Hazard Identification Checklist
Use the checklist below to identify potential health and safety problems in your workplace.
Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Work location
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Describe the nature of work
MANUAL TASKS
Rows
Yes
No
Notes
Are workers using minimal force/ effort to perform the task?
1
2
Are workers able to perform the task with their arms close to their bodies?
3
4
Are workers able to perform the task in an upright, forward-facing position?
5
6
Are worker's necks in a comfortable position when viewing things?
7
8
Are workers able to vary their posture throughout the task? have to stand, sit, kneel or squat for extended periods)?
9
10
Are workers able to perform the task with their wrists and forearm in a comfortable position?
11
12
Are workers protected against vibration when using hand-held power tools or driving trucks/ forklifts for long periods?
13
14
EQUIPMENT AND MACHINERY
Rows
Yes
No
Notes
Is your equipment regularly serviced and maintained according to the manufacturer’s instructions?
15
16
Are there lock out, tag out or isolation procedures in place when maintenance is performed?
17
18
Are all operators of equipment trained in how to use it safely?
19
20
Do operators of equipment have the appropriate ‘ticket’ where necessary?
21
22
Is the plant work area delineated away from other works?
23
24
Does all equipment have guarding to prevent operators and others accessing hazardous parts?
25
26
Is there adequate work space around equipment and is it on a stable foundation to prevent it moving during operation?
27
28
Is electrical equipment inspected and tested by a competent person (eg electrician) or connected through a safety switch?
29
30
Are damaged plugs, leads and sockets immediately removed from service?
31
32
Are outlets and other electrical equipment used in wet areas suitable for that type of work?
33
34
HAZARDOUS SUBSTANCES
Rows
Yes
No
Notes
Have you obtained a Material Safety Data Sheet (MSDS) for all the chemicals used in your workplace?
35
36
Is a copy of each hazardous substance’s MSDS available near where it is used?
37
38
Do ALL hazardous substance containers have a label showing what is in it?
39
40
Have you given workers using hazardous substances training in how to use those hazardous substances safely?
41
42
Have you identified ways to prevent people being exposed to hazardous substances and put those controls in place?
43
44
PERSONAL SECURITY
Rows
Yes
No
Notes
Is a security surveillance system being used?
45
46
Are workers trained in dealing with aggressive or violent customers, robbery?
47
48
Are support services available to staff who have been involved in an aggressive incident?
49
50
Do cash handling procedures reduce the risk of robbery?
51
52
FIRST AID
Rows
Yes
No
Notes
Is a first aid kit available at the workplace?
53
54
Are the first aid kit/ s contents suitable for the types of injuries that may be sustained at your workplace?
55
56
Is the first aid kit regularly checked and items replaced if they are no longer usable?
57
58
Are there any trained first-aiders at the workplace?
59
60
FIRE
Rows
Yes
No
Notes
Is gas equipment in a well lit and draught free area?
61
62
Is the gas supply switch clearly labelled?
63
64
Are exhaust fans and hoods regularly cleaned?
65
66
Are fire systems regularly maintained by appropriately qualified personnel?
67
68
Are emergency procedures in place and are they tested?
69
70
Has a gas shut-off valve been installed?
71
72
Are flammable materials, clothes and paper stored away from sources of heat?
73
74
Are workers trained in the use of fire safety equipment like fire extinguishers, fire blankest etc?
75
76
Are electrical appliances regularly checked and maintained?
77
78
Are first aiders capable of treating burn and smoke inhalation injuries?
79
80
NOISE
Rows
Yes
No
Notes
Do you consider noise when buying kitchen appliances?
81
82
Where noise issues cannot be eliminated or reduced do workers wear hearing protection?
83
84
Are machines and ventilation equipment regularly maintained?
85
86
Can job rotation be used to reduce the length of time of exposure to noise?
87
88
SLIPS, TRIPS AND FALLS
Rows
Yes
No
Notes
Does drainage prevent pooling of water and grease?
89
90
Is there a spill procedure that requires immediate clean-up of all spills?
91
92
Is non-slip flooring installed?
93
94
Are there appropriate ‘wet floor’ signs?
95
96
Are appropriate floor-cleaning products used to clean floors?
97
98
Are passageways, entrances and exits kept clear and easily accessible?
99
100
Is lighting adequate?
101
102
Are floor surfaces, stairs and ramps well maintained (both indoors and outdoors)?
103
104
Is there a policy in place for closed, non-slip footwear?
105
106
YOUNG WORKERS
Rows
Yes
No
Notes
Are young workers given induction training when they start?
107
108
Are young workers trained in all safe work procedures?
109
110
Are young workers given clear instructions about tasks to be performed?
111
112
Are young workers given close and competent supervision?
113
114
Is there a zero tolerance policy for harassment, skylarking, intimidation, offensive language and behaviour, initiations and practical jokes?
115
116
Do young workers know how to report unsafe conditions?
117
118
Is there a ‘buddy’ system in place to support new and young workers?
119
120
Overall assessment
Safe
At risk
Observations
Responsible person
First Name
Last Name
Email
example@example.com
Phone number
Please enter a valid phone number.
Format: (000) 000-0000.
Signature
Submit
Should be Empty: