Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location
  • Inspection/site/personnel information

Surrounding Area

  • Is the work area orderly, no trip hazards or waste?

  • Is there adequate space, light, and ventilation for the task?


  • Is electrical equipment tested and tagged?

  • Is the correct equipment being used for the task?

  • Equipment stored appropriately?

  • Hazardous chemicals stored safely?


  • Vehicle appears in safe condition; current WOF?


  • Is appropriate PPE being worn?

  • Is wet floor signage in place (where needed)?


  • Body posture/movement/grip/lifting; are appropriate for the task?

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.