Safety Inspection Checklist template

A safety inspection checklist form with a seven-item pass / fail / N-A matrix covering the walk-through basics: fire exits, extinguishers, first aid, trip hazards, electrical, PPE, and emergency lighting. Failed items get a corrective-action write-up and photo evidence, all in one submission per inspection.

Use this template Start free — no card

8 questions · works on the free plan (500 responses/month) · fully customizable

File upload question

What’s inside

The questions this template ships with — rename, reorder, or delete any of them in the builder.

01Inspector nameShort text

02Inspection dateDate

03Area inspectedDropdown

04Check each itemMatrix

05Describe any failed items and the corrective action takenLong text

06Photos of hazards foundFile upload

When to use this template

A facilities lead running monthly walk-throughs across office, warehouse, kitchen, and loading dock — one form, the area dropdown does the sorting
A restaurant manager doing weekly checks where the extinguisher and exit rows are non-negotiable
A safety consultant inspecting client sites and leaving each visit with an exportable, photo-backed record
Pre-audit season, when six months of logged inspections is the difference between a finding and a pass

Tips to get more from it

The matrix is the whole inspection on one screen — seven checks against Pass / Fail / N/A. Edit the rows to your site's real risks; a server-room row means nothing in a bakery, and the field editor makes swaps trivial.
Pair every Fail with two things: a line in the corrective-action field and a photo. The upload takes five images, and 'photo of the blocked exit' settles disputes that 'exit blocked' never will.
The ending screen says failed items are assigned to facilities automatically — that's your process promise, so wire it up: response notifications tell facilities the moment an inspection with failures lands.
Inspector name and date are required, which makes each response a signed-and-dated inspection record once exported to CSV.

Questions people ask

How often should safety inspections run?

Monthly is a common baseline for offices, weekly for kitchens, warehouses, and anywhere with equipment or the public. The date field plus CSV export gives you the frequency evidence auditors ask for.

Can I customize the checklist items?

Yes — matrix rows and columns are both editable. Add rows for machine guarding or chemical storage, or change the columns if your scheme uses more than pass/fail.

Does this create an audit trail?

Each submission is a timestamped record with inspector, area, item-by-item results, corrective actions, and photos attached. Export the lot as CSV for your compliance file.