Farm Safety Risk Assessment Checklist
Use this form to assess farm-site hazards, record safety checks, and note corrective actions for the area being inspected.
Farm Site Overview
Farm or Location Name / ID
*
Inspection Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Inspector Name or Role
*
Area / Zone Assessed
*
Please Select
Barn
Field
Yard
Livestock Area
Storage Area
Workshop
Office
Other
Risk Assessment Checklist
Farm hazard checklist
*
Rows
Compliant
Non-compliant
Not applicable
Corrective action note
Machinery and equipment safety
1
2
3
Animal handling areas
4
5
6
Chemicals and storage
7
8
9
Slips, trips, and falls
10
11
12
Electrical hazards
13
14
15
Fire safety
16
17
18
Weather exposure
19
20
21
PPE availability and use
22
23
24
Emergency access and exits
25
26
27
Machinery and equipment safety notes
Animal handling areas notes
Chemical storage and handling notes
Emergency access and exit notes
Overall Risk Summary
Overall risk rating for this farm area
*
Low
Moderate
High
Critical
Summary of main hazards identified
*
Top corrective action required
*
Submit Assessment
Should be Empty: