• Pre-Shift Safety Checklist

    Complete this checklist before starting your shift to confirm work area conditions, equipment status, and any hazards or corrective actions.

  • Shift and Worker Information

  • Date*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Shift Start Time*

  • Pre-Shift Safety Checklist

  • Pre-Shift Safety Checks*
    Rows
  • PPE Items Verified*
  • PPE Status*
  • Uniform / Visibility Gear Status*
  • Equipment Condition Status*
  • Tools Inspected Status*
  • Fire Extinguisher Status*
  • Floor / Work Area Status*
  • Lighting Status*

  • Hazards, Defects, and Corrective Actions

  • Supervisor Notification Required?*

  • Acknowledgment and Submission

  • Checklist completed honestly and accurately*
  • Should be Empty:
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