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Psychological safety checklist

Psychological safety checklist

Get a clear, organized approach to checking safety conditions, participant wellbeing, and data protection, all in one editable checklist.

Use this template
or download pdf
Psychological safety checklist

Get a clear, organized approach to checking safety conditions, participant wellbeing, and data protection, all in one editable checklist.

Use this template
or download pdf

About the Psychological safety checklist

Whether you’re leading workshops, running interviews, or managing research sessions, psychological safety is a baseline requirement. You can leverage this psychological safety checklist to spot potential gaps and standardize how you safeguard participants’ wellbeing, confidentiality, and comfort. Designed for teams in research, education, healthcare, and any field involving human-centered work, it streamlines how you monitor safety protocols, building trust with everyone involved.

How to use the psychological safety checklist

This checklist gives a structured tool to document risks and support both participants and staff. Here’s how to maximize it:

  1. Customize the checklist to your environment. Open the template in the Lumiform app and adapt it to fit your specific setting. This might be a school, research lab, office, or healthcare facility. Add or remove items based on your workflows, and use logic rules to tailor questions to different types of sessions.
  2. Assign one responsible person to complete the checklist. Assign each session or site inspection to a specific team member. This keeps accountability clear and avoids confusion. Others can then view the results afterward. 
  3. Walk through the checklist before the session starts. Use the checklist to check lighting, exits, first aid kits, and participant needs before anyone arrives. 
  4. Document issues and assign follow-up actions. If anything’s missing, like emergency contact info or secure data storage, flag it directly in the app. You can assign follow-ups and deadlines right from the checklist.
  5. Use reports to spot trends and improve processes. After multiple uses, review the data in the analytics dashboard. Recurring issues become patterns, and patterns give you direction for real improvements to your protocols.

Best practices for using a psychological safety checklist

Teams only function at their best when everyone feels secure enough to ask questions, share concerns, or admit mistakes. A psychological safety checklist helps you bring structure to this.

It’s important to treat the checklist as a dynamic document. Conditions can change between sessions, so it’s worth revisiting and updating the checklist regularly. A question that didn’t apply last week might be critical today, especially if you’re working with new participants or in a different space.

Use specific notes, not vague comments. For example, instead of writing “space is suitable,” include details like “room is soundproofed and has dimmable lighting.” This allows others to understand what’s working and what needs attention, even if they weren’t there.

Finally, always debrief. After completing the checklist, set aside a few minutes to reflect on how the session went. Were there any hesitations from participants? Did someone seem uncomfortable? Flagging subtle signals early can lead to more effective decisions and stronger safety practices over time.

Get started with Lumiform’s psychological safety checklist now

Make your next session safer, clearer, and more consistent by starting with a field-tested checklist. With built-in logic, response types like text or photo and clear task assignments, you guide your team with confidence and keep critical details from getting missed. You’ll be able to maintain standards better and create space for open, honest participation.

Related categories

  • Health and safety management templates
  • General templates
  • Safety templates
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Preview of the template
Entity
Page 1
General Safety
Is the work environment well-lit and free of tripping hazards?
Are emergency exits and routes clearly marked and accessible?
Are first aid kits and emergency equipment readily available?
Have all staff received appropriate safety training?
Participant Wellbeing
Have participants been informed of any potential risks or discomforts?
Are there protocols in place to monitor participant wellbeing during sessions?
Are participants provided with contact information for support resources?
Have accommodations been made for participants with special needs?
Data Security
Is all participant data stored securely and encrypted?
Are there protocols in place to protect participant confidentiality?
Have staff received training on data protection and privacy policies?
Are backups of participant data maintained in a secure location?
Facility Considerations
Is the interview/testing space private and free from distractions?
Are there protocols in place to ensure the safety of lone workers?
Are there secure storage facilities for test materials and participant records?
Have emergency procedures been communicated to all staff and participants?

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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.

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Frequently asked questions

What are some signs psychological safety might be lacking on a team?

If people hesitate to ask questions, avoid admitting mistakes, or rarely speak up in meetings, those are strong indicators. You might also notice over-compliance, such as when no one pushes back or offers alternatives. These behaviors usually mean people don’t feel safe challenging the status quo, which stifles collaboration and innovation.

How do you talk about psychological safety without making it awkward?

Skip the buzzwords and start with real concerns. Ask things like, “What’s something that’s been hard to bring up lately?” or “Is there anything you wish we’d do differently in meetings?” You can frame it as a practical conversation, not a therapy session, so people feel more comfortable opening up.

Can psychological safety look different in remote or hybrid teams?

Absolutely. Without body language and casual check-ins, it’s easy to miss discomfort or disengagement. Use structured check-ins, encourage written feedback in chats or shared docs, and avoid calling people out on video unexpectedly. Silence doesn’t always mean agreement—sometimes, it might mean people don’t feel safe enough to speak.


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.
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