Lumiform Mobile audits & inspections
Get App Get App

Safety observation program template

Use this safety observation program template to prevent work-related accidents and injuries by implementing a safety observation program. A part of the program is to make sure every employee has the necessary personal protective equipment required for jobs where occupational hazards are unavoidable. By employing an effective safety plan, you can save your business from lawsuits and worker’s comp payouts.

Downloaded 15 times
Housekeeping / 6 S
Work and storage areas are clean and tidy.
Work stations are well organized and no trip hazards are present.
Circulation paths are kept clear of any item.
Emergency equipment (eyewash, fire extinguishers) is constantly accessible.
Emergency routes and emergency doors are kept clear of any item and fully accessible. Emergency doors are not locked.
Equipments and tools (chains, textile slings, electrical hand tools, etc.) are appropriately stored
Safety signage
Signs indicating required Personal Protective Equipments are in place.
Signs indicating eyewash/safety shower, emergency exits, fire extinguishers, etc. are in place.
Personal Protective Equipment (PPE)
PPE are appropriately stored when not in use and kept in good condition.
Liquid chemicals are stored on secondary containment.
Flammable chemicals are stored in flammable cabinets (or in a dedicated storage room in case of high volume) when not in use.
Waste area is well maintained.
Warnings , signs and barricades
Pits, overhead work, maintenance activities are properly identified and protected.
Equipments (lighting fixtures, machine guarding, barriers, etc.) are maintained in good working condition and in place.
Foot protection
Steel-toed safety shoes are used as required.
Hand protection
Gloves are used as required.
Gloves are not worn around rotating equipment.
Eye/face protection
Safety goggles or face shield are used as required.
Haring protection
Ear plugs / muff are used in identified high noise area
Respiratory protection
Respiratory protection is used as required.
No awkward position, no excessive or overhead reach; limited bending and twisting.
Tools, equipment and machines
Tools, equipment and machines are operating properly.
Safety guards are in place. .
Electrical wiring in good condition
Accomplishments : select one or two items for which the employees or the site should be recommended :
Items at risk
PRELIMINARY ACTION PLAN discussed during the inspection
Share this template:

Safety Observation Program Template: Enhancing Workplace Safety Through Observation

A safety observation program template is a structured framework or tool used to facilitate the process of conducting safety observations in the workplace. It provides a systematic approach for employees to observe, report, and address potential safety hazards or unsafe behaviours.

This template typically includes guidelines on how to conduct safety observations, documentation sections to record observations, areas to note identified hazards or concerns, and sections for recommending corrective actions. It helps employees and supervisors actively participate in identifying and mitigating risks, fostering a culture of safety.

A safety observation program is important as it empowers employees to be proactive in identifying and addressing safety issues, contributing to the overall improvement of workplace safety. It creates opportunities for hazard recognition, early intervention, and prevention of accidents or injuries. Moreover, it promotes engagement and collaboration among employees, raising safety awareness and ensuring a safer working environment for all.

Please note that this checklist template is a hypothetical appuses-hero example and provides only standard information. The template does not aim to replace, among other things, workplace, health and safety advice, medical advice, diagnosis or treatment, or any other applicable law. You should seek your professional advice to determine whether the use of such a checklist is appropriate in your workplace or jurisdiction.
This site is registered on as a development site. Switch to a production site key to remove this banner.