Establishing secure connection…Loading editor…Preparing document…

WHS Safety Checklist

This template is fully customizable. Edit the text, fill out the fields, and send it for signature. Give it a try!

WHS SAFETY CHECKLIST

Purpose: This Work Health and Safety (WHS) Safety Checklist documents the results of a site inspection to identify hazards, assess risk, and record actions required to ensure compliance with workplace safety obligations. Completion of this checklist constitutes a formal record and may be relied upon for follow-up corrective action.

Personal Information

Position Information

Employment History

Employer 1

Employer 2

Education

References

Reference 1

Reference 2

Reference 3

Legal Disclosures & Certification

At-Will Employment: Where applicable, employment may be at-will and may be terminated by either party in accordance with applicable law. Nothing in this checklist creates a contract of employment.

Equal Opportunity: The employer maintains a policy of equal opportunity and non-discrimination. Completion of this checklist in no way alters those policies.

Applicant Certification: I certify that all information provided in this document is true and complete to the best of my knowledge. I understand that providing false information may result in disciplinary action.

Authorization: I authorize the employer to contact former employers and references and to conduct workplace safety-related checks necessary to assess duties, training and any prior incidents relevant to workplace safety and placement.

Inspection Details

WHS Checklist Items

For each item mark the applicable box. If Non-Compliant is selected, provide corrective action, responsible person and target completion date in the comments section for that item.

1. General housekeeping and workplace cleanliness: Compliant Non-Compliant N/A

2. Personal protective equipment (PPE) availability and use: Compliant Non-Compliant N/A

3. Fire safety (extinguishers, alarms, clear access): Compliant Non-Compliant N/A

4. Electrical safety (cords, isolations, tagged equipment): Compliant Non-Compliant N/A

5. Machinery and equipment guarding / lockout procedures: Compliant Non-Compliant N/A

6. Hazardous substances (storage, labeling, SDS availability): Compliant Non-Compliant N/A

7. Emergency exits, evacuation routes & signage: Compliant Non-Compliant N/A

8. Manual handling risks and controls: Compliant Non-Compliant N/A

9. Work at height controls (fall protection, scaffolds): Compliant Non-Compliant N/A

10. First aid equipment and trained personnel: Compliant Non-Compliant N/A

11. Training records and signage are up to date and visible: Compliant Non-Compliant N/A

12. Recent incidents or near misses relevant to this area: Yes No N/A

Overall Assessment & Actions

Yes No

Inspector Final Comments

Certification: By signing below, I certify that I conducted the inspection to the best of my knowledge, that the information recorded is accurate, and that identified hazards will be managed in accordance with workplace safety requirements and the employer's WHS procedures.

Inspector Name:

Signature:

Date:

Enter text✕

What the WHS Safety Checklist Is and When to Use It

A WHS Safety Checklist is a structured form used to document workplace inspections, identify hazards, record corrective actions, and confirm compliance with occupational health and safety requirements. It standardizes observations across sites and shifts, creates an auditable record of inspections, and supports incident prevention and regulatory reporting. Checklists are used for routine site checks, pre-task safety reviews, equipment inspections, and post-incident follow-up to ensure hazards are tracked to closure and management receives timely evidence of remedial work.

Why a Consistent WHS Safety Checklist Matters

A consistent checklist reduces omissions, improves hazard visibility, and documents that inspections occurred. It creates a record for compliance audits, supports corrective-action tracking, and helps measure whether controls are effective over time.

Why a Consistent WHS Safety Checklist Matters

Who Typically Completes and Reviews the Checklist

Organizations of all sizes use WHS Safety Checklists; specific roles vary by industry and company size.

  • Safety officers and EHS managers: perform scheduled inspections and escalate high-risk findings to management.
  • Supervisors and team leaders: conduct pre-shift or pre-task checks and confirm corrective actions are implemented.
  • Workers and contractors: complete task-specific or equipment checks and report hazards for follow-up.

Assign responsibility clearly for completion, review, and retention to ensure records are reliable and enforceable.

Essential Sections to Include in a Professional WHS Safety Checklist

A robust checklist organizes inspections into consistent sections to capture hazard context, controls, and follow-up actions.

Document Header

Site name, location, department, inspection type, and unique checklist ID to ensure traceability across records.

Inspection Details

Date, start and finish time, weather (if relevant), and inspector name plus contact details for accountability and follow-up.

Hazard Identification

Clear descriptions of hazards observed with location references and photographs or attachments where available to support evidence.

Risk Rating

Simple risk scoring (likelihood × consequence) or priority tags that justify corrective-action urgency and resource allocation.

Controls & PPE

Existing controls, required PPE, and recommended interim measures to reduce risk until permanent fixes are implemented.

Corrective Actions

Action description, responsible person, due date, completion date, and verification notes to close the corrective loop.

Step-by-Step: Completing the WHS Safety Checklist

Follow these four practical steps during an inspection for consistent, auditable results.

  • 01
    Prepare: Review previous checks and gather permits and PPE before starting the inspection.
  • 02
    Inspect: Walk the area systematically, note hazards, and take photos where helpful.
  • 03
    Record: Enter findings, assign risk ratings, and capture corrective actions with due dates.
  • 04
    Close Out: Verify fixes, sign off on completed items, and notify stakeholders of unresolved risks.

Customizing the Checklist in an Online Workflow

Configure fields, authentication, and routing so completed checklists flow to the right people automatically.

Field Configuration
Signer Order Single signer or sequential signers per role
Authentication Email link, SMS code, or stronger verification
Conditional Fields Show corrective-action fields only when hazards selected
Storage Auto-save to document library with metadata tags

Digital Signing and eSubmission: Platform Requirements

Choose a platform that supports secure eSignatures, audit trails, and the file formats you use.

  • File Types: Support for PDF, DOCX, and image attachments
  • Integrations: Connectors for Microsoft 365, Google Workspace, and ERPs
  • Authentication: Options for email, SMS, and advanced signer verification

Ensure the platform meets your compliance needs (encryption, audit logs, retention) and integrates with records storage.

Where to Send Completed Checklists and How the Routing Works

Routing should be predictable and recorded to support follow-up, audits, and corrective-action tracking.

  • To Safety Manager: Auto-route completed checklist to the safety manager inbox for review
  • To Responsible Person: Assign corrective actions to an individual and notify via email or task
  • To Document Archive: Store final PDF and audit trail in a secure records system
  • Escalation: Trigger management alerts for high-risk items or overdue actions

Typical Timelines and Deadlines for Inspections and Actions

Establish clear turnaround times so hazards are remediated promptly and records meet audit expectations.

Inspection Frequency:

Weekly or monthly depending on risk profile and equipment

Immediate Reporting:

Serious incidents reported to management the same day

Corrective Action Target:

High-risk items: remediate within 24–72 hours

Verification:

Close actions only after verification and sign-off

Record Retention Start:

Retention begins on inspection completion date

Common Mistakes When Preparing or Using a WHS Safety Checklist

  • Incomplete entries: leaving location, dates, or inspector name blank that hinder traceability and corrective follow-up.
  • Vague corrective actions: using non-specific language like 'fix later' instead of assigning a clear action and due date.
  • No verification: marking items closed without photographic evidence or an independent verification signature leads to compliance gaps.
  • Poor version control: using multiple checklist formats simultaneously creates inconsistent records and reporting errors.

Penalties and Operational Risks of Inaccurate Checklists

Regulatory Fines: OSHA citations and fines for noncompliance
Insurance Impact: Claims denial or higher premiums
Worker Harm: Injury or illness from unresolved hazards
Legal Exposure: Increased liability in litigation
Reputational Damage: Loss of trust with regulators and clients
Data Breach: Unauthorized access to inspection records

Key Security and Compliance Details to Capture

Encryption: AES-256 at rest; TLS 1.2/1.3 in transit
Audit Trail: Timestamps, IP, and action log
Access Control: Role-based permissions and MFA
HIPAA Availability: BAA required for Protected Health Information
Retention Policy: Configurable per organizational rules
Backups: Encrypted backups and disaster recovery

Compare eSignature Vendors for WHS Safety Checklist Workflows

Vendor capabilities and pricing models differ; the table below summarizes common feature criteria with signNow listed first.

signNow DocuSign Adobe Sign PandaDoc HelloSign
Starting Price $8/user/mo $15/user/mo $14/user/mo $19/user/mo $15/user/mo
Free Trial 7-day free trial Varies by vendor Varies by vendor Varies by vendor Varies by vendor
Bulk Send Yes Yes Yes Yes No
Audit Trail Yes Yes Yes Yes Yes
HIPAA Compliant Yes Yes Yes No No
Envelope Cap No cap 100 envelopes/user/year Varies Varies Varies

FAQs and Troubleshooting for WHS Safety Checklists

Answers to common questions about checklist validity, eSignatures, storage, and handling errors during inspections.


Need help? Contact support

be ready to get more
Join over 28 million airSlate SignNow users