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Safety Inspection Log

Specifications

Pages
4 pages
File format
Word (.docx)
Font
Calibri
Version
1.0
Editing
Fully editable
Primary color
#A16207

Style

About this template

When to use it

A three-page form for looking at the same places on a fixed cycle and leaving a record of it. The running header — “Safety inspection log SC-01 · keep it in the inspection area and record daily” — says where it lives: on site, not in an office cabinet.

Where a risk assessment finds hazards before the work and scores them, this log checks that the controls are still being kept today. Do not merge the two onto one sheet.

What is in the file

  • An overview table — Inspection date · Inspector / Verified by · Inspection area · Inspection type (□ Pre-work □ Daily □ Weekly □ Monthly).
  • A Progress summary of four cards: 3 stages, 9 items, ____ / 9, ____ %.
  • STEP 1 Daily inspection / STEP 2 Weekly inspection / STEP 3 Monthly inspection. Every stage table carries an Owner column and a Review cycle column, pre-filled as Work foreman with “Daily, before work”, Safety manager with “Every Friday”, and Dept. head with “Last day of the month”.
  • A stage-result line under each table — “□ Compliant □ Needs action □ N/A” — plus an inspector’s signature.
  • Ⅰ. Equipment subject to statutory inspection / Ⅱ. Target metrics check / Ⅲ. Implementation check by period / Ⅳ. Corrective action log / Ⅴ. Final assessment and sign-off / Ⅵ. Inspection history (by round).

Filling order

  1. Fix the cycles to your own site first. One owner and one cycle attach to each stage, so if the weekly walk happens on Tuesdays, change the whole Review cycle column in STEP 2.
  2. STEP 1 Daily inspection — the same three things every day. The sample, “Aisles kept 80 cm wide and clear of stored items”, is written so it can be judged with a number. Good or bad gets marked differently by different people.
  3. STEP 2 Weekly inspection — equipment plus the fire and electrical systems. Where a photograph is needed, say so inside the item itself, as in “Guards or handrails removed without authorization (attach a photo)”.
  4. STEP 3 Monthly inspection — statutory certificate expiry and record totals. The numbers produced here feed the Measured result column of Ⅱ.
  5. When something is found, put the item number, the finding, the action plan and the due date into Ⅳ. Corrective action log, and tick Done when it closes.
  6. Choose the overall assessment in Ⅴ and collect three signatures — Inspector, Reviewer, Dept. head. If it is conditional, the re-inspection date is mandatory.
  7. Add a line per round to Ⅵ. Inspection history. That table is the evidence the cycle was kept.

Four questions this log has to answer

  • When — the Inspection date and Inspection type in the overview, plus the Review cycle column in each stage.
  • Who — the Owner column, the signature on each stage-result line, and the Reviewer and Dept. head in Ⅴ.
  • What was found — the Notes (reason for follow-up) column and Ⅳ.
  • How it closed — the Done column in Ⅳ and the overall assessment in Ⅴ. A log with the action side blank only records that someone looked.

Ⅰ. Equipment subject to statutory inspection

Six rows — Fire suppression and alarm systems / Electrical distribution boards and wiring / Gas and hazardous material piping / Emergency exits and escape routes / Cranes and lifts / Protective equipment cabinet — with the “How verified · Evidence” column left blank. Put there whether it was a self-check or a statutory inspection, and the certificate number that backs it. Swap the rows out where your plant differs.

Common mistakes

  • Marking several days at once in advance. The dates in Ⅵ and the number of findings stop agreeing immediately.
  • Writing a finding only in the Notes column and never moving it to Ⅳ. Nothing then shows whether it was carried forward.
  • Ignoring the footer criteria and using only compliant and non-compliant. Needs action means recheck after fixes, and N/A means out of scope.
  • Deleting the retention line and stacking files instead. Keep this checklist for three years from the date the inspection was completed, as the last line of the document says.