Visitor safety rules form template

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):

1. 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.

2. Emergency Procedures

• In the event of a fire alarm, visitors must evacuate the building using the nearest exit and proceed to the designated assembly area.
• Visitors should familiarize themselves with the emergency exits and escape routes as outlined by their host.
• Visitors should not use elevators during an evacuation unless specifically instructed to do so by safety personnel.
• In case of medical emergencies, visitors should immediately inform the host or the nearest available staff member.
• Visitors must not attempt to extinguish fires unless specifically trained to do so.

3. Personal Protective Equipment (PPE)

• Visitors must wear appropriate Personal Protective Equipment (PPE) if required by the nature of their visit or by the department they are visiting (e.g., hard hats, high visibility vests, safety shoes, eye protection).
• PPE will be provided by the company, and visitors should ensure it is used correctly during their visit.
• Visitors must adhere to specific PPE requirements in designated areas where safety hazards are present.

4. Site-Specific Safety Rules

• Visitors should not engage in any work or physical activity unless instructed to do so by their host and have received the necessary safety briefings.
• Visitors must not use machinery, equipment, or tools unless authorized and accompanied by a qualified employee.
• Visitors should report any unsafe conditions or hazards they observe to their host immediately.
• Visitors must adhere to site-specific safety instructions provided by the host, particularly in areas with machinery, chemicals, or other hazards.

5. Health and Safety Communication

• Visitors must listen carefully to safety briefings or inductions provided by the host.
• Visitors should ask questions if they do not understand any health and safety instructions or rules.
• Visitors must inform their host if they have any medical conditions or specific requirements that could impact their safety during their visit.

6. Security and Property

• Visitors should ensure that they do not bring prohibited items onto company premises (e.g., drugs, alcohol, weapons).
• Visitors should respect the privacy of company property and confidential information and refrain from taking photos or videos unless permission is granted.
• Visitors should ensure that they do not leave personal items unattended and are responsible for their belongings.

Acknowledgment:
By signing below, you acknowledge that you have read, understood, and agree to comply with the Visitor Safety Rules during your visit to the premises.

Visitor Signature:

Date:

Host Signature (Employee):

Date: