Delivery Site Risk Assessment Form
Complete this form to evaluate the safety and access conditions of the delivery location.
Delivery Site Name
*
Site Address or Location
*
Type of Delivery Access
*
Direct street access
Gated entry
Dock/Loading bay
Restricted/Permit only
Other
Condition of Access Route (e.g., road, driveway, path)
*
Clear and well-maintained
Minor obstructions or uneven surface
Significant hazards or blocked
Exposure to Potential Hazards
*
Overhead power lines
Steep slopes
Pedestrian traffic
Poor lighting
None observed
Other
Unloading Zone Assessment
*
Rows
Safe
Adequate
Needs Improvement
Surface condition
1
2
3
Space for vehicle
4
5
6
Pedestrian separation
7
8
9
Emergency Equipment Available On Site
*
Fire extinguisher
First aid kit
Emergency contact info
None available
Site Emergency Readiness
*
1
2
3
4
5
Overall Delivery Site Risk Rating
*
Low Risk
1
2
3
4
High Risk
5
1 is Low Risk, 5 is High Risk
Additional Observations or Recommendations
Submit Assessment
Should be Empty: