Product

Product Tour See how FormBuilder works Templates Ready-made form templates Marketplace Expert-made forms and tests Use Cases Forms for every industry Security Enterprise-grade data protection Integrations Connect with your tools Changelog Latest updates and releases
Features

Form Builder
Drag & Drop Builder Form Field Types Multi-Page Forms Conditional Logic Form Embedding

Form Analytics
Submissions Real-Time Submissions Form Analytics Email Notifications Form Scheduling

Themes
Themes White Label Team Collaboration Audit Log Assessment Mode Google Forms Import

All Features See every feature we offer
AI

AI Overview

Our AI-powered features

Cook it AI

Generate forms from text or files

Generate

Pulse AI

AI insights on your form data

Analyze
Solutions

Solutions
Form Builder Build any form from scratch AI Form Builder Generate forms with AI Online Forms Create and share forms online Survey Maker Build surveys and collect feedback Quiz Maker Create graded quizzes and tests Assessment Platform Proctored exams with lockdown Appointment Scheduling Booking forms with calendar

Compare
vs Google Forms vs Typeform vs JotForm vs SurveyMonkey vs Microsoft Forms All Comparisons →
Pricing

Health & Safety Inspection · Pro

Workplace Hazard Identification & Risk Assessment Form

Systematically identify and assess workplace hazards across physical, chemical, ergonomic, and psychosocial categories to keep your team safe.

Use This Template Free Preview

Blanc theme

formbuilder.ai/f/workplace-hazard-identification-risk-assessment-inspection-checklist

Workplace Hazard Identification & Risk Assessment Inspection Checklist

Inspection Report Number

· · ·

Inspection Date

· · ·

Inspection Start Time

· · ·

Submit

The Workplace Hazard Identification & Risk Assessment Inspection Checklist is a comprehensive tool designed to help safety officers, lead inspectors, and operations managers systematically evaluate potential hazards across an entire facility or specific work area. Covering physical, chemical, biological, ergonomic, and psychosocial hazard categories, this form ensures nothing is overlooked during a workplace safety inspection.

This template is ideal for manufacturing plants, construction sites, offices, warehouses, and any organization committed to maintaining a safe working environment. It captures key inspection details such as report number, inspection date, department inspected, and whether findings from previous inspections have been addressed — creating a continuous improvement loop for workplace safety.

By using this structured checklist, organizations can document current hazard control status, record detailed observations, and establish actionable risk control measures. This supports regulatory compliance, reduces workplace incidents, and fosters a culture of proactive safety management across all levels of the organization.

4 Pages

31 Questions

~10min To complete

Free No credit card needed

Field types choicematrix ×5 Long Text ×5 Short Text ×2 Date ×2 Full Name ×2 Dropdown ×2 Signature ×2 Time Picker Email Phone Address Single Choice Multiple Choice ranking daterange File Upload Yes / No termsandconditions

Questions in this template

Free template

The exact questions included — customize any of them to fit your needs.

Page 1 Inspection Details 10 questions

Inspection Information

1 Inspection Report Number * Short Text

2 Inspection Date * Date

3 Inspection Start Time * Time Picker

4 Lead Inspector Name * Full Name

5 Inspector Email * Email

6 Inspector Contact Number Phone

7 Department / Work Area Inspected * Short Text

8 Site / Facility Location * Address

9 Inspection Type * Dropdown

10 Previous Inspection Findings Addressed? * Single Choice

Page 2 Hazard Identification 6 questions

Hazard Identification Checklist

Evaluate each hazard category below. Identify whether the hazard is present, assess its current control status, and note any observations.

1 Physical Hazards Assessment * choicematrix

2 Physical Hazard Observations & Details Long Text

3 Chemical & Biological Hazards Assessment * choicematrix

4 Chemical / Biological Hazard Observations & Details Long Text

5 Ergonomic & Psychosocial Hazards Assessment * choicematrix

6 Ergonomic / Psychosocial Hazard Observations & Details Long Text

Page 3 Risk Assessment & Safety Controls 7 questions

Risk Assessment & Control Measures

For each identified hazard, assess the risk level and evaluate the adequacy of existing control measures.

1 Fire & Emergency Preparedness * choicematrix

2 Personal Protective Equipment (PPE) * choicematrix

3 Highest Risk Level Identified During This Inspection * Multiple Choice

4 Priority Areas for Corrective Action * ranking

5 Recommended Corrective Actions & Control Improvements * Long Text

6 Target Date Range for Corrective Actions * daterange

7 Upload Supporting Evidence (Photos, Documents, Previous Reports) File Upload

Page 4 Sign-Off & Compliance Declaration 8 questions

Inspection Summary & Sign-Off

1 Overall Workplace Safety Rating * Dropdown

2 Does this inspection require a follow-up visit? * Yes / No

3 Scheduled Follow-Up Date Date

4 Supervisor / Manager Name * Full Name

5 Additional Comments or Management Notes Long Text

6 I confirm that this inspection has been conducted thoroughly and accurately, and all findings have been documented to the best of my knowledge. I understand that identified hazards must be addressed within the specified timeframes in accordance with workplace health and safety regulations. * termsandconditions

7 Inspector Signature * Signature

8 Supervisor / Manager Signature * Signature

How to use this template

Click "Use This Template Free" to open it in the FormBuilder editor. From there you can add, remove, or reorder fields with drag-and-drop, switch themes for instant restyling, add your logo, configure email notifications, and set your success message. When ready, publish with a unique link and start collecting responses immediately.