Checklist Safety Inspection

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{{company_address}}

Phone: {{phone}} | Email: {{email}} | Web: {{website}}

Checklist Safety Inspection

Checklist Safety Inspection

{{company_name}}

{{company_address}}

Phone: {{phone}}

Email: {{email}}

Website: {{website}}

Safety Inspection Details

**Inspection Date:** {{inspection_date}}

**Time:** {{inspection_time}}

**Inspector Name:** {{inspector_name}}

**Department/Area Inspected:** {{department_area}}

**Purpose of Inspection:** {{purpose_of_inspection}}

General Workplace Safety

**Housekeeping:**

- Are walkways clear and unobstructed? (Yes/No/N/A)

- Are work areas tidy and free from clutter? (Yes/No/N/A)

- Are spills promptly cleaned? (Yes/No/N/A)

**Emergency Exits & Fire Safety:**

- Are emergency exits clearly marked and unobstructed? (Yes/No/N/A)

- Are fire extinguishers easily accessible and inspected? (Yes/No/N/A)

- Are fire alarms and smoke detectors functional? (Yes/No/N/A)

- Is emergency lighting operational? (Yes/No/N/A)

Equipment and Machinery Safety

**Machinery Guards:**

- Are all machinery guards in place and functional? (Yes/No/N/A)

- Are emergency stop buttons accessible and working? (Yes/No/N/A)

**Electrical Safety:**

- Are electrical cords in good condition, free from damage? (Yes/No/N/A)

- Are outlets and circuit breakers properly labeled? (Yes/No/N/A)

- Is lockout/tagout procedure understood and followed? (Yes/No/N/A)

**Tools:**

- Are hand tools and power tools in good working order? (Yes/No/N/A)

- Are appropriate tools being used for tasks? (Yes/No/N/A)

Personal Protective Equipment (PPE)

**Availability & Condition:**

- Is appropriate PPE available for all tasks requiring it? (Yes/No/N/A)

- Is PPE in good condition and properly maintained? (Yes/No/N/A)

**Usage:**

- Are employees consistently using required PPE? (Yes/No/N/A)

- Is PPE being used correctly? (Yes/No/N/A)

Hazardous Materials

**Storage:**

- Are hazardous materials stored safely and correctly labeled? (Yes/No/N/A)

- Is access to hazardous materials controlled? (Yes/No/N/A)

**Handling:**

- Are employees trained in the safe handling of hazardous materials? (Yes/No/N/A)

- Are Material Safety Data Sheets (MSDS) accessible? (Yes/No/N/A)

Ergonomics and Workstation Setup

**Workstation Adjustments:**

- Are workstations adjustable to suit individual workers? (Yes/No/N/A)

- Are chairs, desks, and monitors set up ergonomically? (Yes/No/N/A)

**Lifting & Manual Handling:**

- Are employees trained in safe lifting techniques? (Yes/No/N/A)

- Is mechanical assistance provided for heavy lifting where necessary? (Yes/No/N/A)

First Aid and Medical Facilities

**First Aid Kits:**

- Are first aid kits adequately stocked and easily accessible? (Yes/No/N/A)

- Are first aid stations clearly marked? (Yes/No/N/A)

**Trained Personnel:**

- Are sufficient trained first aiders available on-site? (Yes/No/N/A)

- Is contact information for emergency services readily available? (Yes/No/N/A)

Observations and Corrective Actions

**Observations/Deficiencies:**

{{observations_deficiencies}}

**Recommended Corrective Actions:**

{{recommended_corrective_actions}}

**Person Responsible for Action:** {{person_responsible}}

**Target Completion Date:** {{target_completion_date}}

**Action Taken (if applicable):** {{action_taken}}

**Completion Date (if applicable):** {{completion_date}}

Inspector's Declaration

I hereby declare that this inspection was carried out to the best of my knowledge and ability, and all findings are accurately reported.

**Inspector's Name:** {{inspector_full_name}}

**Signature:** __________________________

**Date:** {{declaration_date}}