Safety Checklist Form Template

Instantly Create Your Checklist, Just enter your details

Motor and Variable Speed Drive Maintenance Safety Checklist

Use our Checklist creator tool to create customised workplace safety documents. Learn more about Motor and Variable Speed Drive Maintenance 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 motor and variable speed drive maintenance safety checklist template assists electricians, electrical installers and test & inspection engineers in confirming that all safe isolation, testing and maintenance steps are completed before working on motors and VSDs.

It covers the full range of safety dimensions including risk assessments, competent personnel, safe working environment, specific electrical hazards such as arc‑flash and stored energy, equipment condition checks, PPE, collective protection, emergency arrangements and final make‑safe procedures. It references the Electricity at Work Regulations 1989, HSG85 safe working practices and the BS 7671 wiring regulations.

Use this checklist for:

  • Pre‑maintenance isolation – verify that power is securely isolated and locked out.
  • In‑process verification – confirm equipment condition and safe testing steps.
  • Post‑maintenance sign‑off – ensure the system is restored safely and records are completed.

The checklist should be completed on site before work begins, with each answer recorded and any non‑compliant items rectified immediately. It provides a systematic approach, aligns with the Electricity at Work Regulations 1989 and HSG85, and helps supervisors demonstrate compliance during audits.

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

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

Compliant with: Electricity at Work Regulations 1989; HSG85; BS 7671.

Sample PDF Document Image:

Checks covered in this Motor and Variable Speed Drive Maintenance checklist

This Motor and Variable Speed Drive Maintenance safety checklist template covers 33 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 and method statement been prepared for the motor/VSD maintenance task?
2Is the work authorised and any required permits (e.g., hot work, isolation) in place?
3Are all operatives trained and competent to work on motors and VSDs, including lock‑out/tag‑out procedures?
4Has the work area been assessed for adequate lighting, ventilation and floor condition?
5Are exclusion zones and appropriate signage established around the equipment?
6Is the equipment de‑energised and verified with a suitable voltage tester before work begins?
7Is a lock‑out/tag‑out device applied and documented for the circuit supplying the motor/VSD?
8Are earthing and bonding connections checked and confirmed effective?
9Is the motor housing free of visible damage, cracks or corrosion?
10Are VSD enclosure doors and guards securely closed and intact?
11Is the VSD cooling system (fans, filters) clean and operating correctly?
12Are motor bearings and couplings inspected for wear, lubrication and secure mounting?
13Is the insulation resistance of the motor windings measured and within acceptable limits?
14Are protective devices (fuses, circuit breakers, overload relays) correctly rated and in good condition?
15Is the VSD parameter setting verified against the task requirements and manufacturer guidance?
16Is the motor mounting bolts tightened to the manufacturer’s torque specification?
17Are the motor and VSD cable terminations inspected for signs of overheating, damage or loose connections?
18Is the VSD enclosure rating (IP) appropriate for the installation environment and verified?
19Is the VSD’s built‑in residual current device (RCD) tested and functional?
20Are all protective earth conductors continuous and correctly connected to the motor and VSD chassis?
21Is the VSD fan and ventilation system free of obstructions and operating at the correct speed?
22Is the motor’s thermal overload relay set correctly for the motor’s rated current?
23Is the emergency stop function tested and verified as operational?
24Is the firmware or software version of the VSD checked and up to date with manufacturer recommendations?
25Is a documented arc‑flash risk assessment completed and the required PPE identified?
26Is the work area free from conductive dust, liquids or other contaminants that could affect electrical safety?
27Are appropriate PPE (insulated gloves, flame‑resistant clothing, safety glasses) worn by all personnel?
28Is a face shield or arc‑flash suit available if the task presents arc‑flash risk?
29Are fire extinguishers suitable for electrical fires positioned nearby?
30Is a first‑aid kit accessible and are trained first‑aiders on site?
31After maintenance, is the equipment re‑energised only after a final visual inspection and test?
32Is a post‑maintenance test (functional and protective relay check) performed and logged?
33Are all isolation devices removed, locks returned to store and records completed?

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.