Equipment Safety Inspection Checklist
Use this form to record a complete safety inspection of equipment, note any hazards or defects, and document corrective actions.
Inspection Details
Inspection Date
*
-
Month
-
Day
Year
Date
Inspection Time
*
Hour Minutes
AM
PM
AM/PM Option
Inspection Location
*
Inspector Name
*
Inspector Role or Department
Please Select
Safety
Maintenance
Operations
Quality
Supervisor
Other
Equipment Name
*
Equipment ID or Asset Tag
Equipment Category / Type
*
Please Select
Forklift
Crane
Ladder
Power Tool
Hand Tool
Vehicle
PPE
Other
Inspection Type
*
Routine
Pre-Use
Post-Repair
Incident Follow-Up
Other
Safety Checklist
Safety inspection checklist
*
Rows
Pass
Fail
Not Applicable
Needs Review
Comments
Guards / protective covers
1
2
3
4
Emergency stop / shutoff
5
6
7
8
Power cords / connectors
9
10
11
12
Visible damage
13
14
15
16
Leaks
17
18
19
20
Loose parts
21
22
23
24
Warning labels / signage
25
26
27
28
Stability / mounting
29
30
31
32
Controls / functionality
33
34
35
36
Cleanliness / obstructions
37
38
39
40
Overall condition
*
Please Select
Good
Satisfactory
Needs Attention
Unsafe
Guard condition
*
Pass
Fail
Not Applicable
Needs Review
Emergency stop / shutoff status
*
Pass
Fail
Not Applicable
Needs Review
Power cords / connectors status
*
Pass
Fail
Not Applicable
Needs Review
Visible damage status
*
Pass
Fail
Not Applicable
Needs Review
Leak check status
*
Pass
Fail
Not Applicable
Needs Review
Loose parts status
*
Pass
Fail
Not Applicable
Needs Review
Labels / signage status
*
Pass
Fail
Not Applicable
Needs Review
Additional safety observations
Findings and Corrective Action
Defect or Hazard Description
*
Severity or Risk Level
*
Low
Medium
High
Critical
Immediate Action Taken
*
Removed from Service
Tagged Out
Repaired
Monitored
No Immediate Action
Corrective Action Required
*
Responsible Person or Team
*
Target Completion Date
*
-
Month
-
Day
Year
Date
Final Inspector Notes or Recommendations
Submit Inspection
Should be Empty: