Fall Hazard Inspection Form
Record details of your fall hazard inspection, identify risks, and track corrective actions for site safety.
Site/Area Inspected
*
Inspection Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Inspector Name
*
First Name
Last Name
Hazard Location (specific area within site)
*
Type of Fall Hazard Identified
*
Please Select
Unguarded edges
Open holes
Unstable walking surfaces
Improper ladder use
Damaged guardrails
Other
Description of Hazard/Findings
*
Risk Level
*
Low
Medium
High
Corrective Action Required
*
Person Responsible for Corrective Action
*
Follow-up Status
*
Please Select
Pending
In Progress
Completed
Not Required
Submit Inspection
Should be Empty: