TEMPLATE

California workplace safety inspection report template

ReportDraft Safety from $12 a month. 14-day free trial with your first report and up to 5 template downloads. Card required, nothing charged today, cancel anytime. Need just one? One workplace safety inspection report for $19, no subscription.

Your California workplace safety inspection report has 5 rules to meet. ReportDraft puts every one on your checklist and checks your draft before you sign.

  • Scheduled periodic inspections under your Injury and Illness Prevention Program
  • Keep this inspection record at least one year

A workplace safety inspection report template set up for California, with fields for the reason for this inspection. In Word and PDF.

See a free preview filled from sample notes

REPORTDRAFT.COM
California Workplace safety inspection Template
Workplace or business name
Areas or departments inspected
Inspection date
Inspected by
Reason for this inspection
Download in Word or PDFIncluded with ReportDraft Safety and its free trial.

Set up for California

Also required in California

These rules are about how and when you report, not the template's fields. Check them before you deliver.

What is in it

  • Housekeeping and walking surfacesFloors, aisles and walkways clear, dry and in good repair, Stairs, handrails and guardrails, Storage, stacking and racking stable, Lighting adequate for the work
  • Exits and emergency equipmentExit routes and exit doors clear, unlocked and marked, Exit signs and emergency lighting working, Emergency plan, alarms and assembly point posted and known, Eyewash stations and emergency showers where needed
  • Fire preventionFire extinguishers in place, charged, inspected and unobstructed, Flammable and combustible materials stored safely, Sprinkler heads clear, with storage kept below them, Compressed gas cylinders secured and capped
  • ElectricalElectrical panels closed, labeled and with clear access, Extension cords and power strips used properly and undamaged, Outlets, switches and cover plates; GFCI protection near water
  • Machinery, tools and powered equipmentMachine guards in place and working, Lockout and tagout devices and procedures available and used, Hand and power tools in good condition, Forklifts and powered equipment: daily checks done, operators trained
  • Hazardous productsContainers labeled, Safety data sheets current and available, Chemicals stored and separated safely; spill supplies on hand, Ventilation and exhaust working
  • Personal protective equipmentRequired PPE available and in good condition, PPE worn where required
  • Ladders, heights and material handlingLadders and step stools in good condition and used correctly, Work at height: guardrails or fall protection, Manual lifting and workstation ergonomics
  • First aid, postings and recordsFirst aid kits stocked; first aid attendants or trained workers available, Required safety postings and notices displayed
  • Corrective actionsHazard and location, Corrective action, Responsible, Due, Status
  • Items from earlier inspectionsItems from earlier inspections or reports, and whether each has been fixed.

Rules last reviewed October 11, 2026. Read the full California workplace safety inspection report requirements.