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Free checklist template · Word

Safety Compliance Checklist

The safety compliance checklist tracks the paperwork side of safety: licences, approvals, statutory tests and certificates, committees, registers and display notices. It is used by plant HR, admin and EHS heads to see at a glance whether every document is current, who owns it and when it next expires.

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  • 12 fill-in fields highlighted
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Preview of the checklist

[Highlighted] = fill in
[Company Logo][Company Name]

SAFETY COMPLIANCE CHECKLIST

Establishment:
[Company Name], [Work Location]
Review Date:
[DD/MM/YYYY]
Reviewed by:
[EHS / Admin Head]

Licences and Approvals

ItemApplicableNumberValid UntilOwnerStatus
Factory licence / registration under OSH Code[Yes / No][Number][DD/MM/YYYY][Owner Name][OK / Due / Missing]
Fire NOC[Yes / No][Number][DD/MM/YYYY][Owner Name][OK / Due / Missing]
Pollution control consent[Yes / No][Number][DD/MM/YYYY][Owner Name][OK / Due / Missing]
Shops & Establishments registration (offices)[Yes / No][Number][DD/MM/YYYY][Owner Name][OK / Due / Missing]
Contract labour licences (principal employer and contractors)[Yes / No][Number][DD/MM/YYYY][Owner Name][OK / Due / Missing]

Statutory Tests and Certificates

  • Lifts and hoists tested by competent person – due [DD/MM/YYYY]
  • Lifting machines, chains, slings tested – due [DD/MM/YYYY]
  • Pressure vessels and air receivers tested – due [DD/MM/YYYY]
  • Boiler certificate (if any) – due [DD/MM/YYYY]
  • Electrical installation inspection – due [DD/MM/YYYY]
  • Fire extinguishers and hydrant system serviced – due [DD/MM/YYYY]
  • Work environment monitoring (noise, dust, lux) – due [DD/MM/YYYY]

Organisation and Policy

  • Written safety policy approved and displayed
  • Safety committee constituted (if applicable) and meeting regularly
  • Safety officer / medical officer appointed (if applicable)
  • Emergency response plan and on-site emergency plan (hazardous units)
  • Trained first-aiders as per headcount

Records and Registers

  • Accident and dangerous occurrence register
  • Medical examination / health records of exposed workers
  • PPE issue register
  • Safety training records
  • Permit-to-work records
  • Inspection and audit reports with action closure

Display Notices

  • Abstract of applicable law and rules in English and local language
  • Safety policy and emergency contacts
  • Evacuation plan per floor
  • Hazard and PPE signage at relevant areas
  • Names of safety committee members

Summary of Gaps

GapActionOwnerTarget Date
[Gap][Action][Owner Name][DD/MM/YYYY]
[Gap][Action][Owner Name][DD/MM/YYYY]
[Gap][Action][Owner Name][DD/MM/YYYY]
Prepared by
[EHS / Admin Head]
Date: [Date]
Reviewed by
[Site Head]
Date: [Date]

What this template includes

  • Licences and approvals with validity dates
  • Statutory testing of lifts, pressure vessels, lifting tackles
  • Safety committee and safety officer requirements
  • Registers and records list
  • Display notices and abstracts
  • Owner and next due date for each item

When to use it

  • Quarterly review of safety licences and certificates
  • Before an inspection by the factory, fire or pollution authority
  • Taking over as EHS or admin head at a new site
  • Client vendor-audit preparation

How to customise this template

  1. 1Mark items not applicable to your establishment (e.g., no boiler)
  2. 2Add state-specific items your consultant recommends
  3. 3Enter licence numbers and expiry dates
  4. 4Assign one owner per item
  5. 5Sync due dates into your compliance calendar

HR tips

  • Start renewal well before expiry; approvals take time
  • Keep scanned copies of every certificate in one shared folder
  • Verify contractors' licences, not just your own
  • Recheck the list after the Labour Code rules are notified in your state

Safety compliance requirements now flow largely from the OSH Code, 2020 (in force from 21 November 2025, with central and state rules being notified) plus fire, building and environmental laws; verify current requirements for your state and industry with a consultant or legal adviser.

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Frequently asked questions

What documents are needed for factory safety compliance?+

Typically the factory licence or registration, approved plans, fire NOC, statutory test certificates for lifts and pressure equipment, safety policy, registers and display notices. Exact requirements depend on state rules and processes.

How often should this checklist be reviewed?+

Review it at least quarterly and whenever a licence is renewed or a law or rule changes.

Do Labour Codes change safety compliance?+

Yes. The OSH Code, 2020 consolidates earlier laws such as the Factories Act. Rules are being notified, so update your checklist as your state's rules come into force.