Farm Safety & Emergency Preparedness
Farm Safety Program Evaluation Form
A farm safety program evaluation form for owners and workers to rate each part of the safety program and record changes that would make it work better.
Download free PDF1 page, US Letter, prints clean in black and white
FormFarm Safety & Emergency PreparednessFree PDF
What you fill in
- Program area being rated
- What is working well
- What is not working
- Evidence or examples
- Worker feedback
- Suggested changes
- Resources needed
- Priority level
- Reviewer and date
How to use this form
Complete the form while the details are fresh. Attach photos, receipts or notes if they help, and file it with your records.
Where to check the details
This sheet is a general template, so confirm specifics with your own manuals, labels and local rules. For current official guidance, start with OSHA and eXtension.
For more in this area, see the Farm Safety. Between chores, farm.FM has farm humor, including Farm Safety Net Hits $13.8 Billion, Still Has Holes, and farming farm stories.