Podium Step Risk Assessment Form
Evaluate podium or step safety and identify hazards before use with this clear, minimal assessment form.
Location or Identification of Podium/Step
*
Date of Assessment
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Assessor Name
*
First Name
Last Name
Is the podium/step stable and free from wobbling?
*
Yes
No
Not Sure
Surface Condition: Are all treads and surfaces clean, dry, and free of debris?
*
Yes
No
Not Sure
Are there any visible defects (cracks, loose components, missing parts)?
*
No Defects
Minor Defects
Major Defects
How secure is the placement of the podium/step?
*
Not secure
1
2
3
4
Very secure
5
1 is Not secure, 5 is Very secure
Slip Resistance: Rate the slip resistance of the podium/step surface.
*
1
2
3
4
5
Are warning signs or markings present and clearly visible?
*
Yes
No
Not Applicable
Overall Risk Level
*
Rows
Risk Level
Low
1
Medium
2
High
3
Further Comments or Hazards Identified
Submit Assessment
Should be Empty: