Safety Barrier Inspection Checklist Form
Complete this form to assess the condition and compliance of safety barriers during routine inspections.
Inspector Name
*
First Name
Last Name
Inspection Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Location of Barrier
*
Barrier Type
*
Please Select
Guardrail
Handrail
Fencing
Bollard
Other
Physical Condition of Barrier
*
Excellent (no damage)
Good (minor wear)
Fair (visible wear/damage)
Poor (major damage/unsafe)
Are all parts securely anchored?
*
Yes
No
Not Applicable
Visibility of Barrier (clean and unobstructed)
*
Clear and visible
Partially obstructed
Obstructed/dirty
Presence and condition of required signage
*
All signage present and legible
Some signage missing/damaged
No signage required
Does the barrier meet current safety standards?
*
Yes
No
Unknown
Additional Comments or Required Repairs
Overall Barrier Condition
*
Poor
1
2
3
4
Excellent
5
1 is Poor, 5 is Excellent
Submit
Should be Empty: