Lumiform
Features Solutions Resources Templates Enterprise Pricing
Select a language
Englishen
Deutschde
Françaisfr
Españoles
Português (BR)pt-BR
en
Contact salesLog in
Sign up
Back
Englishen
Deutschde
Françaisfr
Españoles
Português (BR)pt-BR
Features Solutions Resources Templates Enterprise Pricing
Free demo
Log in
en
Book a personal demoView video demoContact sales
Explore
Resource hubCentral repository for all Lumiform resourcesCustomer storiesReal-world successes and experiences with Lumiform.
Learn
Template collectionsComprehensive collections of best practice templates.Topic guidesComprehensive safety, quality, and excellence insights.LexiconDefinitions key to quality, safety, and compliance.
Support
Developer's guideTechnical documentation for developers.Help centerAssistance with onboarding and platform mastery.
Featured reads
Explore our collection of 38 free preventive maintenance checklists

Template collection

Explore our collection of 38 free preventive maintenance checklists

Start reading
Your guide to performing and documenting efficient child care observation

Topic guide

Your guide to performing and documenting efficient child care observation

Start reading
Lumiform as customer journey mapping tool in gastronomy

Success story

Lumiform as customer journey mapping tool in gastronomy

Start reading
Book a personal demoView video demoContact sales
By industry
Food and hospitalityManufacturingConstructionRetailTransport and logisticsFacility managementView all industries
By business needs
Health and safety managementQuality managementOperational excellenceRisk management and complianceView all business needs
By use case
Safety management softwareEnergy audit appForklift inspection appBuilding management softwareVehicle inspection appQMS appKaizen method appProperty inspection appRestaurant inspection appElevator management appProject management softwareFire inspection app
View all app uses
Book a personal demoView video demoContact sales
Overview
Template libraryDiscover over 12,000 free, ready-made and expert proofed templates.
Use cases
CleaningMaintenanceRisk assessmentSupply chainIncident management
Business needs
Health and safety managementQuality managementOperational excellenceRisk management and compliance
Industries
Food and hospitalityManufacturingRetailTransport and logisticsConstructionFacility management
Book a personal demoView video demoContact sales
Overview
Product overviewAll features
Capabilities
Digitize
Form builderMobile AppActions
Automate
Workflow automationApprovalsIntegrations
Transparency and accountability
ReportsAnalytics
Orchestrate
Administration
Book a personal demoView video demoContact sales
Templates
PSSR safety checklist template

PSSR safety checklist template

A PSSR safety checklist ensures that all critical safety checks are performed systematically before starting new processes or equipment, enhancing workplace safety and compliance. This tool helps organizations streamline their safety review processes and maintain high standards.

Use this template
or download pdf
PSSR safety checklist template

A PSSR safety checklist ensures that all critical safety checks are performed systematically before starting new processes or equipment, enhancing workplace safety and compliance. This tool helps organizations streamline their safety review processes and maintain high standards.

Use this template
or download pdf

About the PSSR safety checklist template

Navigating the complexities of industrial safety can be daunting, especially when introducing new processes. As a safety manager in manufacturing or construction, you need a reliable tool to ensure all pre-startup safety checks are thorough and standardized. A PSSR safety checklist helps you streamline evaluations, ensuring every critical aspect is covered.

This template serves you by providing a structured approach to identifying hazards and verifying compliance, enhancing your team’s efficiency and reducing risks. Explore this template to optimize your safety protocols and maintain industry standards.

Key elements of a PSSR safety checklist template

Understanding the key elements of a PSSR (Pre-Startup Safety Review) safety checklist template helps you create a thorough and effective safety review process. Here are four essential components to include:

  1. Equipment and system inspections: This section ensures that all equipment and systems are inspected for functionality and safety. Documenting these checks helps identify and address potential issues before they become hazards, enhancing operational safety.
  2. Safety system verifications: Include checks for safety systems such as alarms, emergency shut-offs, and fire suppression systems. Verifying these systems ensures they are operational and ready to protect personnel and equipment in case of an emergency.
  3. Compliance checks: Ensure that all processes and equipment comply with relevant safety regulations and standards. This component helps you maintain regulatory compliance and avoid potential fines or shutdowns due to non-compliance.
  4. Documentation and training: Provide space for documenting training sessions and safety briefings conducted with personnel. Ensuring that all team members are trained and aware of safety protocols is crucial for maintaining a safe working environment.

How to use a PSSR safety checklist template

To effectively use a PSSR (Pre-Startup Safety Review) safety checklist template, follow these steps to ensure a seamless integration into your workflow. This guide will help you and your team utilize the template efficiently, ensuring all critical safety checks are completed thoroughly.

  1. Initial setup: Begin by customizing the template to fit your organization’s specific needs. Add details such as equipment types, safety protocols, and team member information. This ensures the template is tailored to your unique environment and covers all relevant aspects.
  2. Conduct equipment and system inspections: Use the checklist to inspect all equipment and systems for functionality and safety. Document any issues found and address them promptly to ensure everything is in working order before startup.
  3. Verify safety systems: Follow the checklist to check all safety systems, including alarms, emergency shut-offs, and fire suppression systems. Ensure these systems are operational and ready to protect personnel and equipment in case of an emergency.
  4. Perform compliance checks: Ensure that all processes and equipment comply with relevant safety regulations and standards. Document any non-compliance issues and take corrective actions to meet regulatory requirements.
  5. Document training and briefings: Use the checklist to record all training sessions and safety briefings conducted with personnel. This ensures that all team members are aware of safety protocols and are prepared for startup.

Related categories

  • Health and safety management templates
  • Risk management and compliance templates
  • General templates
  • Manufacturing templates
  • Risk assessment templates
  • Safety templates
Preview of the template
Safety Checklist
Hazard Identification
Have all potential hazards been identified?
Have effective controls been implemented to mitigate identified hazards?
Safety Equipment Checks
Are all required personal protective equipment (PPE) available and in good condition?
Have safety showers and eyewash stations been tested and are they functioning properly?
Are all necessary fire extinguishers present, charged, and accessible?
Compliance Verification
Have all required permits and approvals been obtained?
Have all relevant safety procedures and work instructions been reviewed and understood by the team?

More templates like this

6S Safety Checklist
6S Safety Checklist
With this 6S safety checklist, you can identify hazards or potential risks.
Templates for business processes
PSSR Chemical Plant Checklist
PSSR Chemical Plant Checklist
Checklist for verifying containment, safety equipment, and regulatory compliance during chemical plant startup
Risk assessment templates
Air Compressor Safety Inspection Checklist
Air Compressor Safety Inspection Checklist
An air compressor safety inspection checklist is used for periodic checks of compressors to ensure their continued safe operation.
Maintenance templates
PSSR Checklist Template
PSSR Checklist Template
This checklist is used by a PSSR team during a safety inspection of a new or modified production line.
Risk assessment templates
Pre-Startup Safety Review Checklist
Pre-Startup Safety Review Checklist
Use this digital PSSR checklist during a Management of Change and tailor the form to your business needs.
Quality assurance templates
Automotive Workshop Safety Checklist Template
Automotive Workshop Safety Checklist Template
Use this comprehensive automotive workshop safety checklist template to ensure that all safety rules are followed.
Maintenance templates

Related resources

Access a complete set of resources aimed at maximizing safety, quality, and operational excellence, including detailed guides, related templates, and real-world use cases.

Topic guides

Read in-depth guides covering key topics related to this article.

A beginner's guide to Pre-Startup Safety Review (PSSR)Aerial lift safety: How to conduct inspectionsIndustrial safety: Your guide to a safer workplaceSafety audit: A comprehensive guide to proactive risk management
See all topic guides

Template collections

See comprehensive collections of best practice templates related to this topic.

4 best free PSSR checklists for safety complianceTop 16 free safety audit checklist templates3 free OSHA 300 form templates for informed workplace safety34 free safety inspection checklists for every industry
See all template collections

Use cases

Check out how the Lumiform software can be utilized for related use cases.

PSSR appCrane safety softwareRisk management software for anticipating and adressing safety risksSafety audit software
See all use cases

Other resources

Explore all the additional resources we offer to assist you in mastering this topic.

4 ways that workplace safety increases worker productivityHow to conduct a safety auditHow to perform safety inspections4 benefits of safety management and how to communicate them

Frequently asked questions

What role does a PSSR safety checklist play in startup procedures?

It verifies all safety protocols before initiating startup procedures, evaluating equipment, safety systems, and personnel readiness. This ensures thorough review and implementation of safety measures.

How is a PSSR safety checklist different from other safety checklists?

It focuses specifically on pre-startup safety protocols and reviews, including criteria unique to process safety management like equipment inspection and safety system verification. This approach addresses startup safety needs.

How do you streamline a PSSR safety checklist for efficiency?

You implement digital tools and automation to expedite the checklist process, reducing redundancy and improving accuracy in safety evaluations. Streamlining ensures timely completion and enhances overall efficiency.

How does a PSSR safety checklist enhance workplace safety?

It provides a structured approach to identifying and addressing potential hazards, ensuring verification and implementation of all safety measures before startup. This proactive approach reduces incident risks and improves safety.


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.
Lumiform logo
Platform
HomeSign upProductAll featuresPricingEnterpriseTrust and securityCustomer success offeringsDownload the app
Solutions
IndustriesFood and hospitalityManufacturingConstructionRetailTransport and logisticsFacility management
Business needsHealth and safety managementQuality managementOperational excellenceCompliance and risk management
Uses cases
Learn
Template collectionsTopic guidesLexiconHelp centerJournalInfographicsVideos
Resources
Lumiform templatesby industryby use caseby business needAll categories
Customer storiesDeveloper APIResource hubIntegrations
Company
AboutJobsLegalBook a demoContact sales
© 2025 LumiformTerms and conditionsPrivacyData processingSitemap
App StoreGoogle play