Safety Checklist Form Template

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Working in Occupied Premises Safety Checklist

Use our Checklist creator tool to create customised workplace safety documents. Learn more about Working in Occupied Premises 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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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 working in occupied premises safety checklist template from Health & Safety Zone helps contractors, supervisors and operatives confirm that construction work carried out in occupied buildings is safe for occupants, the public and the workforce.

It covers all ten HSE dimensions – from a signed risk assessment and method statement, through competence, segregation, dust and noise control, service isolation, PPE and collective protection, to emergency arrangements and post‑work clean‑up. The checklist references the Construction (Design and Management) Regulations 2015 and the Health and Safety at Work etc. Act 1974, ensuring compliance with UK law.

Use this checklist for:

  • Pre‑start checks – confirm risk assessments, permits and agreed working hours before work begins.
  • In‑process monitoring – verify segregation, dust/noise control, service safety and occupant protection while work is underway.
  • Completion sign‑off – ensure the area is cleared, barriers removed and a post‑work inspection recorded.

Each item is answered Yes, No or N/A – any No answer must be resolved before the activity continues.

Fully editable and shareable — customise the questions to your site, download as a PDF and share with 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 Work in Occupied Premises – Pre-Start, In-Process and Completion Checks checklist

This Work in Occupied Premises – Pre-Start, In-Process and Completion Checks safety checklist template covers 32 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 risk assessment for work in occupied premises been completed and communicated to all involved?
2Is a method statement covering segregation and protection of occupants in place?
3Are any required permits (e.g., hot‑work, asbestos, noise) obtained before work starts?
4Is the work scheduled within agreed hours to minimise disruption to occupants?
5Are operatives trained in working in occupied premises and aware of occupant safety procedures?
6Is a supervisor designated to monitor segregation and public protection during the task?
7Is the work area clearly segregated from occupants and the public with barriers or signage?
8Is access for occupants maintained and not obstructed by plant, materials or equipment?
9Are fire escape routes and emergency exits kept clear of work materials and debris?
10Is adequate lighting provided for the work in occupied areas?
11Are dust control measures such as wet methods or extraction in place?
12Are noise control measures (e.g., hearing protection, noise barriers) implemented where required?
13Have all services that could be affected (electricity, water, gas, data) been identified and isolated where necessary?
14Is there a plan for managing deliveries and waste removal without disrupting occupants?
15Are all tools and equipment inspected and suitable for use in occupied premises?
16Is any mobile plant that could pose a risk excluded or protected from the occupied area?
17Are hazardous substances stored securely, labelled correctly and kept away from occupants?
18Is a spill prevention system in place to avoid contaminating occupied spaces?
19Is appropriate high‑visibility clothing, safety boots and eye protection provided and worn?
20Is hearing protection provided where noise exceeds the legal limit?
21Are barriers, warning signs and temporary walkways installed where required?
22Are fire detection and suppression equipment checked and not obstructed by the work?
23Are first‑aid kits accessible and are staff aware of their location?
24Are emergency contact numbers displayed prominently near the work area?
25Has the work area been cleared of debris, tools and waste after completion?
26Have temporary barriers and signage been removed and normal access restored?
27Has a post‑work inspection been carried out and documented?
28Is a written evacuation plan for occupants in place and communicated?
29Is the building's fire detection and alarm system operational and not obstructed by work activities?
30Are temporary works such as scaffolding, platforms or walkways inspected and certified before use?
31Is a clear communication notice displayed for occupants detailing work schedule and any disruptions?
32Is the HVAC system protected from dust and debris contamination?

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.