Templates
Health and Safety Checklist Template

Health and Safety Checklist Template

Identify general weekly hazards and keep your workspace safe at all times with this health and safety checklist template.

Use this template
or download pdf
Health and Safety Checklist Template

Identify general weekly hazards and keep your workspace safe at all times with this health and safety checklist template.

Use this template
or download pdf

About the Health and Safety Checklist Template

A health and safety checklist will walk you through your workplace hazards. Oftentimes, these dangers can be obvious and be easily avoided through common sense. Sometimes, however, they are more nefarious, lurking in unseen places, like a short in an electrical box or a harmful microorganism. That’s why it’s important to schedule regular health and safety audits to detect these issues before they cause an accident or injury. The template below covers the following categories:

  • • Health & safety systems
  • • Housekeeping
  • • Aisles
  • • Electrical
  • • Mobile plant & equipment
  • • Workbenches
  • • Hazardous substances
  • • Fall prevention
  • • Stairs, steps, & landings
  • • Ladders & platforms
  • • Personal protection
  • • Manual handling
  • • Workplace ergonomics
  • • Material storage
  • • Public protection
  • • Amenities
  • • First aid
  • • Lighting
  • • Fire control
  • • Other

Categories

  • Safety templates
  • Workplace safety templates
Preview of the template
1. H&S Systems
1 Health and Safety Systems
1.1 OHS policy displayed
1.2 Induction Records Available
1.3 Return to work policy displayed
1.4 General Weekly Hazard Identification Checklists filed and available for HSR's inspection
1.5 Emergency procedures displayed
1.6 SWP training records retained and available for HSR's to review
1.7 Documented SWP's procedures are completed and available for DWG review
1.8 Protective clothing and equipment records maintained
1.9 Chemical register maintained with relevant MSDS available
1.10 HSR appointed
1.11 Provide date of last OHS Meeting
1.12 Are OHS Meeting Minutes displayed on Safety Boards?
1.13 If you are injured poster is displayed on Safety Board?
1.14 General Weekly Hazard Identification Checklist displayed on Safety Board
2. Housekeeping
2 Housekeeping
2.1 Work areas free from rubbish and obstructions
2.2 Surfaces safe and suitable
2.3 Free from slip/trip hazards
2.4 Floor openings covered
2.5 Stock/Material stored safely
Aisles
2.6 Unobstructed and clearly defined
2.7 Adequate lighting
2.8 Adequate vision at corners
2.9 Wide enough
Other
2.10 Are there any other concerns?
3. Electrical
3 Electrical
3.1 Plugs, sockets, switches and leads in good order
3.2 Electrical items in good condition
3.3 No cable trip hazards
3.4 No strained leads
3.5 Switches and circuits are identified
3.6 Start / Stop switches clearly identified
3.7 Tag and Test Completed
Enter date next due
3.8 Switchboards are secure
3.9 Switchboards are kept clear and free of obstruction i.e. a minimum 1.5mtr clearance
4. Mobile Plant & Equipment
4 Mobile Plant and Equipment
4.1 Plant and equipment in good condition
4.2 Daily safety inspection procedures/checklists
4.3 Faulty reporting/rectification procedures in place and adhered to
4.4 Operators trained and licensed
4.5 Warnings and instructions displayed
4.6 Warning lights operational
4.7 Reversing beepers operational
4.8 Tyres on forklifts satisfactory
4.9 Machinery serviced as required
4.10 Service records maintained
4.11 Satisfactory operating practices
4.12 Is this inspection being conducted in Bay 4
How many seconds did it take for staff to stop the conveyor belt in a simulated emergency test?
4.13 Green tippler bins are in good repair
4.14 Pallet Jacks are operational and in good repair
4.15 Trolleys are in good order and repair
4.16 Pallet wrapper is in good working order and repair
Information: Conveyors are to be serviced every 3 months Roller doors are to serviced every 6 months Loading docks are to be serviced every 4 months Forklifts and other mobile plant are to be serviced when the service light appears and/or as necessary when issues arise Pallet Wrappers are serviced every 12 months
5. Workbenches
5 Workbenches
5.1 Adequate work space
5.2 Clean and tidy
5.3 Emergency stops appropriately placed and clearly identifiable
5.4 Duckboards and/or ergonomic matting provided
6. Hazardous Substances
6 Hazardous Substances
6.1 Containers labelled correctly
6.2 Stored appropriately
6.3 Adequate ventilation / exhaust systems
6.4 Protective clothing available for each item per the MSDS instructions
6.5 Chemical Register maintained
6.6 MSDS's available
6.7 Appropriate emergency/first aid equipment - shower, eye bath, extinguishers
7. Prevention of Falls
7 Prevention of Falls
7.1 All work platforms have secure handrails / guarding
7.2 Harness and lanyard or belts provided
7.3 Safe work procedure in place
7.4 Safety cage has harness and harness and cage in good condition
8. Stairs, steps and landings
8 Stairs, steps and landings
8.1 No worn or broken steps
8.2 Handrails in good repair
8.3 Clear of obstruction
8.4 Adequate lighting
8.5 Emergency lighting
8.6 Non-slip treatments / treads in good condition
8.7 Kick plates where required
8.8 Clear of debris and spills
8.9 Used correctly
9. Ladders and Platforms
9 Ladders and Platforms
9.1 Are in good condition
9.2 Staff trained in appropriate use
9.3 Risk assessed
9.4 Suitable for task
9.5 SWP developed and operators trained
10. Personal Protection
10 Personal Protection
10.1 Employees provided with PPE
10.2 PPE supplied for task is suitable
10.3 PPE being worn by employees
10.4 Sunscreen and sunglasses provided
10.5 Correct signage at access points
11. Manual Handling
11 Manual Handling
11.1 Mechanical aids provided and used
11.2 SWP's in place
11.3 Manual handling risk assessment performed
11.4 Manual handling controls implemented
12. Workplace Ergonomics
12 Workplace Ergonomics
12.1 Workstation and seating design acceptable
12.2 Ergonomic factors considered in work layout and task design
12.3 Use of excessive force and repetitive movements minimised
12.4 Appropriate training provided
13. Material Storage
13 Material Storage
13.1 Stacks stable
13.2 Heights correct
13.3 Sufficient space for moving stock
13.4 Material stored in racks / bins
13.5 Shelves free of rubbish
13.6 Floors around stacks and racks clear
13.7 Pallets in good repair
13.8 Heavier items stored low
13.9 No danger of falling items
13.10 No sharp edges
13.11 Safe means of accessing high shelves
13.12 Racks and stock clear of lights and sprinklers by 1.5mtrs
14. Public Protection
14 Public Protection / Driveway / Rear Yard
14.1 Appropriate barricades, fencing is secure and in place
14.2 Signage in place
14.3 Suitable lighting and free from debris
14.4 Site access controlled
14.5 Traffic Management procedures in place
15. Amenities
15 Amenities
15.1 Washrooms clean
15.2 Toilets clean
15.3 Lockers clean
15.4 Rubbish bins available
16. First Aid
16 First Aid
16.1 Cabinets and contents clean and orderly
16.2 Regularly audited and contents meet requirements
16.3 First aides names, location and phone numbers are displayed on Safety Board and in First Aid Room
16.4 Qualified First Aiders
16.5 Record of treatment and of supplies dispensed - is it being used correctly
17. Lighting
17 Lighting
17.1 Adequate lighting and free from glare
17.2 Lighting clean and efficient
17.3 Windows clean
17.4 No flickering or inoperable lights
17.5 Emergency lighting available
18. Fire Control
18 Fire Control
18.1 Fire extinguishers in place and position correctly (min 100mm from ground, no higher than 1200mm)
18.2 Fire fighting equipment serviced/tagged
18.3 Appropriate signing in place for extinguishers and fire hose reels
18.4 Extinguishers are appropriate for the hazard
18.5 Emergency exit signage
18.6 Exit doors easily opened from inside (advise security to de-arm before opening)
18.7 Exit pathways clear of obstruction
18.8 Alarm/communications systems are adequate
18.9 Emergency personnel identified and trained
18.10 Emergency procedures documented and issued
18.11 Emergency Response Team, location and numbers are displayed on Safety Boards
18.12 Alarms tested weekly
18.13 Trial evacuations conducted
18.14 Personnel trained in use of fire fighting equipment
19. Other Concerns
19 Other Concerns
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This template, developed by Lumiform employees, serves as a starting point for businesses using the Lumiform platform and is intended as a hypothetical example only. It does not replace professional advice. Companies should consult qualified professionals to assess the suitability and legality of using this template in their specific workplace or jurisdiction. Lumiform is not liable for any errors or omissions in this template or for any actions taken based on its content.