Workplace Safety Checklist

About this form

The workplace safety checklist is a staff & hr document used by dental practices. Dental office workplace safety inspection checklist covering OSHA standards and hazard identification. In BoomCloud Forms it is a starting point: every field, heading and statement can be edited before you share it with patients.

Practices may use this template as a starting point and should review the wording against their own professional, regulatory and legal requirements before use.

What's included

This template ships with 10 fields:

• Inspector Name — Text
• Inspection Date — Date
• Fire extinguishers inspected and accessible — Multiple choice
• Emergency exits clearly marked and unobstructed — Multiple choice
• Sharps containers properly placed and not overfilled — Multiple choice
• PPE available and in good condition — Multiple choice
• Hazardous materials properly labeled and stored — Multiple choice
• Deficiencies Found — Long answer
• Inspector Signature — Signature
• Date — Date

When practices use it

Dental teams typically attach this form to the day-to-day office workflow. It can be sent digitally ahead of the visit, completed on a tablet in the office, or printed as a PDF.

How to customize it

• Reword any question, add fields, or remove ones your practice doesn't need.
• Apply your practice name, logo and colors so the form matches your brand.
• Switch to another supported language where a translated version exists.
• Share a secure link with the patient, or download a print-ready PDF.