Murray Taylor

CSB - Assess and Use Safe Walkways and Work Surfaces

Use this Template

Print as PDF

Use this Template

Go digital today!

Convert your paper checklists into digital forms

Scan this QR code to use this paper checklist on your smartphone or tablet or visit https://safetyculture.com/

Title Page

Site conducted
Conducted on
Prepared by
Location
Task / Activity Description
Persons Involved

Are handrails being used when person is using the stairs?
Are handrails fit for use for the task being observed?
Are dedicated pathways used when walking in operational areas?
Is the correct type of foot protection used when walking in operational areas?
Are walking and working surfaces clear & free from obstruction or tripping hazards?
Is housekeeping in operational areas of an acceptable manner?
Are ladders on a stable surface, with someone assisting to hold it steady?
Are the standards and requirements for working surfaces at heights adhered? (E.g. Too short ladder vs. scaffolding?)
Is the desired behaviour of avoiding stepping on objects or into puddles adhered?

Murray Taylor

CSB - Assess and Use Safe Walkways and Work Surfaces

Use this Template

Print as PDF

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.