemicals in the workplace?

  • Do workers know about and understand MSDS and have access to them?


  • Are workers trained in storage, use, disposal and emergency procedures relating to chemicals?

First Aid and Emergency Procedures

  • Do you have first aid facilities to deal with splashes or other chemical emergencies?

  • Do you have equipment to deal with accidental release of chemicals?

Personal Protective Equipment

  • Is adequate PPE provided?

  • Is PPE maintained in accordance with manufacturers' instructions?

Hazards Identified (Planning for Improvement)

  • Hazard 1

  • Corrective Actions

  • Corrective Actions Completed

  • Hazard 2

  • Corrective Actions

  • Corrective Actions Completed

  • Hazard 3

  • Corrective Actions

  • Corrective Actions Completed

  • Hazard 4

  • Corrective Actions

  • Corrective Actions Completed

  • Hazard 5

  • Corrective Actions

  • Corrective Actions Completed


  • Strategic Safety and Training Consultant

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.