Free Health & Safety Safety Compliance Form

Improve workplace safety with the Health & Safety Compliance Form Template from Template.net. This fully editable and customizable template allows you to tailor compliance checks to your needs. Use the integrated AI Editor Tool for seamless adjustments and enhancements, ensuring comprehensive and up-to-date safety documentation that meets all regulatory standards.

Criteria	Compliant	Non-Compliant	Not Applicable	Comments
Cleanliness
Maintenance
Environmental Factors
Lighting and Ventilation

Criteria	Compliant	Non-Compliant	Not Applicable	Comments
Physical Hazards
Chemical Hazards
Biological Hazards
Ergonomic Risks

Criteria	Compliant	Non-Compliant	Not Applicable	Comments
Emergency Response
Equipment Usage
Personal Protective Equipment (PPE)
Safety Signage and Labels

Criteria	Compliant	Non-Compliant	Not Applicable	Comments
Safety Training Programs
Employee Awareness
Documentation and Records

Free Health & Safety Safety Compliance Form

Organization Name

Location

Date of Assessment

Inspector's Name

Job Title

Department/Area Being Assessed

I. Compliance Areas

A. Worksite Conditions

B. Hazard Identification

C. Safety Procedures

D. Training and Awareness

II. Inspection Findings

Overall Compliance

Key Issues

III. Action Plan

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Action	Responsible Person	Deadline