General: (Pick person) person(s) name:

  • H & S Polices & Fire Evacuation Procedure displayed.

  • Understanding of H & S Policy

  • Understanding of Fire procedure

  • Understanding of H&S Procedures

  • Accidents: Last recorded accident, check for any new procedures works or any outstanding actions

Machinery guarding:

  • Guarding checks completed

  • All guarding in place

  • Guarding in good condition. (No cracks or holes)

  • Guarding prevents access to dangerous / moving parts

  • Lock of system: if I place / required, is it being adhered to

Personal Protective Equipment (Pick person) person(s) names:

  • Appropriate PPE in use: e.g. Safety shoes, goggles, gloves, high visa jackets, hard hats.

  • PPE storage: equipment identified and stored correctly


  • Are fire exits and fire points clear

  • Are fire extinguishers tests in date

Transport / vehicular movement

  • Are fork lift truck safety check lists in operation

  • Are all vehicles correctly parked

  • Are all floor surfaces including outside road surfaces in good condition

  • Are all haulage vehicles following site procedure. (Correct parking, and curtains tied back)


  • Are all work area environment: floor sound, no trip hazards, exposed wiring etc.

  • Are all gangways clear of obstruction

  • Are all safety notices in good condition

Working practices (Pick person) person(s) name

  • Do they understand yellow hazard sheet system

  • Is there a risk assessment completed for task and is it understood

  • Safe systems of work in place and understood

  • COSHH: data sheet and COSHH assessment available and understood

  • Are tools / equipment stored correctly and safely


  • Are contractors wearing ID Badges

  • Do they have Permits issued and are they filled in correctly

  • Are they entered on the contractors board

  • Do they have the required documentation: e.g. Insurance certificate, risk assessment, method statement, contractors check list


  • Are electrical cabinets locked


  • Is all lifting equipment tagged with correct colour coding for this period

  • Auditor

  • Auditor

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. Any ratings or scores displayed in our Public Library have not been verified by SafetyCulture for accuracy. Users of our platform may provide a rating or score that is incorrect or misleading. You should independently determine whether the template is suitable for your circumstances. You can use our Public Library to search based on criteria such as industry and subject matter. Search results are based on their relevance to your search and other criteria. We may feature checklists based on subject matters we think may be of interest to our customers.