Health and Safety Policy Template - FREE PDF

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Health and safety policy template

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Use this template with Lumiform

The Lumiform application helps frontline teams uphold internal standards effortlessly.

Customize this template or build your own
Fill out templates via mobile app
Assign and track corrective actions
Get reports and analyse your data

Prices start from ░░░ per month

Book a demo

Learn more

Developed for safety managers and business owners, this health and safety policy template provides a comprehensive foundation for your workplace safety documentation. The template follows the three-part structure mandated by health and safety regulations: a clear statement of intent, defined responsibilities across all levels of your organization, and specific arrangements for managing workplace hazards. You’ll avoid compliance gaps by using this structured approach to document your safety commitments.

When implementing new safety procedures or onboarding employees, your policy serves as the authoritative reference point, ensuring consistent understanding of safety expectations. The template includes customizable sections addressing key requirements of the Health and Safety at Work Act, saving you valuable time in policy development.

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Preview of the template

Page 1

General Information

Organisation Name

Date of Policy Review

Health and Safety Policy Statement

Policy Statement

Roles and Responsibilities

Employer Responsibilities

Employee Responsibilities

Health and Safety Representative Responsibilities

Training and Supervision

Health and Safety Induction Training

Job-Specific Health and Safety Training

Health and Safety Supervision

Risk Assessment and Risk Control

Risk Assessment Process

Hierarchy of Controls

Emergency Preparedness

Workplace Health and Safety Arrangements

First Aid

Fire Safety

Personal Protective Equipment

Hazardous Substances

Manual Handling

Work at Height

Workplace Transport

Monitoring and Review

Health and Safety Inspections

Health and Safety Audits

Accident/Incident Reporting and Investigation

Management Review

Frequently asked questions

What are the three essential parts of a health and safety policy?

A comprehensive health and safety policy contains three key sections: a statement of intent expressing your commitment to safety, clearly assigned responsibilities naming who handles specific safety duties, and detailed arrangements while outlining your practical safety procedures and risk controls.

How should I communicate the health and safety policy to employees?

Share your policy during onboarding, display it prominently in common areas, discuss it in team meetings, and make it accessible electronically. Consider creating a simplified version with key points for quick reference and have employees acknowledge they’ve read and understood it.

What arrangements section topics should my health and safety policy cover?

Your arrangements section should address risk assessments, training, emergency procedures, accident reporting, first aid provisions, equipment maintenance, fire safety, hazardous substances, and also workplace monitoring. Tailor these to your specific workplace hazards and operations.

Do small businesses need a formal health and safety policy?

While UK law only requires written policies for businesses with five or more employees, even smaller organizations benefit from having one. A formal policy helps clarify safety responsibilities, demonstrates due diligence, and provides guidance during incidents or inspections.

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.