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Public starter worksheet · Ireland

Safety statement outline for Ireland

Use this outline to gather information for a workplace-specific safety statement. It is a planning aid, not a completed safety statement. Start with your actual hazards, risk assessments and arrangements.

Available without email: the fields, example and plain-text starter on this page. The full PDF and Word pack requires email to unlock.

Download blank starter · TXT

Open the interactive planning form to complete and export a workplace record. Adapt all prompts to the work being done.

What to include

FieldWhat to record
Business and workplace scopeIdentify locations, activities and people covered.
Management commitmentSet out the policy and who has authority and resources to implement it.
Responsibilities and consultationIdentify responsible roles and how workers are involved.
Workplace arrangementsDescribe emergency arrangements, training, supervision, welfare and relevant procedures.
Risk assessments and actionsInclude the workplace-specific findings and how actions are assigned and checked.
Communication and reviewExplain how staff receive relevant information and how the statement is kept current.

Illustrative completed example

This fictional example shows the level of detail to consider. It is incomplete and must not be copied as an assessment of your workplace.

ScopeFictional example: one office and storeroom; ordinary office work and deliveries.
Information still neededActual hazards, risk assessments, emergency plan, responsible people and consultation records.
Next stepUse HSA guidance or BeSMART for the relevant business type and check that the resulting document fits the real workplace.

How to adapt the worksheet

  1. Identify activities and assess the risks before completing the document.
  2. Use the HSA guidance and consider BeSMART where it covers your business.
  3. Implement and communicate the arrangements, then keep the document current.

Country scope and official guidance

Use HSA guidance and workplace-specific risk assessments. The HSA explains that a generic safety statement is not sufficient for an individual workplace.