Safety Checklist Form Template

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Confined Space Permit Safety Checklist

Use our Checklist creator tool to create customised workplace safety documents. Learn more about Confined Space Permit Safety Checklist Template below
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Checklist Questions

Every question is included by default. Untick any you want to leave out, or delete the ones you don't need.

Click Add Question to add your own custom checks. Click a row to edit its wording, and drag to reorder.

The Yes / No / N/A tick-boxes and comments space are added automatically on the exported PDF or Word document.

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Sign to confirm you completed this checklist

Click to sign on behalf, or leave blank for on-paper approval.

Review & Export

Choose your page orientation, then export a print-ready checklist.

Preview Document

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Download PDF

Print-ready PDF with Yes / No / N/A tick-boxes and a comments space.

Export to Word

An editable Word (.doc) version with Yes / No / N/A tick-boxes and a comments space.

Export to Excel

A spreadsheet version for digital tracking and filtering.

Important: The documents produced by this tool are templates only. They must be reviewed and approved by a competent person or your HSEQ representative prior to publication or circulation, in accordance with our Terms & Conditions.

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Risk Assessment Description:

This confined space permit safety checklist helps construction managers and operatives verify that every required safety step is completed before anyone enters a confined space.

It references the Confined Spaces Regulations 1997 and the Construction (Design and Management) Regulations 2015 together with HSE guidance on safe work in confined spaces.

Use this checklist for:

  • Pre‑entry verification – confirm risk assessment, permit and testing are in place.
  • During work monitoring – ensure ventilation, communication and rescue standby are maintained.
  • Post‑entry sign‑off – record completion, re‑ventilate and close the permit.

Each item is answered Yes, No or N/A – any No answer must be resolved before work proceeds or before the permit is closed.

The checklist aligns with best practice from HSE and ensures that every entry is systematically verified, reducing the risk of incidents such as toxic atmospheres, entrapment or inadequate rescue provision. By completing each question before work commences, site supervisors can demonstrate due diligence and meet the legal duties set out in the Confined Spaces Regulations 1997 and Construction (Design and Management) Regulations 2015.

It can be printed for on‑site use or completed electronically, and the completed record can be retained as part of the site safety file for audit purposes.

Fully editable and shareable – customise the questions to your site, download as a PDF and share with your team.

Compliant with: Confined Spaces Regulations 1997; Construction (Design and Management) Regulations 2015; HSE safe work in confined spaces guidance.

Sample PDF Document Image:

Checks covered in this Confined Space Permit Inspection and Entry checklist

This Confined Space Permit Inspection and Entry safety checklist template covers 26 checks. Customise the questions to your workplace, then download a professional, print-ready PDF with Yes / No / N/A tick-boxes and a comments space.

#Checklist item
1Has a current risk assessment for the confined space work been completed and communicated to all operatives?
2Is the entry permit completed, signed and displayed at the entry point?
3Have all workers been trained and deemed competent to work in confined spaces?
4Is atmospheric testing for oxygen, flammable gases and toxic gases performed before entry and recorded?
5Are continuous atmospheric monitoring devices used where required?
6Is adequate ventilation provided and verified to maintain safe atmosphere levels?
7Are all isolation and lock‑out procedures applied before entry?
8Is the entry point clearly marked and secured to prevent unauthorized access?
9Are barriers and signage in place to prevent unauthorised entry?
10Are rescue personnel identified and on standby before work begins?
11Is rescue equipment such as harnesses, retrieval systems and breathing apparatus inspected and ready for use?
12Is a clear communication method established between entrants and attendants?
13Is a standby attendant appointed and positioned outside the confined space?
14Are emergency evacuation routes and procedures briefed to all personnel?
15Is personal protective equipment selected and worn by all entrants?
16Are hazardous substances present and have appropriate control measures been applied?
17Is the work area around the confined space kept clear of unnecessary personnel and equipment?
18Is the confined space inspected for physical hazards such as loose fittings or protrusions before entry?
19Are all tools and equipment inspected for damage and suitable for use in the space?
20Is a task‑specific hazard assessment reviewed and controls in place?
21Is an entry supervisor appointed and aware of their responsibilities?
22Is a written rescue plan in place and communicated to all personnel?
23Is first aid equipment readily available and suitable for confined‑space incidents?
24Is gas detection equipment calibrated and within its service date?
25After work, is the space re‑ventilated and atmospheric testing repeated before sealing?
26Is the permit signed off as completed and any incidents recorded?

Frequently asked questions

Are these safety checklist templates really free to download?

Yes — completely free. Customise any checklist to your workplace and download a professional, print-ready PDF in minutes. No paywall, and no signup required for guests.

What format do the safety checklists download in?

Checklists download as a professional PDF, ready to print and complete on-site — each question has clear Yes / No / N/A tick-boxes and a comments space. You choose portrait or landscape at download. Word and spreadsheet formats are being added.

Can I customise the checklist questions to my workplace?

Yes — fully. Add your own questions, edit or remove any of the pre-written ones, and reorder them to suit your site, task or inspection before you download.

Are the safety checklists suitable for UK workplaces?

Yes. The checklists are written around UK health and safety good practice and HSE guidance, and are suitable for inspections, audits, toolbox checks and routine workplace monitoring.

Do I need an account to use the checklist templates?

No — guests can build and download a checklist for free without signing up. Register a free account if you want to save checklists to your dashboard and edit them later.

Can I add my company logo and branding to the checklist?

Yes — add your company logo, colours and details on Standard and Pro plans, so the exported checklist carries your own branding. Guests and Free downloads carry Health & Safety Zone branding.

How do I complete the checklist once it is downloaded?

The exported checklist is a blank, ready-to-use document: print it and tick Yes, No or N/A against each question and write any comments in the notes space, then sign and date it in the sign-off section.

What types of safety checklist can I create?

We are building specialist checklists across a wide range of subjects and industries — fire safety, workplace inspections, equipment and machinery checks, site inductions, vehicle checks, PPE, first aid and more. Browse by category to find the right one.

How often should safety checklists be completed?

It depends on the activity and your risk assessment — many checks are daily, weekly or monthly, while others are done before each task or shift. Completed, dated checklists provide a useful record of your monitoring.

Are the checklists a substitute for a risk assessment?

No. A checklist is a monitoring and inspection tool that complements your risk assessments and method statements — it helps confirm that controls are in place and working. Use them alongside your risk assessments.