Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Prepared by

  • Location
  • Was an additional party involved?

  • List all other parties involved

  • List all other parties involved

  • List all other parties involved

  • List all other parties involved

  • List all other parties involved


  • 1) Compliance checks according to this inspection are to be completed on a instance-by-instance basis. For each instance of an element which is inspected, click the + icon in the top right corner of the inspection section to create a new set of fields. This should be done for each inspected instance.

    2) Where a process must be immediately corrected label it as unsafe. Where there is no immediate danger, apply the OFI Label.

    3) Any observed non-compliances should include both an action item and a description of the issue using the integrated functions.

    4) Where instances of non-conformance are observed which may pose an immediate threat to the well-being of workers or bystanders, pause the inspection and immediately stop work. Make a note of this in the inspection once the area has been made safe.

    5) While making records for this inspection, ensure that you are in a safe position to do so.

Inspection Body

  • Identify the piece of equipment being inspected.

  • Include a photo of the piece of equipment being inspected.

  • Is the equipment free of significant damage?

  • Are hazards created by the equipment clearly indicated by signage or another form of signalling?

  • Are operators familiar with the operation of the equipment?

  • Are all safeguards in and functioning for equipment?

  • Are all tool guards in place as per the manufacturers specifications?

  • Are workers wearing appropriate PPE for the task as per safe work procedures and work instructions?

General Comments

  • Use this space to add any additional notes or findings which you feel need to be made in addition to the above criteria.

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.