Safety Checklist Form Template

Instantly Create Your Checklist, Just enter your details

Lone Working on Farms Safety Checklist

Use our Checklist creator tool to create customised workplace safety documents. Learn more about Lone Working on Farms 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 checklist helps farm owners, managers and workers to control the risks associated with lone working on agricultural sites. It guides you through the essential steps before, during and after a task when a person is working alone, ensuring that safety arrangements are in place and that any incident can be dealt with promptly.

Use this checklist for:

  • Checking that communication and check‑in arrangements are established
  • Verifying competence, training and fitness of the lone worker
  • Confirming that emergency contacts, shelter and rescue plans are ready
  • Ensuring PPE, equipment and hazardous substances are managed safely

Before each task the responsible person should confirm that a specific risk assessment has been completed, that the agreed check‑in schedule matches the duration and location of the work, and that reliable communication equipment (mobile phone or radio) has been tested. The worker must wear the required PPE, ensure any machinery is inspected and that livestock or other animals are secured to prevent unexpected approaches.

Use the checklist at the start of each shift or before any isolated activity. Record the answers on a simple paper form or digitally, and keep the completed records for at least the period required by the Management of Health and Safety at Work Regulations 1999. Regularly review the completed checklists to identify trends, update risk assessments and improve safety procedures on the farm.

Fully editable and shareable – adapt the questions to suit your specific farm operations. Compliant with: Management of Health and Safety at Work Regulations 1999.

Sample PDF Document Image:

Checks covered in this Lone working tasks on farms such as livestock handling, field work, and machinery operation checklist

This Lone working tasks on farms such as livestock handling, field work, and machinery operation safety checklist template covers 19 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 the lone worker received training on lone working procedures?
2Is a risk assessment for the specific task completed and available?
3Has the worker been authorised to perform the task?
4Is the worker's competence and fitness for the task confirmed?
5Is a check‑in schedule agreed and documented?
6Is a reliable method of communication (mobile, radio) available and tested?
7Is the agreed check‑in frequency appropriate for the task and location?
8Are emergency contact numbers and the nearest medical facility clearly displayed?
9Is the location of the nearest shelter or safe area identified?
10Is the weather forecast reviewed and suitable for the planned work?
11Are any high‑risk activities (e.g., operating tractors, handling chemicals, working at height) limited or supervised?
12Is personal protective equipment required for the task available and being worn?
13Are any hazardous substances (e.g., pesticides, fuels) stored securely and used according to COSHH?
14Is the equipment (tractor, mower, power tools) inspected and in safe working order?
15Are guards, safety devices and ROPS on machinery inspected and functional?
16Is the work area free from unnecessary obstacles and clearly marked?
17Are livestock or other animals secured to prevent unexpected approach?
18Is a plan for evacuation or rescue in case of incident established?
19After the task, has the worker reported completion and any incidents?

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.