Safety Checklist Form Template

Instantly Create Your Checklist, Just enter your details

Grout and Slurry Pump Pre-Use Safety Checklist

Free Safety Checklist template · Category: ConstructionView all Safety Checklist templates
Use our Checklist creator tool to create customised workplace safety documents. Learn more about Grout and Slurry Pump Pre-Use Safety Checklist Template below
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

Company brandingStandard+

Add your company logo and brand colours, and customise how your documents look. Available on our Standard and Pro plans.

Add my branding →

For the best result, upload a PNG with a transparent background — this lets your logo blend cleanly into headers and signature blocks across every generated document. JPG is also accepted but will appear with a white background.
Recommended size: at least 500×150px. Max file size: 5MB.

Choose the background colour for the header on shared documents. Select a colour that complements your logo and brand identity.

Select your brand colour for accents and borders that matches your company logo. Use HEX format (e.g., #E4B700 for yellow).

Colours are automatically synced with your Branding settings.

Sign to confirm you completed this checklist

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

Review & Export

Your checklist is ready. Register free to download your PDF — it opens in a new tab and signs you in here automatically, so don't refresh or leave this page.

Preview Document

See exactly how your checklist PDF will look before downloading.

Your checklist is ready

Ready to download

Register a free account to download your PDF. Your checklist stays right here.

Register to Download →

No card required · instant access

Save to Account

Not saved

Create a free account to save this checklist and re-export it any time.

Sign in to save

Manage Document

Save your checklist first, then manage it, edit it and collect sign-offs here.

Manage Document

A free account keeps this checklist on your dashboard, where you can edit and re-export it any time.

Sign in to save

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.

Share & Sign

Not available for checklists — each checklist carries its own printed sign-off section instead.

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 grout and slurry pump pre-use safety checklist template from Health & Safety Zone helps construction supervisors and operatives ensure the pump and associated plant are safe before each use.

It covers all key areas required by the PUWER 1998 and HSE guidance, including risk assessment, competence, work environment, equipment condition, PPE, collective safety measures, emergency provisions and make‑safe procedures.

Use this checklist for:

  • Pre‑use checks – confirm the pump and site are ready before work starts.
  • Daily plant inspections – verify condition each shift.
  • Toolbox briefings – reinforce safe operating practices.

Each item is answered Yes, No or N/A – any No answer must be resolved before the pump is operated. Record the answers and take corrective action where required.

To use the checklist, mark Yes, No or N/A for each question on site. Any No answer must be investigated and resolved before the pump is operated. The completed checklist can be retained as a paper record or saved electronically to support audits, maintenance schedules and regulatory compliance.

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

Compliant with: PUWER 1998; Health and Safety at Work etc. Act 1974.

Sample PDF Document Image:

Checks covered in this Grout and Slurry Pump Pre-Use Inspection checklist

This Grout and Slurry Pump Pre-Use Inspection safety checklist template covers 27 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 using the grout and slurry pump been completed and briefed to operatives?
2Is the operator trained, competent and authorised to operate this pump?
3Is the work area clear of unnecessary debris and safe for pump operation?
4Is the ground or surface level and capable of supporting the pump and associated equipment?
5Are the correct PPE (e.g., safety boots, gloves, eye protection, hearing protection) available and being worn?
6Is the pump isolated from power or hydraulic sources before inspection?
7Is the pump power supply in good condition with no damaged cords or plugs?
8Are all hydraulic hoses and couplings free of cracks, cuts, abrasions and securely fitted?
9Is the slurry/hopper clear of blockages and able to be emptied safely?
10Is the pressure gauge functional and calibrated?
11Are the pump’s inlet and outlet valves operating correctly and not leaking?
12Are the pump’s guards and safety interlocks in place and functional?
13Is the pump oil level correct and oil free from contamination?
14Is the pump’s motor temperature within normal operating range with no overheating?
15Are vibration levels within acceptable limits with no excessive vibration?
16Is the pump’s emergency stop button operational and accessible?
17Are all required signage and warning labels clearly displayed on the pump?
18Is a suitable fire extinguisher nearby and inspected?
19Are first‑aid provisions and trained personnel available on site?
20After use, will the pump be isolated, cleaned and stored securely?
21Is the pump casing free from cracks, dents or corrosion?
22Are the pump bearings inspected and lubricated according to the manufacturer’s schedule?
23Is the suction pipe securely connected and free of leaks?
24Is the discharge pipe securely connected and free of leaks?
25Is the pressure relief valve installed, functional and set to the correct pressure?
26Are all mounting bolts and fasteners tight and torque‑checked?
27Is the pump correctly aligned with its drive and free from misalignment?

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 — a free account is all you need to download.

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?

You can build and preview a checklist without an account. To download the PDF you'll need a free account — it takes less than a minute, costs nothing, and also lets you 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.

Related Documents

COSHHUltracolor Plus Wall & Floor GroutCreate
Safety ChecklistSlurry Tanker Pre-Use Safety ChecklistCreate
Risk AssessmentSlurry Tanker Operation and Spreading Risk AssessmentCreate
Safety ChecklistSlurry Store and Pit Safety ChecklistCreate
Safety ChecklistSlurry Agitation Safety ChecklistCreate