Title Page

  • Site

  • Date and Time of Inspection

  • Shift

  • Inspector (Full Name)

  • Location

Patrol Inspection


  • Are resources available to deal with very hot or very cold conditions (drinking water, lined gloves, insulated boots)?

  • Is the rain/cold weather gear that is provided comfortable, and light enough so as not to constitute a hazard?

  • Are work surfaces and grip surfaces safe when wet?

Work Process

  • Are repetitive motion tasks properly paced and kept to a minimum?

  • Are the safety data sheets accessible to all employees?

  • Are hazards signalled by signs and tags?

  • Have all trucks, forklifts and other equipment been inspected and maintained?

  • Are lockout or tagout procedures in place and followed?

  • Is ventilation equipment working effectively?

  • Is the fume and dust collection hood working effectively?

  • Are the safety showers and eye wash stations in good working condition?

Warehouse and Shipping

  • Are dock platforms, bumpers, stairs and steps in good condition?

  • Are light fixtures in good condition?

  • Are all work areas clean and free of debris?

  • Are stored materials properly stacked and spaced?

  • Are tools kept in their proper place?

  • Are there metal containers for oily rags and similar rubbish?

  • Are floors free of oil spillage or leakage?

  • Is absorbent available for immediate clean-up of spills and leaks?

  • Are all hazardous products stored appropriately?


  • Is the work area clean and orderly?

  • Are floors free from protruding nails, splinters, holes and loose boards?

  • Are aisles and passageways kept clear of obstructions?

  • Are permanent aisles and passageways clearly marked?

  • Are covers or guardrails in place around open pits, tanks and ditches?

Materials Handling and Storage

  • Is stored material stable and secure?

  • Are storage areas free from tipping hazards?

  • Is charging of electric batteries performed only in designated areas?

  • Are dock boards (bridge plates) used when loading or unloading from dock to truck or dock to rail car?

  • Are necessary warning devices and signs in use for railway sidings?

  • Are specifications posted for maximum loads which are approved for shelving, floors and roofs?

  • Are racks and platforms loaded only within the limits of their capacity?

  • Are chain hoists, ropes and slings adequate for the loads and marked accordingly?

  • Do personnel use proper lifting techniques?

  • Are elevators, hoists, conveyors, balers, etc., properly used with appropriate signals and directional warning signs?


  • Recommendations

  • Inspector (Full Name and Signature)

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.