Title Page

  • Site conducted

  • Conducted on

  • Prepared by

Untitled Page

  • Is there a fire detector system in place in the employee's remote work environment?

  • Are furniture and electrical peripherals leveled and balanced?

  • Are employees comfortable with the devices being used?

  • What is being affected?

  • How can this be solved?

  • Is there adequate ventilation and lighting in the workplace?

  • Are pathways to entrances and exits easily passable?

  • What is in the way?

  • Are floorings clear of possible trip or fall risks?

  • What are the risks present?

  • Are there accessible emergency exits?

  • What are other risks to safety to be aware of?

  • Employee’s 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.