HSE Inspection Report Form
Use this form to document health, safety, and environmental inspection findings, risks, and corrective actions for a workplace or site.
Inspection Details
Inspection date
*
-
Month
-
Day
Year
Date
Inspection time
*
Hour Minutes
AM
PM
AM/PM Option
Site / location name
*
Department / area inspected
*
Inspector name
*
Inspector role / title
Inspection type
*
Routine
Follow-up
Incident-related
Pre-shift
Other
Workplace Conditions and HSE Checks
Housekeeping
*
Compliant
Non-compliant
Needs attention
Not applicable
Emergency Exits
*
Compliant
Non-compliant
Needs attention
Not applicable
Fire Safety Equipment
*
Compliant
Non-compliant
Needs attention
Not applicable
PPE Compliance
*
Compliant
Non-compliant
Needs attention
Not applicable
Safety Signage
*
Compliant
Non-compliant
Needs attention
Not applicable
Electrical Safety
*
Compliant
Non-compliant
Needs attention
Not applicable
Machine Guarding
*
Compliant
Non-compliant
Needs attention
Not applicable
Chemical Storage
*
Compliant
Non-compliant
Needs attention
Not applicable
Waste Management
*
Compliant
Non-compliant
Needs attention
Not applicable
First-Aid Readiness
*
Compliant
Non-compliant
Needs attention
Not applicable
Findings, Risks, and Corrective Actions
Hazards / Observations
*
Severity Level
*
Please Select
Low
Medium
High
Critical
Immediate Action Taken
Corrective Actions Required
*
Responsible Person / Department
*
Target Completion Date
*
-
Month
-
Day
Year
Date
Action Status
*
Please Select
Open
In Progress
Completed
Escalated
Attachments and Final Submission
Supporting Evidence Photos/Files
Upload a File
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Choose a file
Cancel
of
Overall Inspection Summary / Recommendations
Final Sign-off
Submit Inspection Report
Submit Inspection Report
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