Safety Checklist Form Template

Instantly Create Your Checklist, Just enter your details

Confined Space Working Safety Checklist

Use our Checklist creator tool to create customised workplace safety documents. Learn more about Confined Space Working Safety Checklist Template below
50% off your first month Standard £4.99 · Pro £12.49 for month one — applied automatically. Ends 31 July Claim offer
Safety Checklist Creator
Guest

Loading Safety Checklist Creator

Please wait while we prepare your workspace

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.

No questions added yet — add your first one below.

Logo, Branding & Sign-off

Custom Branding Not Available

Create a free account, then upgrade to add your company logo.

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

See exactly how your checklist PDF will look before downloading.

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.

PDF Preview

100%

Creating preview

Building your PDF preview…

Still Using Paper Sign-Off Sheets?

Once you've generated and saved your document, create a secure share link to distribute across any platform. Collect encrypted digital signatures from your team and generate professional sign-off reports.

Generate
Save
Share
Sign
Report
Try It Free

Increased Limits Available

Risk Assessment Description:

This confined space working safety checklist template from Health & Safety Zone helps plumbers, heating engineers, Gas Safe registered engineers and supervisors ensure safe entry and work in tanks, drainage chambers and other enclosed spaces.

It covers all essential safety dimensions – planning and permits, competence, environment, task‑specific hazards, plant and tools, substances, personal protective equipment, collective controls, emergency arrangements and post‑work completion – and references the Confined Spaces Regulations 1997 together with HSE guidance on safe work in confined spaces.

Use this checklist for:

  • Pre‑entry risk assessment and permit verification.
  • During‑work monitoring and control of hazards.
  • Post‑work make‑safe and record‑keeping.

Each item is answered Yes, No or N/A – any No answer must be resolved before work continues or before the space is exited.

How to use – Tick ‘Yes’ when the requirement is met, ‘No’ when it is not, and ‘N/A’ where the item does not apply to the specific job. Record any ‘No’ findings and implement corrective actions immediately, then re‑check before proceeding. The checklist should be kept with the entry permit and signed off by the attendant and the operatives after the job is finished.

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; HSE Safe work in confined spaces guidance.

Sample PDF Document Image:

Checks covered in this Confined Space Working (Plumbing, Heating & Gas) checklist

This Confined Space Working (Plumbing, Heating & Gas) safety checklist template covers 24 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 suitable risk assessment for the confined space work been completed and briefed to all operatives?
2Is a valid confined‑space entry permit in place for the task?
3Is the entry permit signed and approved by an authorised competent person before work begins?
4Is an emergency rescue plan documented and communicated?
5Are all operatives trained and competent to work in confined spaces and, where gas work is involved, are they Gas Safe registered?
6Is atmospheric testing equipment calibrated and available for use?
7Has the atmosphere been tested for oxygen, combustible gases and toxic contaminants before entry?
8Is a continuous gas monitoring alarm installed and operational during the entry?
9Is continuous ventilation provided and verified during the work?
10Are lighting levels adequate for the work to be performed?
11Are all utilities serving the space isolated and locked out where required?
12Is appropriate PPE – including eye protection, gloves, protective footwear and, where needed, a respirator – worn by all entrants?
13Are rescue equipment (e.g., retrieval harness, tripod, winch) inspected and ready for immediate use?
14Is a trained rescue team on standby and equipped for confined‑space rescue?
15Are barriers and signage in place to prevent unauthorised entry?
16Is any hazardous substance stored in the space identified, labelled and controlled?
17Are tools and equipment used inside the space inspected for damage and suitable for the environment?
18Is a reliable means of communication (e.g., tethered radio) maintained between entrants and the attendant?
19Is a trained attendant positioned outside the space to monitor conditions and control entry?
20Are first‑aid provisions and emergency contact details readily accessible?
21Has the space been fully ventilated and cleared of hazards before the permit is closed?
22Is a post‑entry inspection completed and any defects recorded?
23Are all documentation – risk assessment, permits, test records and rescue logs – filed according to company procedure?
24Is the space inspected for any new or unexpected hazards immediately before entry?

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.