Injury Risk Assessment Checklist
Evaluate key risk factors in your environment using this concise, structured checklist. Select the most accurate options for each item below.
Which best describes the current workspace conditions?
*
Clean and free of hazards
Some minor hazards present
Multiple or serious hazards present
How often are safety procedures followed?
*
Never
1
2
3
4
Always
5
1 is Never, 5 is Always
Select all potential risk factors currently present:
*
Wet or slippery floors
Obstructed walkways
Poor lighting
Unsecured equipment
None of the above
Rate the adequacy of personal protective equipment (PPE) available.
*
1
2
3
4
5
How recently have safety drills or briefings been conducted?
*
Within the last month
Within the last 3 months
More than 3 months ago
Never
Are emergency exits clearly marked and accessible?
*
Yes, all exits are clear
Some exits are partially obstructed
Exits are not clearly marked or accessible
How frequently are equipment inspections performed?
*
Never
1
2
3
4
Very Frequently
5
1 is Never, 5 is Very Frequently
Select all recent incidents observed (if any):
*
Slips, trips, or falls
Near-miss events
Equipment malfunction
No incidents
How confident are you in the current injury prevention measures?
*
1
2
3
4
5
Provide any additional notes or observations regarding injury risks:
Submit Assessment
Should be Empty: