Slip, Trip and Fall Hazard Spotting Checklist

• Conducted on

  Date

• Prepared by

• Location
  Address

Building Entrances

• Is there potential for water on the floor from rain, etc.?

  Safe

  At Risk

  N/A

• Are there any trip hazards in the work area (i.e., cords, mats with floor, etc)?

  Safe

  At Risk

  N/A

• Is the floor between the slippery when wet?

  Safe

  At Risk

  N/A

Outdoor Areas

• Are there materials lying on paths, steps, etc?

  Safe

  At Risk

  N/A

• Are paths prone to ice build-up?

  Safe

  At Risk

  N/A

• Are there changes in elevation on paths that are not easy to see?

  Safe

  At Risk

  N/A

Stairs and Ramps

• Are step nosings hard to see, rounded, damaged or slippery? 

  Safe

  At Risk

  N/A

• Are handrails available?  

  Safe

  At Risk

  N/A

• Are they easy to reach and usable?

  Safe

  At Risk

  N/A

• Is the height of the steps or depth of tread inconsistent?

  Safe

  At Risk

  N/A

Work Areas and Work Platforms

• Is poor drainage causing a pooling of liquids or leading to poor traction?

  Safe

  At Risk

  N/A

• Are designated walkways usable and free of materials?

  Safe

  At Risk

  N/A

• Are walkways uneven, do they have holes or missing pieces of concrete?

  Safe

  At Risk

  N/A

• Are there any trip hazards around work areas and equipment?

  Safe

  At Risk

  N/A

• Are light levels too low to see clearly?

  Safe

  At Risk

  N/A

• Is light bouncing off equipment creating a glare

  Safe

  At Risk

  N/A

Behavior Observation

• Are employees or contractors performing at risk behaviors (i.e., climbing over piping or protection, taking shortcuts not wearing proper fall protection, etc)?

  Safe

  At Risk

  N/A

• Do tasks stop employees or contractors from seeing slip/trip/fall hazards (i.e. carrying items that restrict view, upset people's balance, rushing, etc.)?

  Safe

  At Risk

  N/A

Employee Competing the Checklist

• Notes and Corrective Actions Completed:

• Signature

  Sign