Customer Site Safety Checklist
Operator of the site must fill and sign this form prior to client's entry
⚠️ Equipment Safety
Client Site Safety Readiness Checklist
Rows
Yes
No
Work area is clean and free of obstacles
1
2
Adequate lighting in the work area
3
4
Access to building/site arranged
5
6
Fire extinguishers accessible
7
8
No hazardous materials near work area
9
10
🦺 Client PPE Requirement Checklist (Before Entering Site)
Rows
Yes
No
Safety Helmet / Hard Hat
11
12
High-Visibility Vest / Jacket
13
14
Long Sleeve Protective Clothing
15
16
Hearing Protection (Earplugs/Earmuffs)
17
18
Respiratory Protection (Mask / Respirator)
19
20
Face Shield (if required)
21
22
Fall Protection Harness (if applicable)
23
24
First Aid Kit Status
Fully stocked
Missing Items
Expired Supplies
Is the fire extinguisher clearly visible and accessible?
Yes
No
Obstructed
Visitor/Client Information
Client Name
First Name
Last Name
Company
Date of site entry
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Client Signature
Operator Information
Operator/Team Name
*
First Name
Last Name
Date of Completion
Signature
*
Submit Checklist
Should be Empty: