Health and Safety Checklist for agency workers form template

£ 9/year

Our Health and Safety Checklist for Agency Workers Template ensures compliance and safety standards, safeguarding agency workers in various work environments.

5 minute read • 1 May 2025
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Health and Safety Checklist for agency workers form

Assignment Details:

  • Assignment/Job Name: ______________________________
  • Client Name: ______________________________________
  • Assignment Location: _______________________________
  • Date: //____

Health and Safety Checklist:

  1. 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.
  2. 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.
  3. 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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What is this for?

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.

health and safety checklist for agency workers form template