Site information

Site name

Date

Site address including postcode

Contact name for maintenance

Health & Safety

Hazards Identified

Asbestos on site?
If no register and building is built before 1999 ASSUME ASBESTOS IS A RISK

Adverse weather?

Attic spaces?

Chemicals / Substances

Confined space?

Explosion?

Falls from height?

Roof work?

Falling objects?

Fire?

Lighting?

Manual handling?

Moving vehicles?

Noise?

Radiation?

Lifting operations?

Services (live)?

Sharps?

Slips, trips and falls?

Public interface?

Other trades?

Ventilation?

Working at height?

Gas work?

PPE Required

Head

Hand

Wet weather

Body

Foot

Hearing

Eye

Fall arrest

Appliance Details

Photos?

Add media
Client
Engineer
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.