Workplace Safety Commissioning Checklist Form
Use this checklist to record workplace safety commissioning details, verify required safety items, and note any issues or corrective actions.
Commission Details
Commissioning Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Site / Location
*
Commissioning Lead / Name
*
Department / Area
*
Safety Checklist
Emergency exits and signage verified
Emergency exits and signage verified
Fire extinguishers present and inspected
Fire extinguishers present and inspected
First aid kit stocked and accessible
First aid kit stocked and accessible
PPE available and in good condition
PPE available and in good condition
Machinery guards and controls checked
Machinery guards and controls checked
Electrical hazards inspected
Electrical hazards inspected
Spill kits and housekeeping confirmed
Spill kits and housekeeping confirmed
Incident reporting procedure communicated
Incident reporting procedure communicated
Exceptions and Completion
Issues Found During Commissioning
Corrective Actions Required
Final Completion Status
*
Completed
Completed with Issues
Not Completed
Submit Checklist
Should be Empty: