Safety Checklist Form Template

Instantly Create Your Checklist, Just enter your details

Thermographic Survey Safety Checklist

Free Safety Checklist template · Category: ElectricalView all Safety Checklist templates
Use our Checklist creator tool to create customised workplace safety documents. Learn more about Thermographic Survey 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 thermographic survey safety checklist template from Health & Safety Zone helps electricians, electrical installers and inspection engineers conduct safe thermal imaging inspections of electrical installations.

It covers all key safety dimensions including planning, competence, isolation, personal protective equipment, equipment condition, environmental controls, hazardous substances, emergency provisions and post‑survey completion. The checklist aligns with the Electricity at Work Regulations 1989, HSG85 and the BS 7671 Wiring Regulations.

Use this checklist for:

  • Pre‑survey checks – confirm risk assessment, permit to work, isolation and equipment readiness before starting.
  • In‑process inspection – verify camera settings, PPE and live‑part safety while surveying.
  • Post‑survey sign‑off – ensure defects are recorded, data secured and equipment stored safely.

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

When using the checklist, record any non‑conformities immediately, stop work if a hazard is identified, and report findings in the survey report. Review the checklist with the team before the next inspection to support continuous improvement.

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 Wiring Regulations.

Sample PDF Document Image:

Checks covered in this Thermographic Survey checklist

This Thermographic Survey safety checklist template covers 26 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 written permit to work for the thermographic survey been issued and signed?
2Has a risk assessment for the thermographic survey been completed and briefed to all operatives?
3Is the electrical system to be inspected isolated, locked out and tagged out in line with the Electricity at Work Regulations 1989?
4Has the isolation been verified with a suitable test instrument and documented?
5Are all exposed live parts de‑energised and verified with a suitable tester?
6Is the appropriate PPE, including insulated gloves, eye protection and where required arc‑flash clothing, available and being worn?
7Is the thermal imaging camera inspected for damage to housing, lenses and cables before use?
8Is the thermal imaging camera calibrated and tested prior to use?
9Is the camera battery fully charged and in good condition?
10Is the camera lens clean and free of obstruction?
11Are the camera temperature settings appropriate for the expected temperature range?
12Is the survey area signage indicating electrical survey and any hot‑work hazards clearly displayed?
13Is the work area lighting adequate for safe camera operation and visual inspection?
14Is the survey area free of excessive ambient heat sources that could affect thermal readings?
15Are any flammable materials or vapours removed or controlled in the survey area?
16Is the work area adequately ventilated to prevent heat buildup?
17Is the operator’s competence and training for thermographic inspection documented and current?
18Are relevant sections of BS 7671 consulted for permissible temperature limits and protective device selection?
19Are circuit protective devices inspected for correct rating and condition?
20Are cable connections checked for signs of overheating, discolouration or damage?
21Are earthing and grounding connections inspected and confirmed effective?
22Is the thermal camera positioned at a safe distance to avoid exposure to arc‑flash hazards and to maintain the required arc‑flash boundary?
23Are emergency shut‑off controls accessible and functional?
24Is a suitable fire extinguisher for electrical fires present and serviced?
25Is first‑aid provision for electrical injuries readily available in the survey area?
26After the survey, are all equipment and tools returned to safe storage, defects recorded and data securely saved?

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.

Related Documents

Risk AssessmentThermographic Survey of Electrical Systems Risk AssessmentCreate
Safety ChecklistAsbestos Refurbishment and Demolition Survey Safety ChecklistCreate
Safety ChecklistCCTV Drain Survey Safety ChecklistCreate
Safety ChecklistSetting Out and Surveying Safety ChecklistCreate
Risk AssessmentMobile Survey and Inspection Works on High-Speed Roads Risk AssessmentCreate