Health and Safety Checklist for agency workers form template


Our Health and Safety Checklist for Agency Workers Template ensures compliance and safety standards, safeguarding agency workers in various work environments.
- 2 pages / 432 words.
- Last updated 28/02/2024.
- Designed for United Kingdom use.
- Suitable for use in other territories; check local laws first.
- Instantly download as Word / PDF / plain text, or send by email.
- Includes 12 months’ access, with all updates to this page provided free of charge and notified to you.
Health and Safety Checklist for agency workers form
Assignment Details:
- Assignment/Job Name: ______________________________
- Client Name: ______________________________________
- Assignment Location: _______________________________
- Date: //____
Health and Safety Checklist:
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Personal Protective Equipment (PPE):
- Ensure you have been provided with appropriate PPE for the assignment.
- Wear PPE as required, including safety goggles, gloves, helmets, or high-visibility vests.
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Work Area Safety:
- Familiarize yourself with emergency exits, evacuation routes, and assembly points.
- Ensure work areas are clear of hazards such as trip hazards, spills, or obstructions.
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Equipment Safety:
- Inspect and test equipment before use to ensure it is in good working condition.
- Follow manufacturer's instructions for safe operation of
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The Health and Safety Checklist for agency workers is a tool used to ensure that temporary workers are aware of and compliant with health and safety regulations in their workplace. It covers key aspects such as hazard identification, personal protective equipment (PPE) usage, emergency procedures, and general safety protocols.
This checklist helps to mitigate risks and promote a safe working environment for agency workers, enabling them to perform their duties without compromising their health and well-being.
By systematically addressing health and safety considerations, it contributes to the overall effectiveness and efficiency of temporary staffing arrangements while prioritising worker welfare.
It is usually delivered to the Candidate by the Company / HR.
It should be actioned at the start of an assignment, to be completed on day 1.
Frequently Asked Questions
Frequently Asked Questions
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Can I use this template in my small business?
Yes. The Health and Safety Checklist for agency workers form template is designed to be flexible and suitable for organisations of all sizes, including small businesses and charities. It follows UK employment law best practice, so even if you don't have an in-house HR team, you can confidently apply it.
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Is this template compliant with 2025 UK employment law?
Absolutely. All of our templates are drafted with the latest ACAS guidance and UK employment legislation in mind. We review and update them regularly, so you can be confident they remain compliant.
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Can I customise it for my organisation?
Yes, we highlight the areas that you need to update with your own details, and where you need to make decisions to suit your situation. This saves you time and ensures that you meet best practice.
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Do I get instant access?
Yes. Once purchased, you'll be able to download it instantly. Templates are provided in editable Word or Excel format so you can customise them easily, and in PDF format for easy sharing.
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What if I need more help, not just this template?
If you're looking for broader support, we also offer toolkits and library bundles that include this template, along with other HR templates and policies for fully managing your situation. These may be more cost-effective if you need deeper advice.