Templates
Zero harm checklist

Zero harm checklist

Systematic workplace hazard identification and control tool for building a proactive zero harm safety culture.

Use this template with Lumiform

  • Customize this template or build your own
  • Fill out templates via mobile app
  • Get reports and analyse your data
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Learn more
or Download template as PDF
Zero harm checklist

Systematic workplace hazard identification and control tool for building a proactive zero harm safety culture.

Use this template with Lumiform

  • Customize this template or build your own
  • Fill out templates via mobile app
  • Get reports and analyse your data
Prices start from ░░░ per month
Book a demo
Learn more
or Download template as PDF

We created this zero harm checklist to help you build a workplace where safety is inherent, not just a compliance exercise. It guides you through comprehensive hazard identification, risk assessment, and control implementation with clear accountability measures. Studies show that workplaces with robust zero harm programs report significantly fewer injury claims and regulatory fines.

The template includes sections for leadership commitment validation, employee involvement tracking, and continuous improvement planning. Whether you’re managing construction sites, manufacturing facilities, or field operations, this template provides the structure needed to make zero harm a reality.

Related categories

Created by

Author Name Inioluwa Ademuwagun
Preview of the template
Entity
Hazard Identification
Are all work areas free of slip, trip, and fall hazards?
Are all tools and equipment in good condition and properly stored?
Are chemical containers properly labeled and stored?
Are workstations ergonomically designed to minimize strain and fatigue?
Safe Behaviors
Do all workers wear appropriate personal protective equipment (PPE)?
Are work procedures and safety protocols followed consistently?
Do workers report all incidents, near misses, and safety concerns?
Are safety training and refresher courses provided regularly?
Compliance and Standards
Are all required permits, licenses, and certifications up to date?
Are safety inspections and audits conducted as scheduled?
Are emergency response plans and procedures in place and communicated?
Are all safety-related policies and procedures accessible and understood?
Zero Harm Culture
Do leaders visibly demonstrate their commitment to safety?
Are safety performance metrics tracked and communicated regularly?
Are employees empowered to stop work if they identify unsafe conditions?
Are safety concerns and suggestions addressed in a timely manner?

Frequently asked questions

What makes a zero harm checklist different from standard safety checklists?

A zero harm checklist focuses specifically on proactive prevention rather than just compliance. It includes sections for leadership commitment, employee involvement, and behavioral safety alongside physical hazard controls. This comprehensive approach helps create a safety culture where preventing all harm becomes the standard, not just reducing incidents.

Who should be responsible for completing the zero harm template?

The responsibility should be shared between supervisors and workers. Supervisors typically lead the process, but effective zero harm checklists encourage active participation from all team members. This collaborative approach ensures multiple perspectives identify potential hazards and creates collective ownership of safety outcomes.

How can I customize the zero harm checklist for my specific industry?

Review industry-specific hazards and risks relevant to your operations, then modify the template sections accordingly. Add specialized equipment checks, industry-standard procedures, and regulatory requirements specific to your field. The digital format allows you to easily adapt the template while maintaining its core zero harm principles.

Author
Inioluwa Ademuwagun
Inioluwa is a freelance content writer with a passion for words and everything marketing. She has worked closely with B2B SaaS and e-commerce brands creating product-led content. She loves to read fiction and would describe herself as an introverted nerd who desires to travel around the world. She currently doing that with her words till she can with her eyes
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.