Title Page

  • Conducted on

  • Prepared by

  • Location


  • Are employees and contractors dressed and protected appropriately to enter your workplace?

  • Are the following provided and worn?

  • Are staff provided with appropriate PPE and trained on how to use and dispose?

  • Are there adequate reserves of PPE in stock?

First Aid

  • Is there adequate number of trained first aid officers in any one shift?

  • Are the first aiders known and first aid cabinets clearly marked?

  • Are the first aid cabinets complete and audit correct?

  • When was the last audit completed?

  • Are emergency numbers clearly displayed and up to date?

Manual Handling

  • Are manual tasks performed?

  • Are correct aides provided and being used for manual handling (such as trolley's, hoists etc)?

  • Is safe lifting protocols followed with height and techniques adequately sign posted?


  • Is the emergency power supply on standby?

  • Are vehicles shut off and brakes set prior to loading or unloading?

  • Are all areas well lit so people can do their jobs safely?

  • Do workers know how to recognise the signs of heat stress?

  • Is a security surveillance system being used?

Workplace Harassment

  • Is a workplace harassment/bullying prevention policy developed and implemented in the workplace?

  • Have managers/supervisors been trained in how to deal with workplace harassment?

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.