Safety Compliance Supervisor Checklist
Complete this checklist to document workplace safety compliance inspections and identify any corrective actions needed.
Supervisor Name
*
First Name
Last Name
Inspection Date and Time
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Location / Area Inspected
*
Department
Safety Compliance Checklist
*
Rows
Compliant
Non-Compliant
Not Applicable
Emergency exits are accessible and clearly marked
1
2
3
Fire extinguishers are present and inspected
4
5
6
Personal protective equipment (PPE) is available and used
7
8
9
First aid kits are stocked and accessible
10
11
12
Work areas are clean and free of hazards
13
14
15
Electrical panels are unobstructed
16
17
18
Safety signage is visible and legible
19
20
21
Machinery and equipment are properly guarded
22
23
24
Overall Workplace Safety Rating
*
1
2
3
4
5
Hazards or Non-Compliance Observed (please describe any issues found)
Corrective Actions Taken or Recommended
Is follow-up inspection required?
*
Yes
No
Additional Comments or Notes
Supervisor Signature
*
Submit Checklist
Submit Checklist
Should be Empty: