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Plant and Pedestrian Segregation Safety Checklist

Use our Checklist creator tool to create customised workplace safety documents. Learn more about Plant and Pedestrian Segregation Safety Checklist Template below
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Create a Safety Checklist in 4 Easy Steps: Complete the checklist details below, add or edit the questions, add your logo and sign-off, then export a professional, print-ready PDF with Yes / No / N/A tick-boxes and a comments space.

Checklist Details

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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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Print-ready PDF with Yes / No / N/A tick-boxes and a comments space.

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An editable Word (.doc) version with Yes / No / N/A tick-boxes and a comments space.

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A spreadsheet version for digital tracking and filtering.

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Risk Assessment Description:

This plant and pedestrian segregation safety checklist template assists site managers, supervisors and safety officers in confirming that mobile plant and pedestrian routes are safely separated on construction sites. It draws on the requirements of the Construction (Design and Management) Regulations 2015 and the Health and Safety at Work etc. Act 1974, together with HSE and CPA guidance on segregation of plant and pedestrians.

Use this checklist for:

  • Pre‑site inspections – verify segregation measures before work commences.
  • Daily walk‑throughs – confirm ongoing compliance while plant is operating.
  • Post‑work reviews – ensure barriers are removed and the area is safe after plant use.

Each item is answered Yes, No or N/A – any No answer must be resolved before plant operates or pedestrians move through the area. The checklist also supports the preparation of method statements, permits and traffic management plans required by Construction (Design and Management) Regulations 2015.

This checklist supports the development of method statements, traffic management plans and permits, ensuring that segregation measures are documented and reviewed throughout the project lifecycle.

By systematically verifying barriers, signage and supervision, the checklist helps prevent plant‑pedestrian collisions, reduces downtime and demonstrates compliance during health and safety audits.

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

Compliant with: Construction (Design and Management) Regulations 2015; Health and Safety at Work etc. Act 1974.

Sample PDF Document Image:

Checks covered in this Construction site plant and pedestrian segregation inspection checklist

This Construction site plant and pedestrian segregation inspection safety checklist template covers 25 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 covering plant and pedestrian segregation been completed and communicated?
2Is a site‑specific segregation method statement or permit in place and signed?
3Are all operatives briefed on the segregation plan and their responsibilities?
4Is a competent person designated to monitor segregation compliance throughout the shift?
5Is a traffic management plan displayed at the site entrance?
6Is a clear exclusion zone established around plant operating areas?
7Are physical barriers such as hoardings or fencing in place to separate plant from pedestrian routes?
8Are designated walkways for pedestrians clearly marked and kept free of obstructions?
9Are crossing points between plant routes and pedestrian pathways clearly signposted, equipped with audible warnings and free from blind‑spot hazards?
10Is a banksman appointed for all plant movements that intersect pedestrian routes?
11Are one‑way traffic systems for plant and vehicles clearly indicated and adhered to?
12Are portable traffic signs and signals used where permanent signage is not feasible?
13Is the risk of unintended plant movement mitigated by chocks, brakes and low‑speed zones?
14Is the plant equipped with functional warning devices such as lights, horns and reversing alarms?
15Are all plant operators trained and competent to operate within the segregation plan?
16Is appropriate high‑visibility PPE and safety footwear provided and worn by pedestrians and plant operators?
17Is site lighting adequate for safe segregation during low‑light conditions?
18Are emergency access routes for pedestrians kept clear of plant equipment?
19Is the emergency evacuation route clear of plant and barriers?
20Are first‑aid kits and trained personnel positioned near pedestrian zones?
21Upon completion of plant work, are segregation barriers removed and the area inspected for residual hazards?
22Is site housekeeping maintained to prevent trip hazards near plant?
23Are any temporary plant movements recorded in the daily plant log?
24Are all plant safety devices such as ROPS, seatbelts and emergency stops inspected before use?
25Are any incidents or near‑misses related to segregation reported and investigated?

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.