Safety Checklist Form Template

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Lone Working Safety Checklist

Use our Checklist creator tool to create customised workplace safety documents. Learn more about Lone Working 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 lone working safety checklist template helps construction managers and supervisors ensure that workers who are alone on site are protected through proper planning, communication, competence checks and emergency arrangements.

It references the Construction (Design and Management) Regulations 2015, the Management of Health and Safety at Work Regulations 1999 and HSE lone‑working guidance (INDG73). The checklist ensures risk assessments are in place, workers are trained, communication methods are established, high‑risk tasks are avoided, and emergency procedures are ready.

Use this checklist for:

  • Pre‑task planning – confirm risk assessment, competence and communication before work starts.
  • Daily site checks – verify ongoing safety, PPE and environment while the worker is on site.
  • Post‑task sign‑off – record completion, make‑safe the area and close the check‑in.

Each item is answered Yes, No or N/A – any No response must be resolved before the worker proceeds or immediately after it is identified.

The checklist can be completed on site using a printed copy or a tablet, and the responses provide a clear record for supervision and audit.

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

Compliant with: Construction (Design and Management) Regulations 2015; Management of Health and Safety at Work Regulations 1999; HSE lone‑working guidance (INDG73).

Sample PDF Document Image:

Checks covered in this Lone Working on Construction Site checklist

This Lone Working on Construction Site safety checklist template covers 20 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 site‑specific risk assessment for lone working been completed and communicated to the worker?
2Is the worker trained and competent to work alone on this task?
3Has the worker received a brief on the specific hazards of the task and site?
4Is a suitable method of regular check‑in (e.g., phone, radio, digital) arranged for the lone worker?
5Is the check‑in schedule documented and agreed with the worker?
6Is the worker provided with an emergency contact list and procedure?
7Are the worker’s mobile phone or communication device fully charged and functional?
8Is the work area free from immediate hazards such as uneven ground, overhead services, or adverse weather?
9Is the worker wearing the required PPE for the task (e.g., high‑visibility clothing, safety boots, helmet)?
10Are any hazardous substances present and have appropriate COSHH controls been communicated?
11Are high‑risk activities (e.g., work at height >2 m, confined space entry, use of powered tools) prohibited when working alone?
12If powered tools are used, are they inspected and in good condition before use?
13Is a first‑aid kit readily accessible within the work area?
14Are fire extinguishers or fire‑break measures available where required?
15Is a clear method for the worker to raise an alarm in an emergency established?
16Is the worker instructed to stop work and seek help if they feel unsafe or become unwell?
17Upon completion, has the worker confirmed that the area is left tidy and hazards removed?
18Has the check‑in record been completed and signed off by the supervisor after the shift?
19Is a permit to work required for this task and has it been obtained?
20Are appropriate warning signs or barriers displayed to indicate a lone worker is on site?

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.