Train Station Slip Risk Assessment Checklist Form
Complete this checklist to assess and document slip hazards at the train station. All fields are designed for accurate risk recording and follow-up.
Assessment Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Assessor Name
*
First Name
Last Name
Station Area Inspected
*
Please Select
Platform
Ticket Hall
Stairways/Escalators
Entrances/Exits
Restrooms
Shops/Cafes
Other
Specific Location (describe area)
*
Type of Slip Hazard Identified
*
Wet floor
Spilled liquids
Loose mats or rugs
Uneven surfaces
Obstructed walkways
Icy/snowy area
Other
Severity of Risk
*
Low
Moderate
High
Immediate Actions Taken
*
Area cordoned off
Signage placed
Clean-up requested
Maintenance notified
No action required
Other
Upload Photo of Hazard (if available)
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Is follow-up required?
*
Yes
No
Additional Comments
Submit Assessment
Should be Empty: