Hazard Checklist Form

Inspector Name*

Inspection Date*

Location / Area Inspected*

Hazard Checklist*

	Safe	At Risk	N/A
Slip / Trip Hazards
Electrical Hazards
Fire Hazards
Chemical Hazards
Ergonomic Hazards
Machine Guarding
PPE Compliance

Hazards Identified

Corrective Actions Required

Inspector Signature*

Signature field

What is this form?

A hazard checklist form for systematically identifying and documenting workplace hazards during safety inspections. Helps ensure compliance with occupational health and safety regulations.

Who is it for?

Safety officers, supervisors, and compliance teams conducting workplace inspections.