Visitor safety checklist form template
5 mins to read, 10 mins to prep
762 words, 3 A4 pages
Reviewed 1 September 2025
Visitor safety checklist form
Purpose
To ensure the safety of visitors while on company premises, and to comply with all health and safety regulations.
Visitor Name: | |
Company/Organisation (if applicable): | |
Date of Visit: | |
Host Name (Employee): |
General Safety Rules
All visitors must report to reception upon arrival and sign in. | |
Visitors must wear a visitor badge at all times while on site. | |
Visitors must be accompanied by a member of staff during their visit unless prior arrangements have been made. | |
In case of an emergency evacuation, visitors must follow the instructions of their host and proceed to the designated assembly point. | |
Smoking is not permitted anywhere on the premises except in designated smoking areas. | |
Visitors must remain in the designated areas specified by their host and avoid entering restricted or hazardous zones. | |
Visitors should report any accidents, injuries, or near-misses immediately to their host or reception. |
Emergency Procedures
In the event of a |
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What is this for?
The Visitor Safety Checklist Form helps organisations ensure that all necessary precautions are in place to protect visitors on-site.

It covers key areas such as hazard identification, emergency procedures, accessibility, and security measures, ensuring compliance with health and safety regulations.
This form supports a proactive approach to visitor safety, reducing risks and maintaining a secure and welcoming environment.