TEMPLATE

Alberta workplace safety inspection report template

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Your Alberta workplace safety inspection report has 2 rules to meet. ReportDraft puts every one on your checklist and checks your draft before you sign.

  • A written, dated hazard assessment, repeated when work changes
  • Inspection records available for the committee to review

A workplace safety inspection report template set up for Alberta. In Word and PDF.

See a free preview filled from sample notes

REPORTDRAFT.CA
Alberta Workplace safety inspection Template
Workplace or business name
Areas or departments inspected
Inspection date
Inspected by
Download in Word or PDFIncluded with ReportDraft Safety and its free trial.

Alberta rules for this report

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

  • An employer assesses a work site and identifies existing and potential hazards before work begins, prepares a report of the results and the methods used to control or eliminate the hazards, records the date it was prepared or revised, and repeats it at reasonably practicable intervals, when a work process is introduced or changes, and before significant additions or alterations to the siteOccupational Health and Safety Code, Alta Reg 191/2021, s. 7
  • The employer involves affected workers in the hazard assessment and in eliminating or controlling the hazards identified; a hazard is eliminated where reasonably practicable, otherwise controlled, using engineering controls first where reasonably practicableOccupational Health and Safety Code, ss. 8 (1), 9 (1), (2)
  • An employer that regularly employs 20 or more workers establishes a joint health and safety committee, whose duties include dealing with workers' health and safety concerns, taking part in the employer's hazard assessment, making recommendations, and reviewing the employer's work site inspection documentationOccupational Health and Safety Act, SA 2020, c. O-2.2, s. 13 (1), (6)
  • An employer that regularly employs 5 to 19 workers designates a worker who is not part of management as the health and safety representative, who carries out the same duties as a committee with a representative of the employerOccupational Health and Safety Act, s. 14 (1), (4)
  • An employer that regularly employs 20 or more workers, or is directed to by a Director, establishes and implements a health and safety program subject to the OHS CodeOccupational Health and Safety Act, s. 16
  • When a worker refuses dangerous work and the employer does not remedy the alleged undue hazard immediately, the employer, after talking with the worker, immediately inspects it, takes any action needed to remedy it, prepares a written report of the refusal, the inspection and the action taken, and gives the worker a copyOccupational Health and Safety Act, s. 17 (8), (9), (11), (12)

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, labelled 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 labelled, 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, Written, dated hazard assessment current for the work being done, with workers involved, Inspection records available for the committee or health and safety representative to review
  • 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 12, 2026. Read the full Alberta workplace safety inspection report requirements.