Templates
Safety management system template

Safety management system template

Document policies, assign responsibilities, and track actions with this template. It supports you in reducing risks across your operations.

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
or Download template as PDF
Safety management system template

Document policies, assign responsibilities, and track actions with this template. It supports you in reducing risks across your operations.

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
or Download template as PDF

Our safety management system template provides a comprehensive framework to assess and improve your organization’s safety protocols. It covers essential elements from safety policy to continuous improvement, helping you identify gaps and strengthen your safety culture.

Research found that companies with certified safety management systems had a 22.6% decrease in accident frequency and a 29.2% decrease in severity. This template serves as your roadmap to transform safety compliance into a proactive program that prevents workplace incidents and builds employee trust.

Related categories

Preview of the template
Entity
Page 1
Safety Policy
Does the organization have a written safety policy that is communicated to all employees?
Does the safety policy include a commitment to providing a safe and healthy work environment?
Does the safety policy include goals and objectives for improving safety performance?
Does the safety policy clearly define the safety responsibilities of management, supervisors, and employees?
Safety Responsibilities
Are safety responsibilities defined for all levels of the organization?
Are safety responsibilities included in job descriptions?
Are employees held accountable for their safety responsibilities?
Safety Training
Is a training needs assessment conducted to identify safety training requirements?
Is a training program in place to provide safety training to all employees?
Are training records maintained to document the safety training provided to employees?
Hazard Identification and Risk Assessment
Is a process in place to identify workplace hazards?
Is a risk assessment process in place to evaluate the risks associated with identified hazards?
Are controls implemented to eliminate or mitigate identified risks?
Incident Reporting and Investigation
Is there a process in place for employees to report incidents, accidents, and near misses?
Are incident investigations conducted to determine the root causes and implement corrective actions?
Are injury and illness records maintained as required by regulatory agencies?
Emergency Preparedness
Has the organization identified potential emergency scenarios and developed emergency response plans?
Are emergency response plans communicated to all employees and regularly tested?
Are emergency equipment and supplies maintained and readily accessible?
Management Review and Continuous Improvement
Does management regularly review the safety management system to assess its effectiveness?
Are safety performance metrics tracked and used to identify areas for improvement?
Are corrective and preventive actions implemented to address identified safety issues?

Frequently asked questions

How can I use this safety management system template to improve our current safety practices?

Use this template as an audit tool to identify gaps in your current safety program. Complete the assessment quarterly, tracking your “yes” responses over time to measure improvement. Focus on converting “no” answers into action items with assigned responsibilities and deadlines. This makes the template a powerful continuous improvement tool.

What documentation should I gather before completing this safety management system template?

Collect your written safety policy, training records, incident reports, risk assessments, emergency response plans, and management review minutes before starting. Having these documents readily available makes the assessment process more efficient and evidence-based. This preparation helps you provide accurate responses rather than assumptions, giving you a true picture of your safety management system’s current state.

How can I customize this safety management system template for my specific industry?

Add industry-specific questions addressing your unique hazards and regulatory requirements while maintaining the core structure. For construction, include questions about fall protection programs; for healthcare, add infection control measures. Consider your organization’s size, complexity, and risk profile when adapting the template. This customization makes the assessment more relevant while ensuring comprehensive coverage of safety management fundamentals.

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.