Farm Worker Safety Checklist
Ensure a safe and productive farm environment. This Farm Worker Safety Checklist helps identify and mitigate workplace hazards, ensuring compliance and protecting your most valuable asset - your team.
This Template was installed 1 times.
Personal Protective Equipment (PPE)
Ensuring proper PPE is used and maintained for all tasks.
Hard Hat Condition
Eye Protection (Goggles/Face Shield)
Gloves Type
Gloves - Remaining Pairs (if applicable)
Hearing Protection (Earplugs/Muffs)
PPE Inspection Photo (if issues found)
Notes on PPE Condition or Issues
Equipment Operation
Safe operation of tractors, machinery, and other equipment.
Tractor Operating Hours
Engine RPM at Idle
Tire Condition (Front)
Tire Condition (Rear)
Last Maintenance Date
Maintenance Notes/Observations
Hydraulic Fluid Level
Brake System Check
Hazard Communication
Understanding and responding to hazardous materials and situations.
SDS Location(s) - List all locations where Safety Data Sheets (SDS) are kept.
SDS Review Frequency
Which Hazardous Materials are Present on the Farm?
If 'Other' Hazardous Material Selected, Please Specify:
Quantity of Pesticide in Stock (Estimate):
Last SDS Review Date:
Emergency Procedures
Knowledge and preparedness for accidents and emergencies.
Briefly describe the emergency (e.g., injury, fire, equipment failure)
Exact Location of Incident
Number of Individuals Involved
Type of Emergency Response Needed
Date of Emergency
Time of Emergency
Equipment/Resources Used During Response
Signature of Person Reporting Emergency
Working Conditions
Monitoring and addressing environmental factors and ergonomic risks.
Ambient Temperature (°C)
Humidity (%)
Noise Level (dB)
Lighting Adequacy
Ergonomic Hazards Observed
Additional Observations/Comments
Training and Certification
Verification of required training and certifications for specific tasks.
Tractor Safety Training Completed?
Last Pesticide Application Certification Date
First Aid/CPR Certified?
Number of Hours of Machinery Operation Training
Next Certification Expiration Date
Specific Safety Courses Completed (Select all that apply)
Upload Certification Document(s)
Farm Vehicle Safety
Safe operation and maintenance of all farm vehicles (ATVs, UTVs, trucks).
Last Vehicle Inspection Date
Vehicle Odometer Reading
Vehicle Condition
Tire Condition
Brake Functionality
Tire Pressure (PSI)
Inspector Signature
Confined Space Entry
Procedures and safety checks for entering confined spaces (silos, tanks).
Entry Date
Entry Start Time
Entrant Name
Attendant Name
Reason for Entry
Oxygen Level (%)
Hydrogen Sulfide (H2S) Level (ppm)
Ventilation Status
Entrant Signature
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